Network Management Analyst

Location: Nevada

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.

Position Summary The Analyst - Pharmacy Network Non-Compliance is responsible for investigating and resolving complex and sensitive pharmacy contract non-compliance allegations. This role requires a highly motivated, detail-oriented individual with the ability to manage multiple priorities effectively.

The Analyst will conduct outreach to network pharmacies, evaluate non-compliance concerns, and collaborate with cross-functional partners and ensure compliance with contractual and regulatory requirements, while maintaining strong relationships and delivering excellent service.

Key Responsibilities Investigate and resolve pharmacy contract non-compliance allegations, including complex and sensitive cases

Conduct outreach to pharmacies to gather information and address identified issues

Analyze claims data and adjudication results to support findings and recommendations

Partner with Sales, Account Management, and other internal teams to coordinate resolution efforts

Prepare detailed written responses for plan sponsors, participants, and internal stakeholders

Address and resolve customer concerns related to network pharmacy performance

Maintain thorough documentation of investigations and outcomes

Manage multiple cases simultaneously while meeting deadlines and maintaining accuracy

Required Qualifications 3+ years of retail pharmacy experience2+ years of claims adjudication research experience2+ years of experience with Microsoft Office applications (Excel, Outlook, Word)
Bachelor's degree required.

Preferred Qualifications 2+ years of Pharmacy Benefit Management (PBM) experience

Experience contacting pharmacies and managing challenging or escalated conversations

Strong knowledge of pharmacy operating systems and claims adjudication software

Excellent oral and written communication skills with strong attention to detail

Demonstrated critical thinking and analytical skills

Strong organizational and time management skills

Self-motivated, assertive, and able to make independent decisions

Core Competencies Analytical thinking and problem-solving

Attention to detail and accuracy

Excellent oral and written communication skills.

Communication and stakeholder management

Time management and prioritization

Professional judgment and decision-making

Anticipated Weekly Hours
40

Time Type Full time

Pay Range The typical pay range for this role is:$43,888.00 - $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 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 vision 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 close on: 08/21/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.