Analyst, Network Enrollment

Summary

CVS Health is building a more connected, convenient, and compassionate health experience. The Network Enrollment Analyst supports pharmacy network management by enrolling and maintaining participating pharmacies, reviewing applications, resolving participation and provider data issues, processing network changes, analyzing reports, and supporting pharmacy communications and process improvements.

Responsibilities

• Support enrollment and onboarding activities for pharmacies seeking participation in the pharmacy network
• Review enrollment applications and supporting documentation for completeness and accuracy
• Assist pharmacies and pharmacy corporate headquarters with enrollment-related inquiries and participation requirements
• Process pharmacy additions, updates, terminations, and other participation changes according to established procedures
• Research and resolve routine enrollment, participation, and provider data issues
• Monitor enrollment requests and ensure timely completion of required processing steps
• Support pharmacy outreach efforts related to enrollment updates, network participation requirements, and operational communications
• Generate and analyze reports related to pharmacy enrollment, participation status, and network data quality
• Identify data discrepancies and escalate complex issues to senior team members as appropriate
• Participate in process improvement initiatives designed to enhance enrollment accuracy, turnaround times, and pharmacy satisfaction
• Follow established policies and procedures while developing knowledge of pharmacy network operations and enrollment processes

Skills

• 4 years of professional experience in customer service, healthcare operations, administrative support, pharmacy operations, or a related field
• Strong attention to detail and organizational skills
• Effective verbal and written communication skills
• Ability to manage multiple priorities and meet established deadlines
• Demonstrated problem-solving and critical-thinking skills
• Proficiency with Microsoft Office applications, including Excel, Word, and Outlook
• Ability to work independently and collaboratively within a team environment
• Commitment to providing exceptional service to internal and external stakeholders
• Bachelor's Degree in Business Administration, Healthcare Administration, Public Health, Pharmacy Administration, Communications, or a related field or equivalent combination of work and experience
• Experience supporting customers, providers, pharmacies, or business partners in a professional environment
• Familiarity with pharmacy operations, healthcare administration, or provider enrollment processes
• Basic understanding of healthcare or pharmacy terminology
• Demonstrated ability to learn new systems, processes, and technologies

Qualifications

Must Haves

• 4 years of professional experience in customer service, healthcare operations, administrative support, pharmacy operations, or a related field
• Strong attention to detail and organizational skills
• Effective verbal and written communication skills
• Ability to manage multiple priorities and meet established deadlines
• Demonstrated problem-solving and critical-thinking skills
• Proficiency with Microsoft Office applications, including Excel, Word, and Outlook
• Ability to work independently and collaboratively within a team environment
• Commitment to providing exceptional service to internal and external stakeholders
• Bachelor's Degree in Business Administration, Healthcare Administration, Public Health, Pharmacy Administration, Communications, or a related field or equivalent combination of work and experience

Nice to Haves

• Experience supporting customers, providers, pharmacies, or business partners in a professional environment
• Familiarity with pharmacy operations, healthcare administration, or provider enrollment processes
• Basic understanding of healthcare or pharmacy terminology
• Demonstrated ability to learn new systems, processes, and technologies

Benefits

• Eligibility for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility