Director Value Based Contracting and Health Economics

Job DescriptionWould you like to join CVS Health leading our dynamic and growing client services support team? You will have the opportunity to utilize your financial and clinical acumen to support clinical initiatives within the trade organization and drive value based contracting strategies and strategies and assessments in areas of treatment complexity. This role is with Zinc Health Services LLC. CVS Health has launched this new domestically located company to allow CVS Health to deliver new innovative ways to further reduce the cost of branded and specialty drugs as part of our efforts to make prescription medicines more affordable and accessible.The Director, Value Based Contracting and Health Outcomes role is a highly visible with CVS Health leadership, responsible for driving strategies in new areas to minimize client drug spend. You will be expected to analyze, research, and prepare presentations and recommendations for leadership in areas including health outcomes generally, and oncology and gene therapy specifically. You will work with multiple internal (i.e. Trade Negotiators, Medical Affairs, Product), and external (manufacturer) partners to establish relationships and articulate potential management strategies with a deep understanding of utilization and cost patterns that underlie them. You will assist Zinc in working with Trade leadership to meeting financial management goals, including rebate generation. This is an outstanding opportunity with exposure to leadership; and a chance to create strong partnerships. Additional Responsibilities Include:-Assisting with strategic initiatives, including working in a cross functional team environment on multiple projects at a time and handling needs from the Trade Relations organization.-Partnering with Trade negotiators and analytic and finance teams to characterize and develop strategies in and understand of complex therapeutic areas, using health economic analyses to identify new formulary-related strategies and programs. Analyses will move beyond simple unit cost to assess patient level data, identifying usage and practice patterns at a class, drug and condition specific level.-Act as a Trade Relations lead for value based programs and innovating contracting (VBP) initiatives, interacting with Trade negotiators, manufacturers and internal colleagues (clinical, operational, finance and analytic)-Proactively drive development of new VBC programs and strategies, as well as assess and implement externally proposed VBPs-Prioritize new and existing opportunities based on viability and relative merit-Track and communicate the performance of existing VBP initiatives and monitor the competitive landscape- Role scope includes approved and pipeline products in specialty and non-specialty categories.Required Qualifications-10 years of professional work experience in healthcare, managed care, health plans, or PBM, preferably with a focus on financial strategy and client relations.- Experience with pharmacy benefit management, health plans rebates, drug spend and/or formulary strategies.- Management consultant experience, health care consulting and project management- Experience in conducting health outcomes analyses (e.g., budget impact, cost effectiveness) and/or value based contracts-Travel 15- 20%COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications-HEOR/RWE research in the behavioral health area. Advanced Excel and PowerPoint SkillsEducation- Bachelors degree or equivalent work experience required.- R.Ph or PharmD or Physician Assistant preferred- MBA PreferredBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-11-15