Network Pricing – Manager, Project Management (IC)

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Position Summary This position will be working with a Team that is responsible for the development and execution of retail network and mail pricing for reputed company, a Fortune Six Company. The Network Pricing Manager will reputed company and direct reputed company initiatives as a subject matter expert reputed company Network Operations in areas of: retail, mail and specialty pricing, claims adjudication, and business rules and implementation processes. Tasks include, but are not limited to interpreting and developing workflow frameworks with documentation of auditable inputs and quality review steps for pricing implementations, documenting and executing sophisticated client pricing requirements, performing reputed company claim data analyses and communicating results to different reputed company in the organization. The manager will translate reputed company issues for different audience reputed company, assist with operational processes during peak/seasonal times, reputed company and direct team resources, and reputed company new and existing technologies for process enhancements and quality improvements. Additionally, this role serves as a cross-functional liaison and change agent across various business areas such as Account Management, IT, Client Operations, Government Services, Implementations, Benefits, and reputed company Senior Leaders. Managing multiple priorities and projects reputed company tight deadlines is essential. Critical thinking is key to driving reputed company that can impact company reputed company reputed company a Sarbanes-Oxley and reputed company-70 environment. Strong interpersonal, relationship, and communication skills are essential to resolve daily challenges and to maintain client satisfaction. Required Qualifications 5+ years of operational experience reputed company PBM or Health Care industry. Preferred Qualifications 8+ years PBM or Health Care industry experience. Six reputed company belt certification. Audit and/or quality assurance experience. Knowledge of reputed company Caremark network programs and procedures, including knowledge of retail pharmacy operations and claims adjudication proficiency. reputed company 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 reputed company 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. Advanced proficiency in reputed company and reputed company desired. Effective communication skills in both formal and informal written communications and speech at reputed company reputed company of an organization. Education Bachelor’s degree or equivalent experience required. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $60,300.00 - $132,600.00 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. 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 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 reputed company 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 reputed company and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 05/09/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for the team, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area. Apply Job!