Manager of Pharmacy Reimbursement Strategy and Finance

Posted Yesterday
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7 Locations
In-Office or Remote
54K-146K Annually
Mid level
Fitness • Healthtech • Retail • Pharmaceutical
The Role
Manages pharmacy reimbursement strategy and finance analytics, including complex contract modeling, pricing recommendations, payer benchmarking, dashboards, and performance reporting. Partners with Finance, Payer Relations, data warehouse, IT, product, operations, supply chain, and other teams to support negotiations, CostVantage implementation, pricing models, and process improvements. Communicates analytical insights and recommendations to senior leadership while serving as a subject matter expert for pharmacy reimbursement and payer finance.
Summary Generated by Built In

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
The Manager of Pharmacy Reimbursement Strategy and Finance is a key role in the Payer Relations Analytics organization.  With the constantly evolving Pharmacy Reimbursement landscape, and the launch of the CVS CostVantage model, there is a vital need for comprehensive and real-time analytics across both the internal organization and external market dynamics. The Manager will partner closely with the Senior Manager of Pharmacy Strategy and Analytics to provide these key insights and develop pricing recommendations for senior leadership.
The Manager can expect to develop and utilize strong analytical skills to quantify the value of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Manager will also be responsible for leading regular reporting on business performance and developing process improvements to move toward more accurate modeling and efficient sharing of insights.
  • Assist in development of next-generation CostVantage pro forma model to align to financials from Finance and give all the needed outputs to support Payer Relations team
  • Develop new benchmarking techniques and dashboards
  • Partner cross-functionally with Finance and data warehouse teams to enhance processes for integrating drug pricing data
  • Oversee and support modeling new pricing models across all lines of business in 2027 and beyond
  • Liaison with Payer Relations Team to incorporate emerging business needs into process and modeling
This role will develop strong relationships across the retail organization to provide subject matter expertise and ad hoc analytics to cross-functional business partners including: broader finance organization, product development, operations, supply chain, and real estate.
Approximate breakdown of responsibilities
60% Contract analytics & modeling: Develop complex deal models and underwriting in collaboration with Payer Relations team to support contracting negotiations for >100 payers and Pharmacy Benefits Managers. Apply strong analytical skills and business acumen to benchmark deal projections and analyze performance over time. Communicate recommendations, summaries, and nuances of analysis to senior leadership.
20% Project management: Implement technical and personnel processes required to transition to CostVantage model, including working with business and IT stakeholders. Support reporting for vaccine financials, setting cash prices, and other reimbursement processes.
20% Develop subject matter expertise & conduct ad hoc analytics: Support broader finance, product development, operations, and supply chain organizations with payer finance knowledge and ad hoc analytical insight and recommendations. Assess financial impact of proposals from across the Retail and PBM organizations.

Required Qualifications
  • 3-5 years work experience in health care, finance, consulting, business analytics or related quantitative problem solving
  • Strong analytical skillset and approach to problem solving
  • Strong financial modeling skills - Ability to build, maintain, and interpret complex deal models and quantify financial impacts
  • Strong communication skills and ability to drive recommendations to leadership through impactful, insightful analytical-based presentations
  • Ability to become trusted advisor to cross-functional business partners
  • Ability to focus on long-term, strategic goals while executing against short-term objectives
  • Ability to develop a deep understanding of the industry
  • 1- 2 years SQL experience

Preferred Qualifications
  • Experience in Consulting or Finance
  • Experience with AI
Education
Bachelor’s degree required

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $145,860.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on
Benefits Moments.

We anticipate the application window for this opening will close on: 09/23/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Skills Required

  • 3-5 years of experience in healthcare, finance, consulting, business analytics, or related quantitative problem solving
  • Strong analytical skills and problem-solving approach
  • Strong financial modeling skills, including building, maintaining, and interpreting complex deal models and quantifying financial impacts
  • Strong communication skills and ability to present analytical recommendations to leadership
  • Ability to become a trusted advisor to cross-functional business partners
  • Ability to focus on long-term strategic goals while executing short-term objectives
  • Ability to develop a deep understanding of the industry
  • 1-2 years of SQL experience
  • Bachelor's degree
  • Experience in consulting or finance
  • Experience with AI

CVS Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.

  • Healthcare Strength Health coverage includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
  • Retirement Support A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
  • Wellbeing & Lifestyle Benefits Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.

CVS Health Insights

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The Company
HQ: Woonsocket, RI
119,959 Employees
Year Founded: 1963

What We Do

CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.

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