Analyst - Network Enrollment - Work From Home

Decker Jones, P.C.; Austin (TX); Remote; USD 43,000 - 86,000; Full time

Job summary

A leading healthcare company seeks an Analyst for pharmacy network management. This full-time position involves overseeing pharmacy contracts, soliciting pharmacies, and ensuring accuracy in enrollment operations. Ideal candidates will have strong data management skills and customer service experience, working to enhance the pharmacy network efficiently.

Benefits

401(k) plan with matching contributions

Affordable medical plan options

Wellness and financial coaching programs

Tuition assistance

Flexible work schedules

Paid time off

Qualifications

• 1+ Year of Customer Service experience required.
• Experience in Account Management or Project Management.
• Familiarity with data sets essential.

Responsibilities

• Manage pharmacy network operations and contracts.
• Act as contact for independent pharmacies and affiliations.
• Ensure timely addition of pharmacies to the network.

Skills

Data Management

Customer Service

Account Management

Project Management

Excel

Microsoft Office Suite

Education

High School Diploma or Equivalent

Bachelors Degree

Job description

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.

Position Summary

The focus of the Network Enrollment team is pharmacy network management operations including the creation of new networks and the maintenance of existing pharmacy networks on adjudication systems.

The Analyst position is responsible for the timely addition of pharmacies to networks selected through the provider enrollment packet. Other responsibilities include pharmacy solicitation at the request of clients and customers through the mailing of contracts, electronic recording of pharmacy contracts, and acting as the main source of contact for independent pharmacies and affiliations.

The position will focus on accuracy and will meet department minimum QC standards, adapt to shifting priorities and respond to complex pharmacy questions related to network enrollment and contracting.

Failure to perform could result in disruption to client members, financial penalties by the client, CMS and government auditors.

Required Qualifications
- Data Management and familiarity of data sets

- 1+ Year of Customer Service

- Account Management or Project Management Experience

- Excel and Microsoft Office Suite Experience

Preferred Qualifications
- Process of claims

- Medical, Pharmacy, or PBM Experience

- Bachelors Degree

Education
High School Diploma or Equivalent

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

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.

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: 06/21/2025

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