Director, Network Pharmacy

February 26

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Logo of CVS Health

CVS Health

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

Retail • Pharmacy Benefits Management • Health Insurance • Health Care • Pharmacy

📋 Description

• Aetna is seeking a Director of Network Pharmacy to lead Strategy and Performance management. • Ensure Aetna’s pharmacy network operates efficiently and meets regulatory requirements. • Negotiate agreements with retail and independent pharmacies to ensure performance. • Develop and implement strategies to optimize pharmacy network and enhance service delivery. • Serve as a liaison between Aetna, Caremark, and pharmacy partners. • Analyze risk and trends to mitigate fraud, waste, and abuse within the pharmacy network.

🎯 Requirements

• Minimum of 7 years of experience in pharmacy management or related experience, preferably in a leadership role. • Proven experience in negotiating contracts and managing pharmacy networks. • Strong leadership and communication skills. • In-depth knowledge of pharmacy regulations and compliance. • Ability to analyze data and make strategic decisions. • Additional qualifications in healthcare management or business administration are advantageous (preferred). • Experience with Medicare (preferred). • Experience in identifying and preventing fraud, waste, and abuse in pharmacy services (preferred).

🏖️ Benefits

• Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan and Employee Stock Purchase Plan. • Fully-paid term life insurance and short-term and long-term disability benefits. • Well-being programs, education assistance, free development courses, and CVS store discount. • Paid Time Off (PTO) and paid holidays throughout the calendar year.

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