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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Executive Director, Medicare Part D Strategy leader will lead the development and advancement of the organization’s strategy for Medicare Part D, spanning both the Part D portion of Medicare Advantage–Prescription Drug plans (MA-PD) and standalone Prescription Drug Plans (PDPs). This leader will work closely with Medicare senior leadership and partner across Part D product, actuarial, and finance teams to design market-leading strategies that ensure competitive positioning, regulatory alignment, and sustainable financial performance.

This role requires a deep understanding of CMS rules, bid processes, PBM contracting, formulary economics, and the evolving drug pricing environment, combined with the ability to translate strategy into execution across multiple functions.

Key Responsibilities

• Develop and refine enterprise Part D strategy across MA-PD and PDP products, balancing growth, profitability, and regulatory compliance.

• Partner with Product, Actuarial, and Finance teams to translate enterprise objectives into actionable Part D strategies (e.g., formulary, benefit design, premium positioning, IRA drug price negotiations).

• Anticipate regulatory and competitive developments (e.g., CMS Part D redesign, IRA provisions, PBM reforms) and proactively recommend strategic responses.

• Serve as a thought leader on market trends in drug pricing, specialty pharmacy, rebates, and value-based pharmacy contracting.

• Work alongside Medicare and Enterprise leadership to ensure Part D strategy integrates with overall Medicare Advantage and Medicare Supplement objectives.

• Collaborate with Actuarial and Finance on bid strategy, forecasting, and sensitivity analyses, ensuring alignment with enterprise risk and margin targets.

• Partner with PBM, Clinical, Trade, and Pharmacy teams to evaluate formulary options, rebate strategies, utilization management, and site-of-care optimization programs.

• Coordinate with Stars, Risk Adjustment, and Network teams to capture cross-functional impacts on Part D performance.

• Define and monitor KPIs for Part D performance, including membership growth, formulary competitiveness, net drug costs, rebate yield, PBM fees, and CMS settlement outcomes.

• Lead development of scenario analyses for formulary and pricing strategy, including IRA negotiation impacts, pipeline monitoring, and generic/biosimilar entry.

• Provide executive-ready presentations and decision materials for senior leadership and the Board on Part D performance and strategy.

• Engage with CMS, PBMs, and industry forums to represent the organization’s perspective on Part D policy and regulatory change.

• Build relationships with pharmaceutical manufacturers to inform pipeline monitoring and negotiation strategies.

• Serve as an internal and external subject matter expert on Part D policy, economics, and strategic direction.

Minimum Requirements

• 12+ years of progressive experience in Medicare, pharmacy, or healthcare strategy, with at least 5+ years specifically focused on Medicare Part D.

• Demonstrated expertise in CMS Part D bid process, financial reconciliation, and regulatory requirements.

• Experience leading strategy for both MA-PD and PDP lines of business.

• Track record of driving innovation in Part D product or pricing strategy.

• Knowledge of Inflation Reduction Act (IRA)

• Strong understanding of PBM contracting, formulary economics, rebates, and drug pipeline monitoring.

• Proven track record of translating strategy into execution across cross-functional teams.

• Executive-ready communication skills, with ability to prepare concise decision materials for senior leadership.

Education

• Bachelor’s degree

• FSA highly valued

Pay Range

The typical pay range for this role is:

$131,500.00 - $303,195.00

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. This position also includes an award target in the company’s equity award program.

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .

+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 11/27/2025

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

We are an equal opportunity and affirmative action employer. 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.