Pharmacy Network Analytics & Compliance Manager

Sarasota Memorial Hospital; Town of Florida, Northern (NY, KY); Hybrid; USD 54,000 - 159,000; Full time

Job summary

CVS Health is seeking a Pharmacy Network Manager to support the Director of Network Pharmacy in ensuring efficient operation of the pharmacy network. This role emphasizes data aggregation, analytics, reporting, and developing performance measures to improve network performance.

You will collaborate with cross-functional teams, manage strategic stakeholder relationships, assist in budget planning and financial analysis, and ensure compliance with regulations while addressing fraud, waste, and

Qualifications

• 5+ years of healthcare network management across state lines and regulatory filings.
• 3+ years designing performance measures and producing analytical reports.
• 2-3 years applying pharmacy regulations including credentialing and audits.
• 2+ years of stakeholder communication and cross-functional collaboration.
• Ability to work 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 and recommend interventions.
• Collaborate with cross-functional teams to support strategic decision-making.
• Manage relationships with internal stakeholders for alignment and communication.
• Assist in budget planning and financial performance analysis.
• Contribute to quality improvement initiatives and ensure regulatory compliance.

Skills

Healthcare network management

Data analysis

Stakeholder communication

Cross-functional collaboration

Education

Bachelor's Degree

Tools

Microsoft Excel

PivotTables

Power Query

Excel VBA

Job description

CVS Health is seeking a Pharmacy Network Manager to support the Director of Network Pharmacy in ensuring efficient operation of the pharmacy network. This role emphasizes data aggregation, analytics, reporting, and developing performance measures to improve network performance.

You will collaborate with cross-functional teams, manage strategic stakeholder relationships, assist in budget planning and financial analysis, and ensure compliance with regulations while addressing fraud, waste, and