Manager Network Pharmacy

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.Ideal candidate will be a hybrid employee based in Connecticut but open to remote candidates as wellAetna is seeking a Manager, Network Pharmacy to support the Director of Network Pharmacy in ensuring the efficient operation of Aetna's pharmacy network. This role involves data aggregation, analytics, and reporting responsibilities, with a focus on developing performance measures, managing relationships, and addressing fraud, waste, and abuse within the pharmacy network.Major Responsibilities:Aggregate and analyze data to produce detailed reports and respond to audits.Develop and implement performance measures for pharmacy network contracts.Identify and flag potential fraud, waste, and abuse within the pharmacy network, and recommend interventions.Collaborate with cross-functional teams across the enterprise to support strategic decision-making.Manage relationships with internal stakeholders to ensure alignment and effective communication.Support the Director of Network Pharmacy in monitoring pharmacy performance and ensuring adherence to quality standards.Assist in budget planning and financial performance analysis of the pharmacy network.Contribute to quality improvement initiatives to enhance service delivery.Ensure compliance with federal, state, and local regulations.Required Qualifications:Minimum of 3 years of experience in network management and/or pharmacy-related roles.Experience in developing performance measures and producing detailed reports.Knowledge of pharmacy regulations and compliance.Excellent communication and relationship management skills.Ability to work collaboratively with cross-functional teams.Preferred Qualifications:Project management experience; Project Management Professional (PMP) certification is a plus.Experience in identifying and addressing fraud, waste, and abuse in pharmacy services.Familiarity with MedicareEducation:Bachelor's Degree preferred or a combination of education and professional work experience.Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$54,300.00 - $159,120.00This 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 peopleWe 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 anticipate the application window for this opening will close on: 03/11/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.