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CVS Health
Network Management Analyst
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What they do
A Network Analyst or Specialist plans, implements, tests and maintains computer systems within a company. Analyses businesses to identify problems and recommends suitable technical solutions.
$86,854 / year median in Indiana
-20% projected decline
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.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.
- Position Summary
- The
- Analyst - Pharmacy Network Non-Compliance
- is responsible for investigating and resolving complex and sensitive pharmacy contract non-compliance allegations.
- Key Responsibilities
- + Investigate and resolve
- pharmacy contract non-compliance allegations
- , including complex and sensitive cases + Conduct
- outreach to pharmacies
- to gather information and address identified issues + Analyze claims data and adjudication results to support findings and recommendations + Partner with
- Sales, Account Management, and other internal teams
- to coordinate resolution efforts + Prepare
- detailed written responses
- for plan sponsors, participants, and internal stakeholders + Address and resolve
- customer concerns related to network pharmacy performance
- + Maintain thorough documentation of investigations and outcomes + Manage multiple cases simultaneously while meeting deadlines and maintaining accuracy
- Required Qualifications
- + •3+ years•of retail pharmacy experience + •2+ years•of claims adjudication research experience + •2+ years•of experience with Microsoft Office applications (Excel, Outlook, Word) + •Bachelor's degree required.
- Preferred Qualifications
- + •2+ years•of Pharmacy Benefit Management (PBM) experience + Experience contacting pharmacies and managing •challenging or escalated conversations•+ Strong knowledge of •pharmacy operating systems and claims adjudication software•+ Excellent •oral and written communication skills•with strong attention to detail + Demonstrated •critical thinking and analytical skills•+ Strong •organizational and time management skills•+ Self-motivated, •assertive, and able to make independent decisions•Core Competencies•+ Analytical thinking and problem-solving + Attention to detail and accuracy + Excellent oral and written communication skills.
- Anticipated Weekly Hours
- 40 •Time Type•Full time •Pay Range•The typical pay range for this role is: $43,888.
- 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.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.