Manager, Business Analytics - Pharmacy and Contract Compliance, CVS Health

CVS Health

Location:
United States, Woonsocket

Category:
IT - Administration

Contract Type:
Employment contract

Salary:

66330.00 - 145860.00 USD / Year

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Job Description:

The Manager, Pharmacy Analytics and Contract Compliance, will act as a subject matter expert on current contract terms and rate reconciliation data to deliver clear, actionable insights and reporting to our Payer Relations partners and external PBM clients. An individual in this position serves as an integral member of the Payer Reimbursement Analytics Team, reporting to the Senior Manager - Contract Compliance.

Job Responsibility:

Act as subject matter expert on current contract terms and rate reconciliation data
Deliver clear, actionable insights and reporting to Payer Relations partners and external PBM clients
Manage assigned book of multiple PBM Payers on monthly/quarterly cadence
Manage PBM impact in coordination with Payer Relations Financial Planning and Analysis team
Coordinate and clearly communicate impact between adjudication and overall pricing guarantees to senior leadership
Partner with Payer Relations Directors to negotiate contract settlements with data-driven insights
Provide insights to senior leadership on process improvements

Requirements:

3+ years of professional work experience
3+ years of data analytics work using Excel/Access, other business intelligence or reporting tools
Bachelor's Degree or 4+ years of industry-related analytical experience
Strong analytical and quantitative skills
Outstanding strategic thinking and problem-solving skills
Ability to develop deep understanding of PBM contract language, data requirements and reconciliation processes
Ability to identify complex problems and develop actionable solutions through data analysis and observation
Experience building financial modeling, measuring financial impact, identifying trends and anomalies

Nice to have:

Experience with SQL, Salesforce, Foundry, Tableau, Power BI
1+ years financial modeling experience
1+ years of Pharmacy work experience
Ability to learn new tools and skills quickly
Excellent written and oral communication and strong presentation skills
Ability to quickly learn new businesses processes and identify key drivers of performance
Detail-oriented and able to manage multiple projects simultaneously
Results driven with desire to work in dynamic environment

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
November 01, 2025

Expiration:
November 15, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Manager, Business Analytics - Pharmacy and Contract Compliance