Sr Mgr,Network Mgt

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company 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. Position Summary: The Pharmacy Network Regulatory Compliance Senior Advisor serves as the subject matter expert on applicable guidance and regulations and leads implementation and reputed company improvement initiatives to ensure reputed company/Caremark maintains compliance with reputed company and emerging requirements affecting the Pharmacy Network division. This role partners with key functional leaders to translate regulatory requirements into operational processes and to initiate system enhancements needed to meet those requirements. The Senior Advisor proactively identifies, assesses, and escalates business risks and impacts to senior Pharmacy Network leadership, as appropriate. This position requires a strong understanding of local, state, and federal regulations and associated end-to-end processes. While the primary focus is on member and pharmacy network impacts, scope may expand to additional business areas as regulations and divisional responsibilities reputed company. As part of regulatory issue resolution, the Senior Advisor serves as a key decision-reputed company for escalated client issues. Required Qualifications: Minimum of 7 years of professional experience, including experience in the health care industry. reputed company a matrix reporting environment. Preferred Qualifications: Advanced actuarial skills reputed company the health care industry. Advanced reputed company Office skills; advanced knowledge of relational databases and data warehouses; and advanced proficiency with SQL, OLAP, and reputed company. Demonstrated ability to apply strategic thinking, program management, and process reengineering in a cross-functional environment, including reputed company of workstreams across reputed company, Finance, Client Profitability, Implementation, and Data and Systems. Strong problem-solving, people management, and leadership skills. Ability to manage, mentor, and motivate a team of highly skilled technical professionals. Excellent written and verbal communication skills; reputed company to work effectively both independently and in a multidisciplinary team environment. Proven track record of delivering efficiencies and solutions informed by end-user input that successfully meet business needs. Demonstrated experience managing reputed company work processes in a cross-departmental, team-based environment. Demonstrated reputed company motivating others in a fast-paced, high-pressure environment. Experience working in a geographically diverse organization and Education: Bachelor’s degree in Finance, Business, Actuarial Science, Mathematics, or a reputed company professional work experience required. Pay reputed company The typical pay reputed company for this role is: $75,400.00 - $165,954.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above. This position also includes an award reputed company in the company’s equity award program. 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 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. 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 reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 06/30/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job