Senior Manager - Pharmacy Post-Audit (Pharmacist)
Core
Lead pharmacy post-audit operations including appeals, escalations, and compliance with state laws for CVS Caremark.
Role type
Senior Manager, Pharmacy Post-Audit Operations
Builds
Audit processes, controls, and team resources for pharmacy benefit management
Domain
Healthcare / Pharmacy Benefit Management / Regulatory Compliance
Deliverable
client delivery | dashboards & analysis
Required skills
pharmacy audit leadership, regulatory compliance judgment, cross-functional stakeholder management, process improvement, team coaching, complex dispute resolution
Preferred skills
Pharmacy Benefit Management (PBM) experience, project management, relational databases/SQL, business requirements definition
Technologies
SharePoint
Responsibilities
Lead and develop the pharmacy post-audit team; own timely completion of audit appeals and escalations; monitor workload and performance; review complex audit disputes; lead implementation of regulatory changes; work cross-functionally with Legal, Compliance, and Product; create compliance resources and process documentation.
Seniority
Senior, hands-on IC with people leadership