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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 :
As a Network Operations Manager, you will lead a dynamic, experienced team to represent the Pharmacy Provider Enrollment Department. You will be a key leader supporting and driving network pharmacy provider enrollments and overseeing the performance of the enrollment teams through a focus on excellent customer service. You will lead the team of enrollment personnel including Analysts, Sr. Analysts and Manager-level to ensure that enrollment operations run smoothly. This role is responsible for decision-making, goal setting, building high performance teams, while meeting regulatory and contractual requirements in a production environment.
Key Responsibilities:
Develop, coach, and mentor the team's operational performance and customer relationship-building skills.
Align and set team performance standards and quality expectation goals to meet department and company objectives and goals
Monitor team and department performance by generating and analyzing monthly, quarterly, and ad-hoc reports.
Collaborate and coordinate communications with internal and external customers.
Communicate effectively with all levels of management with timely escalation of any high-risk issues.
Oversee and ensure departmental operational accuracy, efficiency, and compliance with department and company policies, procedures, and regulations.
Support client relations as it pertains to pharmacy enrollment regulatory requirements, and contractual obligations.
Communicate complex concepts to a variety of audiences.
Perform other duties as assigned.
Required Qualifications
7+ years professional work experience in Pharmacy Benefit Management industry
7+ years professional work experience in pharmacy industry
5+ years of supervisory/management experience with required staff development and coaching experience
Strong interpersonal and communication skills, including verbal/written communication and data presentation skills.
Demonstrated ability to use Microsoft Excel, Outlook, Word, Power Point
Ability to learn quickly and troubleshoot and improve/automate operational processes.
Highly analytical thinker with demonstrated leadership skills and the ability to effectively manage in a rapidly changing environment.
Must be able to work both independently and as part of a team and provide solutions to internal and external customers.
Must be willing and able to travel to and work from the Scottsdale Arizona office as required with minimal notice (e.g., same day and for variable durations).
Preferred Qualifications
Experience with pharmacy credentialing and enrollment processes
Understanding of SQL databases and querying skills
Familiarity with state and federal pharmacy credentialing legislation
Strong motivational and team leadership skills
Deep understanding of Pharmacy Benefit Management industry and healthcare claims
Familiarity with contracting.
Project management experience.
Education
Licensed pharmacy technician is preferred
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 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 an employee stock purchase plan .
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 04/30/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.