Network Management Analyst

Job not on LinkedIn

🔥 0 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $43.9k - $85.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛜 Network Engineer / Network Administrator

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Investigate and resolve pharmacy contract non-compliance allegations, including complex and sensitive cases • Conduct outreach to pharmacies to gather information and address identified issues • Analyze claims data and adjudication results to support findings and recommendations • Partner with Sales, Account Management, and other internal teams to coordinate resolution efforts • Prepare detailed written responses for plan sponsors, participants, and internal stakeholders • Address and resolve customer concerns related to network pharmacy performance • Maintain thorough documentation of investigations and outcomes • Manage multiple cases simultaneously while meeting deadlines and maintaining accuracy

🎯 Requirements

• 3+ years of retail pharmacy experience • 2+ years of claims adjudication research experience • 2+ years of experience with Microsoft Office applications (Excel, Outlook, Word) • Bachelor’s degree required

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility