Manager Pharmacy Communications

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary

As the Manager of Pharmacy Communications, you will serve as the main liaison and subject matter expert for all pharmacy communication needs for Elevance Health/CarelonRx. You will develop, manage and coordinate the distribution of pharmacy communications on behalf of Elevance Health/CarelonRx across all lines of business (Commercial, Medicaid, Medicare Part D, etc.). In addition, the manager works cross-functionally with Sales Account Management, Client Implementations, Finance, Legal and other internal and external teams as needed, to represent the Pharmacy Communications team and function across a variety of topics and initiatives.Additional responsibilities will include:

• Managing pharmacy communication requests on behalf of Caremark and/or other Plan Sponsors. Support the development and maintenance of the Provider Manual and Provider Manual amendments, New Implementation Notices, Formulary Updates, Pharmacy Audit communications, Claims Submission Requirements, and other contractual and operational topics that are relevant to Pharmacy Network.
• Responsible for responding to internal and external audit requests, RFIs, Market Conduct Exams, and other audit and proof of delivery requests, regarding Pharmacy Communications and notifications distributed to the Pharmacy Network.
• Consult with Implementation Management and Plan Sponsors to assess initial communication needs; evaluate and troubleshoot communication requests, and support communications related to actual or potential point-of-service issues and/or plan member disruption. Educate team members and other business partners and serve as subject matter expert on Pharmacy Communications and the supporting processes and communication documents.
• Utilize internally developed workflow tools to manage Pharmacy Communications requests and distribution scheduling. Develop and implement process changes and other quality improvement initiatives in support of overall enterprise objectives and/or compliance with regulatory requirements, including but not limited to new/enhanced Pharmacy Portal functionality, requirements and user acceptance testing. Research, develop and manage team Policies and Procedures (P&Ps) and applicable training documents and work instructions.

• 5+ years of experience in Account Management, Project Management, or similar role, preferably working with PBM/Pharmacy Networks or other related items.

• 3+ years project management experience.
• Prior PBM experience and/or Retail Pharmacy/Pharmacy Technician Experience.
• Excellent writing and communication skills. Ability to work independently as well as in a cross-functional and multidisciplinary team environment.
• Demonstrated organizational and follow-up skills. Must be able to work efficiently under heavy workload
• Proficient in MS Office applications and experience with project tracking, Salesforce.com and eProject.
• Adept at project execution and delivery (planning, delivering, and supporting) skills.
• Adept at collaboration and teamwork.
• Mastery of problem solving and decision-making skills.
• Proven ability to identify and communicate project status, setbacks, or other related impacts.
• Self-starter who can identify opportunities, take action with minimal prompting and influence beyond immediate scope of responsibility.
• Understanding of pharmacy networks, Retail third party industry knowledge, retail pharmacy operations, and associated impacts to plan sponsors and their members.
• Knowledge of and experience working with pharmacy contracts and contract-related documents, state and federal laws, Medicaid and Medicare Part D regulations.

• Bachelor's degree in a related field. An equivalent combination of education and experience may substitute, including other relevant training or professional qualifications.

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.