Pharmacy Network Manager

CVS Health

Pharmacy Network Manager for Aetna managing pharmacy network operations and compliance. Collaborating with teams on performance measurements and addressing fraud, waste, and abuse in the pharmacy network.

Posted 7/14/2026full-timeRemote • New Jersey, Texas, Vermont • 🇺🇸 United StatesMid-LevelSenior💰 $54,300 - $159,120 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare network management, performance measurement framework design, and compliance with pharmacy regulations. Strong ability to analyze data for reporting and collaborate effectively with cross-functional teams to enhance service delivery.

Highest-signal resume keywords

Healthcare Network ManagementPerformance Measurement Framework DesignPharmacy Regulations ComplianceData Analysis and ReportingRelationship Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisPerformance MeasurementFraud DetectionBudget PlanningFinancial Performance Analysis

Soft Skills

Strong CommunicationCollaborationRelationship Management

Industry Keywords

Pharmacy NetworkQuality ImprovementRegulatory ComplianceStakeholder ManagementStrategic Decision-Making

About the role

Key responsibilities & impact

Aggregate and analyze data to produce detailed reports
Develop and implement performance measures for pharmacy network contracts
Identify and flag potential fraud, waste, and abuse within the pharmacy network
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
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

Requirements

What you’ll need

Minimum of 5 years of healthcare network management experience
Minimum of 3 years of experience designing performance measurement frameworks
2–3 years of experience applying pharmacy regulations and compliance requirements
Minimum of 2 years of experience demonstrating strong communication and relationship management skills
Ability to work collaboratively with cross-functional teams

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources based on eligibility