Pharmacy Network Enrollment Specialist

Colorado Psychiatric

Denver (CO)

Hybrid

USD 44,000 - 102,000

Full time

3 days ago
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Benefits offered by this job

Medical benefits
Paid time off
Retirement plan

Job summary

CVS Health is seeking a Network Enrollment Analyst in Denver to support enrollment, maintenance, and administration of participating pharmacies within the network. You will collaborate with independent pharmacies, PSAOs, and HQ to ensure accurate enrollment and timely processing of changes.

The role emphasizes attention to detail, effective communication, and problem‑solving to maintain network integrity and member access. Full‑time hours and competitive benefits are offered.

Qualifications

  • 4 years of professional experience in customer service, healthcare operations, administrative support, pharmacy operations, or a related field.
  • Strong attention to detail and organizational skills.
  • Effective verbal and written communication skills.
  • Ability to manage multiple priorities and meet established deadlines.
  • Demonstrated problem‑solving and critical‑thinking skills.
  • Proficiency with Microsoft Office applications, including Excel, Word, and Outlook.
  • Ability to work independently and collaboratively within a team environment.
  • Commitment to providing exceptional service to internal and external stakeholders.

Responsibilities

  • Support enrollment and onboarding activities for pharmacies seeking participation in the pharmacy network.
  • Review enrollment applications and supporting documentation for completeness and accuracy.
  • Assist pharmacies and pharmacy corporate headquarters with enrollment‑related inquiries and participation requirements.
  • Process pharmacy additions, updates, terminations, and other participation changes according to established procedures.
  • Research and resolve routine enrollment, participation, and provider data issues.
  • Monitor enrollment requests and ensure timely completion of required processing steps.
  • Support pharmacy outreach efforts related to enrollment updates, network participation requirements, and operational communications.
  • Generate and analyze reports related to pharmacy enrollment, participation status, and network data quality.
  • Identify data discrepancies and elevate complex issues to senior team members as appropriate.
  • Participate in process improvement initiatives designed to enhance enrollment accuracy, turnaround times, and pharmacy satisfaction.
  • Follow established policies and procedures while developing knowledge of pharmacy network operations and enrollment processes.

Skills

Customer service
Healthcare operations
Administrative support
Pharmacy operations
Microsoft Excel

Education

Bachelor's degree in related field

Tools

Excel
Word
Outlook

Job description

CVS Health is seeking a Network Enrollment Analyst in Denver to support enrollment, maintenance, and administration of participating pharmacies within the network. You will collaborate with independent pharmacies, PSAOs, and HQ to ensure accurate enrollment and timely processing of changes.

The role emphasizes attention to detail, effective communication, and problem‑solving to maintain network integrity and member access. Full‑time hours and competitive benefits are offered.

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