Senior Manager - Pharmacy Post-Audit (Pharmacist)

CVS Health; Scottsdale (AZ); Hybrid; USD 75,000 - 166,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Retirement savings options

Wellness programs

Job summary

CVS Health in Scottsdale, AZ, seeks a Senior Manager for Pharmacy Post-Audit Operations to lead appeals, escalations, and post-audit communications. You will drive timely, accurate execution and oversee regulatory change implementations across cross-functional teams.

The ideal candidate will have 7+ years in healthcare/pharmacy audit, 2+ years in people leadership, and an active pharmacist license. This hybrid role requires in-office presence Tue–Thu with remote days others.

Qualifications

• Background in pharmacy audit and/or pharmacy operations or related field.
• Strong people leadership skills, including coaching and development of team members.
• Sound judgment for complex, sensitive, or escalated audit matters.
• Experience uniting stakeholders with differing priorities.
• Strong written and verbal communication and meeting facilitation.

Responsibilities

• Lead and develop the pharmacy post-audit team, setting priorities and providing feedback.
• Own timely, accurate, and compliant completion of appeals, escalations, and post-audit correspondence.
• Monitor workload, timeliness, quality, and performance; identify risks and improve execution.
• Review complex audit disputes and determine resolutions and documentation.
• Lead implementation of pharmacy audit regulatory changes and maintain compliance controls.
• Collaborate with Legal, Compliance, Product, Technology, Operations and other teams to translate requirements into processes.
• Lead meetings, align stakeholders, document decisions, and move cross-functional work forward.
• Lead strategic projects to advance the Pharmacy Post-Audit team objectives.
• Create and maintain team reference materials and procedures.
• Identify opportunities to simplify processes and strengthen controls.

Skills

People leadership

Decision making

Written and verbal communication

Organizational skills

Cross-functional collaboration

Process improvement

Escalated issue handling

Education

BS in Pharmacy or PharmD

Active Pharmacist license in good standing

Tools

SharePoint

Relational databases/SQL

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Join CVS Caremark's Pharmacy Audit team as Senior Manager, Pharmacy Post-Audit Operations. This role leads the pharmacy post-audit team responsible for appeals, audit escalations, audit correspondence, and evaluating audit compliance with state laws.

The Senior Manager owns the timely, accurate, and consistent execution of post-audit operations while developing team members, managing priorities, resolving complex audit matters, and identifying operational risks.

In addition to day-to-day team leadership, this position leads the business implementation of pharmacy audit regulatory changes. This work is highly interconnected with other parts of the audit process and requires close partnership with Legal, Compliance, Product, Technology, Operations, and other audit teams to understand requirements, determine operational impacts, and turn those requirements into practical audit processes, controls, and team resources.

The ideal candidate is a strong people leader who can manage team priorities, resolve complex or escalated audit matters, lead cross-functional discussions, and communicate clearly with stakeholders at different levels of the organization.

The successful candidate will help the team work efficiently, consistently, and in compliance with pharmacy audit requirements while supporting process improvements that make the work easier to manage and sustain.

This position is a hybrid role located out of our offices in Scottsdale, AZ, working out of the office Tuesday, Wednesday, and Thursday each week with the flexibility to work remotely the other two days.

Key Responsibilities:

• Lead and develop the pharmacy post-audit team, including setting priorities, coaching team members, providing actionable feedback, and supporting employee growth.
• Own the timely, accurate, and compliant completion of pharmacy audit appeals, escalations, and post-audit correspondence.
• Monitor workload, timeliness, quality, and performance to identify risks and improve team execution.
• Review complex audit disputes and escalations, apply sound judgment, and determine or coordinate appropriate resolutions and record-keeping.
• Lead the business implementation of pharmacy audit regulatory changes and maintain related compliance controls.
• Work cross-functionally with Legal, Compliance, Product, Technology, Operations, and other audit teams to understand business and regulatory requirements and turn them into practical audit team processes.
• Lead meetings, align stakeholders, document decisions, and keep cross-functional work moving forward.
• Lead operational and strategic projects that advance the objectives of the Pharmacy Post-Audit team and the broader Pharmacy Audit organization.
• Create and maintain team reference materials, compliance resources, and process documentation.
• Identify opportunities to simplify processes, strengthen controls, improve consistency, and enhance the experience of internal and external stakeholders.

You will be successful in this role with the following experience:

• A background in pharmacy audit and/or pharmacy operations, or a related field.
• Strong people leadership skills, including the ability to coach, support, and develop team members.
• Sound judgment and the ability to make or facilitate decisions involving complex, sensitive, or escalated audit matters.
• Experience bringing together stakeholders with different priorities, responsibilities, and perspectives.
• Strong written and verbal communication skills, including meeting facilitation, executive communication, and clear documentation of decisions and requirements.
• The ability to translate complex regulatory, compliance, or operational requirements into practical business processes and controls.
• Strong organizational skills and the ability to manage multiple priorities, dependencies, and deadlines.
• A collaborative approach, receptiveness to feedback, and a commitment to continuous improvement.
• Experience handling escalated customer, provider, or operational issues professionally and effectively.
• Experience creating and maintaining procedures, reference materials, SharePoint sites, or other knowledge-management resources.

Required Qualifications

• 7+ years of healthcare, pharmacy, audit, compliance, or related experience.
• 2+ years of direct people leadership experience.
• Experience working with regulatory, compliance, audit, or operational governance requirements.
• Active Pharmacist license in good standing.
• Ability to work a hybrid schedule at CVS Health's Scottsdale Operations Center, located at 9501 E. Shea Blvd., Scottsdale, Arizona. In-office days are Tuesday, Wednesday, and Thursday, with the other days remote.

Preferred Qualifications

• 5+ years of Pharmacy Benefit Management (PBM) experience.
• 5+ years of Pharmacy or Pharmacy audit experience.
• 1+ year of formal project management experience.
• Experience using SharePoint or similar tools to organize team resources.
• Experience leading cross-functional work or operational initiatives.
• Familiarity with state pharmacy audit laws.
• Familiarity with relational databases, data analysis, or basic SQL queries.
• Experience defining business requirements for technology or process changes.

Education

• BS in Pharmacy or PharmD
• Active, unrestricted pharmacist license in good standing required.

Pay Range

The typical pay range for this role is:

$75,400.00 - $165,954.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/01/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.