Pharmacy Network Manager (Aetna)
Pharmacy Network Manager (Aetna) — remote position open now. Apply today.
Remote Pharmacy Network Manager (Aetna). full time. Open to candidates in Remote. Apply now.
About the Role
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health hands-on history. 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:
This is an individual contributor role.
Aetna is seeking a Pharmacy Network Manager to support the Director of Network Pharmacy in ensuring the efficient operation of Aetna’s pharmacy network. This role involves data aggregation, analytics. Reporting key duties, with a focus on developing performance measures, managing relationships, and addressing fraud, waste, and abuse within the pharmacy network.
Major Responsibilities:
Required Experience needed:
Key Responsibilities
- Minimum of 5 years of healthcare network management track record with demonstrated success in managing statewide and multi-state networks, completing regulatory state filings ensuring network adequacy and compliance, and overseeing pharmacy operations.
- Familiarity with Medicare line of business.
- Aggregate and analyze data to produce detailed reports and respond to audits.
- Candidates located in the Eastern and Central time zones.
- Bachelor's Degree preferred or a combination of education and professional work experience.
- Contribute to quality improvement initiatives to enhance service delivery.
- Experience in the healthcare or pharmacy industry.
- Support the Director of Network Pharmacy in monitoring pharmacy performance and ensuring adherence to quality standards.
- Advanced proficiency with Microsoft Excel, including formulas, nested functions, PivotTables, and Power Query.
- Assist in budget planning and financial performance analysis of the pharmacy network.
- Minimum of 2 years of hands-on history demonstrating strong communication and relationship management skills, with a proven ability to build and maintain stakeholder trust, foster cross-functional collaboration, and contribute to successful project delivery and operational outcomes.
- Familiarity with Excel macros/VBA to automate recurring reporting and improve efficiency.
Skills & Tools Mentioned
- Communication
- Excel
Frequently Asked Questions
Is this Pharmacy Network Manager (Aetna) role remote?
Yes — 100% remote. Work from anywhere in Remote.
Employment type for this Pharmacy Network Manager (Aetna) job?
full time. Ideal for remote professionals.
What skills are needed for this Pharmacy Network Manager (Aetna) role?
Key skills include Communication, Excel. These are core to succeeding in this role.
How to apply?
Click Apply Now above. Rolling interviews.
Apply now. Interviews are ongoing.