Sr Mgr,Network Mgt

$67,900 - $149,328/Yr

CVS Health - Phoenix, AZ

posted 25 days ago

Full-time - Senior
Remote - Phoenix, AZ
Health and Personal Care Retailers

About the position

The Senior Manager, Network Management at CVS Health is responsible for ensuring compliance with local, state, and federal regulations impacting the pharmacy network division. This role involves collaborating with key functional leaders to implement regulatory requirements into business processes, driving system enhancements, and addressing escalated issues with clients. The position requires a deep understanding of regulations and their implications on member and pharmacy networks, while also focusing on process improvements and risk management.

Responsibilities

  • Serve as a subject matter expert for guidance and regulations in the pharmacy network division.
  • Drive implementation and process improvement to ensure compliance with regulations.
  • Collaborate with key functional leaders to integrate regulatory requirements into business processes.
  • Identify and escalate business risks to Senior Pharmacy Network Leadership.
  • Understand and manage local, state, and federal regulations and related processes.
  • Make key decisions to address escalated issues with clients.

Requirements

  • 7+ years of professional work experience in the health care industry.
  • Bachelor's Degree in Finance, Business, Actuarial Science, or Mathematics.

Nice-to-haves

  • 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 and management skills
  • Leadership skills
  • Ability to manage, mentor, and motivate a team
  • Excellent writing and communication skills
  • Experience in a geographically diverse company and matrix reporting environment.

Benefits

  • Full range of medical, dental, and vision benefits
  • 401(k) retirement savings plan
  • Employee Stock Purchase Plan
  • Fully-paid term life insurance
  • Short-term and long-term disability benefits
  • Well-being programs
  • Education assistance
  • Free development courses
  • CVS store discount
  • Paid Time Off (PTO)
  • Paid holidays throughout the calendar year
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