Executive Director, Payer Contracting, Retail Health Greater Boston, MA Area + 1 more

The Company is seeking an Executive Director of Payer Contracting to lead contracting strategy for its retail health business. Responsibilities include developing strategies that support growth, patient access, and sustainable financial performance; leading complex negotiations and senior-level payer relationships; and overseeing the contract portfolio and its financial and operational performance. The role will assess reimbursement and market trends, advise senior leadership, and resolve significant contracting issues. It will also lead a high-performing team and partner with finance, legal, operations, clinical, revenue cycle, and compliance stakeholders to ensure contracts are effectively developed and implemented. Candidates must have at least 15 years of progressive healthcare experience, including substantial payer or managed care contracting experience. They should demonstrate success in payer strategy, complex negotiations, and senior-level relationship management, along with strong knowledge of reimbursement models, contract economics, and payer-provider relationships. Strong financial and analytical judgment, negotiation and executive communication skills, and the ability to lead across a complex organization are required. Experience with national and regional health plans and government and commercial contracting is valued, particularly in ambulatory, physician, or retail health settings. A bachelor’s degree is required; an advanced degree is preferred.

Hiring Company

CVS Health