Pharmacy Network Analytics Manager

Hispanic Alliance for Career Enhancement; California (MO); Hybrid; USD 54,300 - 159,120; Full time

Benefits offered by this job

Medical, dental, and vision coverage

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, focusing on data aggregation, analytics, and reporting. The role emphasizes performance measures, stakeholder relationships, and fraud, waste, and abuse oversight within the pharmacy network.

This individual contributor position requires multiple years of healthcare network management experience, regulatory knowledge, and strong analytical capabilities.

Qualifications

• Minimum of 5 years of healthcare network management experience.
• Minimum of 3 years of experience designing performance measurement frameworks and reporting.
• 2-3 years of experience applying pharmacy regulations and compliance requirements.

Responsibilities

• Aggregate and analyze data to produce detailed reports and audits.
• Develop and implement performance measures for network contracts.
• Identify fraud, waste, and abuse within the network and recommend interventions.
• Collaborate with cross-functional teams to support strategic decisions.
• Manage relationships with internal stakeholders for alignment and communication.
• Monitor pharmacy performance and ensure adherence to quality standards.
• Assist in budget planning and financial performance analysis.
• Contribute to quality improvement initiatives in service delivery.
• Ensure compliance with federal, state, and local regulations.

Skills

Analytical thinking

Communication

Cross-functional collaboration

Education

Bachelor's degree

Tools

Microsoft Excel

PivotTables

Power Query

VBA / Macros

Job description

CVS Health is seeking a Pharmacy Network Manager to support the Director of Network Pharmacy, focusing on data aggregation, analytics, and reporting. The role emphasizes performance measures, stakeholder relationships, and fraud, waste, and abuse oversight within the pharmacy network.

This individual contributor position requires multiple years of healthcare network management experience, regulatory knowledge, and strong analytical capabilities.