Pharmacy Network Analytics & Compliance Lead

Hispanic Alliance for Career Enhancement; Alabama; Hybrid; USD 54,300 - 159,120; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Pharmacy Network Manager to support the Director of Network Pharmacy. This role focuses on data aggregation, analytics, reporting, and developing performance measures for the pharmacy network.

You will manage relationships with stakeholders, address fraud, waste, and abuse, and ensure compliance while supporting budgeting and quality initiatives across the network.

Qualifications

• Minimum 5 years in healthcare network management with regulatory experience.
• 3+ years designing performance measurement frameworks and reports.
• 2-3 years applying pharmacy regulations including audits and state filings.
• 2+ years strong communication and stakeholder management.
• 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 contracts.
• Identify and flag fraud, waste, and abuse within the network.
• Collaborate with cross-functional teams to support decisions.
• Manage relationships with internal stakeholders for alignment.
• Support budgeting and financial performance analysis.
• Contribute to quality improvement initiatives.
• Ensure compliance with federal, state, and local regulations.

Skills

Network management

Performance measurement

Pharmacy regulations

Stakeholder management

Cross-functional collaboration

Education

Bachelor's Degree

Tools

Excel

PivotTables

Power Query

Excel macros/VBA

Job description

CVS Health is seeking a Pharmacy Network Manager to support the Director of Network Pharmacy. This role focuses on data aggregation, analytics, reporting, and developing performance measures for the pharmacy network.

You will manage relationships with stakeholders, address fraud, waste, and abuse, and ensure compliance while supporting budgeting and quality initiatives across the network.