Pharmacy Network Analyst & Compliance

CVS Health; Trenton (NJ); On-site; USD 54,300 - 159,120; Full time

Benefits offered by this job

Medical, dental & vision coverage

Retirement savings options

Paid time off

Job summary

CVS Health is seeking a data analytics professional to manage pharmacy network performance and drive data-informed decision making. This individual contributor role focuses on delivering detailed reports, performance metrics, and compliance oversight within a complex nationwide network.

The ideal candidate brings at least 5 years of healthcare network management experience, strong analytical skills, and a proven ability to collaborate across departments while maintaining a strong focus on

Qualifications

• 5+ years of healthcare network management experience with demonstrated success in managing statewide and multi-state networks, completing regulatory state filings and overseeing pharmacy operations.
• 3+ years of experience designing performance measurement frameworks and generating comprehensive analytical reports with actionable insights.
• 2–3 years of experience applying pharmacy regulations and compliance requirements to support compliant network operations.
• 2+ years of experience in communication and relationship management with stakeholders.
• Ability to work collaboratively with cross-functional teams.

Responsibilities

• Aggregate and analyze data to produce detailed reports and respond to audits.
• Develop and implement performance measures for pharmacy network contracts.
• Identify and flag potential fraud, waste, and abuse within the pharmacy network, and recommend interventions.
• 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 and ensuring adherence to quality standards.
• 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.

Skills

Data analysis

Reporting

Regulatory compliance

Stakeholder management

Cross-functional collaboration

Excel

Education

Bachelor's Degree

Tools

Excel

Power Query

PivotTables

VBA

Job description

CVS Health is seeking a data analytics professional to manage pharmacy network performance and drive data-informed decision making. This individual contributor role focuses on delivering detailed reports, performance metrics, and compliance oversight within a complex nationwide network.

The ideal candidate brings at least 5 years of healthcare network management experience, strong analytical skills, and a proven ability to collaborate across departments while maintaining a strong focus on