Job Description

Join to apply for the Network Management - Analyst role at CVS Health 1 day ago Be among the first 25 applicants Join to apply for the Network Management - Analyst role at CVS Health At CVS Health, 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 reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans, and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simply and seamless, to not only help people get well, but help them stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing pharmacy claims submitted through the CVS Health claims processing systems. The Pharmacy Claims Auditor will identify and rectify claim inaccuracies that would result in client over-payment. In order to be successful in this role you will contact pharmacies for proper documentation to ensure a claim was submitted correctly as well as monitor assigned clients and report status on a regular basis. In the event of an inaccurate claim submission, you will follow the appropriate policies for correction. We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs. In addition to paid days off for employees, we also offer paid holidays Required Qualifications 1 year professional pharmacy experience Previous experience with Microsoft Office Suite including Outlook, Excel, etc. Preferred Qualifications Retail pharmacy experience preferred (Valid AZ Pharmacy Technician or Pharmacy Technician Trainee License ) Ability to multitask and work independently Effective communication skills Bachelor's Degree Education High School Diploma or equivalent GED Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $43,888.00 - $85,068.00 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. 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 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 We anticipate the application window for this opening will close on: 07/31/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Seniority level Seniority level Entry level Employment type Employment type Full-time Job function Job function Business Development and Sales Industries Hospitals and Health Care Referrals increase your chances of interviewing at CVS Health by 2x Sign in to set job alerts for “Management Analyst” roles. 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