Mgr,Network Mgt (IC)

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

Join a team responsible for developing and executing network and mail pricing at CVS Health, a Fortune company.  As a Manager (Individual Contributor), you will lead the build and submission of pricing outputs for new and renewing PBM clients, supporting all delivery systems and adjudication platforms.

Key Responsibilities:

• Develop, analyze, and submit pricing outputs for client renewals and new business across all lines of business.
• Collaborate cross-functionally with Account Management, IT, Implementations, Benefits, and department leaders, as well as directly with clients, to ensure seamless implementation and ongoing business support.
• Manage projects to meet aggressive timelines and revenue goals, using strong organizational and decision-making skills.
• Provide technical expertise in claims adjudication, business rules, network structures, and testing support.
• Perform ad-hoc data analysis and reporting using advanced MS Excel functions (formulas, VLOOKUPs, pivot tables).
• Design and improve standard operating procedures and tools to enhance team efficiency and turnaround times.
• Resolve complex challenges through effective communication and relationship-building with internal and external partners.

Advanced experience in the development of standard operating procedures and tools to improve team efficiency and turn-around-times are needed. Additional expertise in interpersonal, relationship and communications are also essential to resolve unique challenges encountered day to day to maintain client satisfaction.

Required Qualifications

• 5+ years of operational experience within PBM or Health Care industry

Preferred Qualifications

Industry and Technical Experience:

• 8+ years PBM or Health Care industry experience

• Knowledge of network programs and procedures, including retail pharmacy operations and claims adjudication
• Intermediate to advance Microsoft Access database experience
• Intermediate to advance proficiency in MS Office Suite (Excel, Word, PowerPoint)
• Demonstrated experience with data analysis and reporting tools

Project and Operations Management:

• Proven project management knowledge or hands-on experience managing multiple projects
• Operations experience in a high-volume, deadline-driven environments
• Strong time management skills with accountability for multiple, staggered deliverables

Collaboration and Communication:

• Advanced interpersonal skills, with a record of successful cross-team collaboration
• Effective communication skills - able to convey information clearly in both formal and informal settings, written and verbal, at all organizational levels

Education

• Bachelor’s degree or equivalent experience required

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $132,600.00

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. 
 

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and