Remote Cvs Utilization Management Nurse Jobs in Indiana

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 ourselvesaccountable 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:

Bring your heart to CVS Health. Every 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.

Do you want to make a large impact in your next role?! In this high impact role as Director of Trade Relations - Contract Negotiator, you will assist the Executive Director of Trade Relations in the negotiation strategies with pharmaceutical manufacturers and suppliers. Here, as Director Trade Relations, you will have an exciting opportunity to implement pharmaceutical procurement strategies that directly supply to the bottom line of a Fortune 6 organization.

These strategies will include:
- Negotiating rebates as part of Zinc Health Services for CVS Health and other participants
- Identifying and developing formulary strategies in targeted therapeutic categories.

Additionally, you will hold direct account responsibilities for manufacturers and play a significant role in maintaining and growing manufacturer relationships. Your additional responsibilities will include the development of manufacturer level strategies account relationship management and direct accountability for rebate contracting with the manufacturer.
Your position will be highly visible to senior partners as you will be responsible for negotiations on high-dollar contracts that give to the continued success of Zinc Health Services and CVS Health.
Your experience with market access and B2B, as well as your success in driving sophisticated contract negotiations and completion of contracts, PBM and managed care expertise, with a focus on the management of pharmacy budgets related to manufacturers, will be key. You will utilize your creativity and skilled collaboration across multiple key business units, as well as your strategic vision, critical thinking capabilities and public speaking and presentation experience. You should be comfortable balancing multiple priorities at one time such as when dealing with multiple, complex contract negotiations and multiple manufactures.

This position will be located out of our offices in Northbrook, IL or Bloomington, MN on a remote/hyrbid schedule. We will consider alternative locations for the right candidate.

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 Trade leadership in meeting financial 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.

-Prioritize new and existing opportunities based on viability and relative merit

- Role scope includes approved and pipeline products in specialty and non-specialty categories.

To be successful, you will utilize your strategic vision, creativity, and critical thinking ability. Your presentation and public speaking experience, your demonstrated track record of success with analytic projects or product development, as well as your experience handling multiple client/stakeholder relationships with key decision makers will be critical to your success.

Our organization offers a competitive benefit package including vacation paid time off, holiday/sick time, health/dental/vision insurance, work/life balance, employee discounted stock purchase program, 401K, tuition reimbursement and employee discounts at all CVS stores.

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%

Preferred Qualifications:
Adept at execution and delivery (planning, delivering, and supporting) skills
Adept at business intelligence
Adept at collaboration and teamwork
Mastery of problem solving and decision-making skills
Mastery of growth mindset (agility and developing yourself and others) skills

Advanced Excel and PowerPoint skills

Education:

- Bachelor's degree or equivalent work experience required.

- MBA Preferred

Pay Range

The typical pay range for this role is:

$100,000.00 - $231,540.00

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

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing 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: 08/14/2026

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