Senior Manager, PBM Operations

Job Posted 2 Days Ago Posted 2 Days Ago
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17 Locations
68K-199K Annually
Senior level
Fitness • Healthtech • Retail • Pharmaceutical
The Role
The Senior Manager of PBM Operations leads oversight of invoice processing, audits, and file management teams. They execute strategic plans to enhance customer service, ensure quality and effectiveness of operations, and manage a high-performance team while resolving technical and operational issues.
Summary Generated by Built In

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

Provides leadership and maintains oversight of functions in PBM Operations for the following teams: invoice processors, data integrity/accumulator audits, and file management which includes implementations, user acceptance testing, issue resolution and vendor management.  Executes local strategic and operational plan in support of business segment customer service objectives and initiatives. Plans, directs and implements procedures that will assure a high level of customer access and satisfaction. Responsible for the quality and effectiveness of own team and related teams, identifying and resolving technical, operational and team problems. Manages a team of professional employees.

Required Qualifications

  • 5+ years of experience in managing high volume transaction processing, implementations, audits, and user acceptance testing.
  • Proven strong leadership skills managing large high-performance teams, setting strategic direction and influencing change that resulted in quantifiable positive outcomes.
  • Demonstrated issue resolution with a sense of urgency.
  • Healthcare industry experience required.
  • Vendor management experience.

Preferred Qualifications

  • Pharmacy Benefit Management (PBM) Operations experience.

Education

Bachelor's degree or equivalent experience.

Pay Range

The typical pay range for this role is:

$67,900.00 - $199,144.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.  This position also includes an award target in the company’s equity award program. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 05/25/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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The Company
HQ: Woonsocket, RI
119,959 Employees
On-site Workplace
Year Founded: 1963

What We Do

CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners.

Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.

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