Bring your heart to CVS Health. Every one of us at CVS Health shares 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. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

This position will be working with a team that is responsible for the development and execution of network and mail pricing for CVS Health, a Fortune Company.

This Manager role will be responsible for the build and submission of pricing outputs for new and renewing PBM clients. Role scope is across all delivery systems and adjudication platforms in areas of but not limited to client pricing (retail and mail), claims adjudication (including functionality on all adjudication platforms), business rules and implementation processes, network structures and testing support across all of our Employer, Health Plan and Government business segments.

The Manager will work cross-functionally with both internal (Account Management, IT, Implementations, Benefits, CVS Health, and department leaders) and potentially external business partners (our clients) for implementations and maintenance of business support. Project management skills are key to meet timelines as well as revenue expectations. Being well organized and deadline focused with an ability to make decisions quickly, efficiently, and effectively will contribute to the overall success within the role. Competency in MS Excel is essential for ad-hoc data analysis and reporting. Intermediate to advanced technical skills are key to utilizing other department and company tools.

Advanced experience in the development of standard operating procedures and tools to improve team efficiency and turn-around-times are needed, with the ability to navigate within a Sarbanes-Oxley and SAS-70 environment, including expertise in managing internal and external audit inquiries and responses. 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

• 8+ years PBM or Health Care industry experience
• Six Sigma belt certification
• Knowledge of CVS Caremark network programs and procedures, including knowledge of retail pharmacy operations and claims adjudication proficiency
• Intermediate to advanced Microsoft Access database experience
• Fundamental project management knowledge and/or demonstrable experience
• Operations experience in a volume heavy environment with strict deadlines
• Intermediate to advanced interpersonal skills as demonstrated by successful collaboration to achieve common and shared goals across business teams.
• Strong time management skills, evidenced by experience being accountable to multiple deliverables on staggered deadlines.
• Intermediate to advanced proficiency in MS Office Suite of tools.
• Effective communication skills in both formal and informal written communications and speech at all levels of an organization

Education

• Bachelor’s degree or equivalent experience required.

Pay Range

The typical pay range for this role is:

$54,300.00 - $145,860.00

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. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 09/27/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.