Network Management Analyst

The Analyst - Pharmacy Network Non-Compliance is responsible for investigating and resolving complex and sensitive pharmacy contract non-compliance allegations. This role requires a highly motivated, detail-oriented individual with the ability to manage multiple priorities effectively.

The Analyst will conduct outreach to network pharmacies, evaluate non-compliance concerns, and collaborate with cross-functional partners and ensure compliance with contractual and regulatory requirements, while maintaining strong relationships and delivering excellent service.

- 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

- 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.

- 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

- Analytical thinking and problem-solving - Attention to detail and accuracy - Excellent oral and written communication skills. - Communication and stakeholder management - Time management and prioritization - Professional judgment and decision-making

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 full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

We anticipate the application window for this opening will close on: 08/21/2026