Pharmacy Network Manager

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🔥 0 minutes ago

🏖️ New Jersey, Texas, +1 more states – Remote

🏖️ New Jersey – Remote 🤠 Texas – Remote 🍁 Vermont – Remote

💵 $54.3k - $159.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

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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

• Aggregate and analyze data to produce detailed reports • Develop and implement performance measures for pharmacy network contracts • Identify and flag potential fraud, waste, and abuse within the pharmacy network • Collaborate with cross-functional teams across the enterprise to support strategic decision-making • Manage relationships with internal stakeholders to ensure alignment and effective communication • Support the Director of Network Pharmacy in monitoring pharmacy performance • Assist in budget planning and financial performance analysis of the pharmacy network • Contribute to quality improvement initiatives to enhance service delivery • Ensure compliance with federal, state, and local regulations

🎯 Requirements

• Minimum of 5 years of healthcare network management experience • Minimum of 3 years of experience designing performance measurement frameworks • 2–3 years of experience applying pharmacy regulations and compliance requirements • Minimum of 2 years of experience demonstrating strong communication and relationship management skills • Ability to work collaboratively with cross-functional teams

🏖️ Benefits

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