Pharmacy Network Enrollment Specialist

NHSHP; Irvine (CA); Hybrid; USD 44,000 - 102,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Employee assistance program

Job summary

CVS Health is seeking a Network Enrollment Analyst to support enrollment, maintenance, and administration of participating pharmacies within the company’s networks. You will coordinate with independent pharmacies, PSAOs, and headquarters to ensure enrollment requests are completed accurately and efficiently.

This role requires attention to detail, strong communication, and the ability to manage multiple priorities in a fast-paced healthcare environment.

Qualifications

• 4 years of professional experience in customer service, healthcare operations, administrative support, pharmacy operations, or 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

Attention to detail

Communication

Time management

Problem solving

Education

Bachelor's degree in Business Administration, Healthcare Administration, Public Health, Pharmacy Administration, Communications

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

CVS Health is seeking a Network Enrollment Analyst to support enrollment, maintenance, and administration of participating pharmacies within the company’s networks. You will coordinate with independent pharmacies, PSAOs, and headquarters to ensure enrollment requests are completed accurately and efficiently.

This role requires attention to detail, strong communication, and the ability to manage multiple priorities in a fast-paced healthcare environment.