[Hiring] Network Enrollment Analyst @CVS Health

Role Description

The Network Enrollment Analyst supports pharmacy network management operations through the enrollment, maintenance, and administration of participating pharmacies within the organization's pharmacy networks. This role works directly with independent pharmacies, pharmacy PSAO, and pharmacy headquarters to facilitate enrollment activities, resolve participation issues, and ensure enrollment requests are completed accurately and efficiently.

The analyst serves as a key point of contact for pharmacies seeking to join or maintain participation in the network and supports operational activities that are critical to maintaining network integrity and member access. Consistent attention to detail, quality, and service are essential to success in this role. This position supports pharmacy network operations where errors or delays could impact pharmacy participation, member access, and client satisfaction.

You will be responsible for:

• 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.

Qualifications

• 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.

Requirements

• 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.

Education

• Bachelor's Degree in Business Administration, Healthcare Administration, Public Health, Pharmacy Administration, Communications, or a related field or equivalent combination of work and experience.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.