Pharmacy Network Analytics Manager

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

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Wellness programs

Retirement savings

Job summary

CVS Health in the United States seeks a Pharmacy Network Manager to support the Director of Network Pharmacy, focusing on data aggregation, analytics, reporting, and ensuring regulatory compliance across the pharmacy network. This role emphasizes collaboration with cross-functional teams, monitoring performance, addressing fraud, waste and abuse, and contributing to budget planning and quality initiatives.

The position requires strong communication skills and experience managing statewide

Qualifications

• Minimum of 5 years of healthcare network management experience with statewide and multi-state networks, regulatory filings, and overseeing pharmacy operations.
• Minimum of 3 years designing performance measurement frameworks and generating analytical reports for stakeholders.
• 2-3 years applying pharmacy regulations and compliance, including state filings and audit preparation.
• Minimum of 2 years demonstrating strong communication and relationship management skills with cross-functional teams.

Responsibilities

• Aggregate and analyze data to produce reports and respond to audits.
• Develop and implement performance measures for pharmacy network contracts.
• Identify and flag potential 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.
• Monitor pharmacy performance and ensure adherence to quality standards.
• Assist in budget planning and financial analysis of the pharmacy network.
• Contribute to quality improvement initiatives to enhance service delivery.
• Ensure compliance with federal, state, and local regulations.

Skills

Healthcare network management

Regulatory filings

Performance measurement

Data analysis

Stakeholder communication

Cross-functional collaboration

Budgeting

Education

Bachelor's Degree preferred

Tools

Microsoft Excel

PivotTables

Power Query

Excel macros/VBA

Job description

CVS Health in the United States seeks a Pharmacy Network Manager to support the Director of Network Pharmacy, focusing on data aggregation, analytics, reporting, and ensuring regulatory compliance across the pharmacy network. This role emphasizes collaboration with cross-functional teams, monitoring performance, addressing fraud, waste and abuse, and contributing to budget planning and quality initiatives.

The position requires strong communication skills and experience managing statewide