Pharmacy Network Enrollment Specialist

CVSHealth; Massachusetts; On-site; USD 44,000 - 102,000; Full time

Benefits offered by this job

Bonus eligibility

Comprehensive benefits package

Job summary

CVS Health is hiring a Network Enrollment Analyst to support pharmacy network enrollment, onboarding, and maintenance. You’ll work with independent pharmacies, PSAO, and HQ to ensure accurate enrollment processing and timely resolutions, driving network integrity and member access.

Responsibilities include reviewing applications, addressing inquiries, processing changes, and generating enrollment reports. Bachelor's degree and 4 years’ experience preferred; strong Excel skills and customer

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

Attention to detail

Organizational skills

Verbal communication

Written communication

Multitasking

Problem-solving

Critical thinking

Microsoft Excel

Microsoft Word

Microsoft Outlook

Team collaboration

Customer service

Education

Bachelor's degree in Business Administration / Healthcare Administration / Public Health / Pharmacy Administration

Tools

Microsoft Office Suite

Job description

CVS Health is hiring a Network Enrollment Analyst to support pharmacy network enrollment, onboarding, and maintenance. You’ll work with independent pharmacies, PSAO, and HQ to ensure accurate enrollment processing and timely resolutions, driving network integrity and member access.

Responsibilities include reviewing applications, addressing inquiries, processing changes, and generating enrollment reports. Bachelor's degree and 4 years’ experience preferred; strong Excel skills and customer