Senior Manager, Network Management – Regulatory Compliance and Process Improvement Leader for Pharmacy Network Division

Introduction to CVS Health

At CVS Health, we are driven by a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. As a leader in the healthcare industry, we are dedicated to making healthcare more personal, convenient, and affordable. Our Heart At Work Behaviors support this purpose, empowering every employee to feel valued and play a critical role in transforming our culture and accelerating innovation.

Job Overview

We are seeking a highly skilled and experienced Senior Manager, Network Management to join our team. As a subject matter expert, you will drive implementation and process improvement to ensure CVS/Caremark is compliant with present and future regulations that impact the pharmacy network division. You will collaborate with key functional leaders to implement regulatory requirements into business processes and initiate system enhancements needed to meet regulatory requirements. Your expertise will be crucial in identifying and escalating associated business risks to Senior Pharmacy Network Leadership.

Key Responsibilities

• Serve as a subject matter expert for guidance and regulations, driving implementation and process improvement to ensure compliance with present and future regulations
• Collaborate with key functional leaders to implement regulatory requirements into business processes and initiate system enhancements
• Identify and escalate associated business risks to Senior Pharmacy Network Leadership
• Understand Local, State, and Federal regulations and related end-to-end processes, focusing primarily on Member and Pharmacy Network impacts
• Be a key decision-maker to address escalated issues with Clients
• Manage, mentor, and motivate a team of highly skilled technical professionals

Qualifications

To be successful in this role, you will need:

Essential Qualifications

• 7+ years of professional work experience in the healthcare industry
• Bachelor's Degree in Finance, Business, Actuarial Science, or Mathematics (or equivalent combination of education and experience)

Preferred Qualifications

• Advanced Actuarial Skills in the Health Care Industry
• Advanced MS Office skills, advanced knowledge of relational databases and warehouses, advanced SQL, OLAP, and SAS skills
• Strong problem-solving, management, and leadership skills
• Excellent writing and communication skills
• Ability to work well in a multidisciplinary team environment and independently
• Proven track record of implementing efficiencies and solutions developed primarily based on input from end-users

Skills and Competencies

To excel in this role, you will need to possess:

• Strong analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Ability to manage and motivate a team of highly skilled technical professionals
• Strong leadership and management skills
• Ability to work in a fast-paced, high-pressure environment
• Experience working in a geographically diverse company and in a matrix reporting environment

Career Growth Opportunities and Learning Benefits

At CVS Health, we are committed to helping our employees grow and develop in their careers. As a Senior Manager, Network Management, you will have access to:

• Ongoing training and development opportunities
• Mentorship and coaching from experienced leaders
• Opportunities to take on new challenges and responsibilities
• A culture that values innovation and creativity

Work Environment and Company Culture

Our company culture is built on a foundation of values that include:

• Integrity
• Respect
• Accountability
• Collaboration
• Innovation

We are committed to creating a work environment that is inclusive, supportive, and empowering. Our employees are self-disciplined, hardworking, curious, trustworthy, humble, and truthful. We believe in recognizing and rewarding our employees for their contributions and achievements.

Compensation, Perks, and Benefits

We offer a competitive total rewards package that includes:

• A salary range of $67,900.00 - $149,328.00 per year
• Eligibility for a CVS Health bonus, commission, or short-term incentive program
• An award target in the company's equity award program
• A full range of medical, dental, and vision benefits
• Eligibility to enroll in the Company's 401(k) retirement savings plan and Employee Stock Purchase Plan
• Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year

Conclusion

If you are a motivated and experienced professional looking for a new challenge, we encourage you to apply for the Senior Manager, Network Management position. This is a fantastic opportunity to grow your career and make a meaningful contribution to the healthcare industry. With our commitment to innovation, customer satisfaction, and employee development, you will find a rewarding and supportive work environment that allows you to thrive. Apply today and join our team of dedicated professionals who are passionate about making a difference in the lives of our customers and communities.