PBM Reporting Manager

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
CVS Health has an exciting opportunity to join our PBM Finance Enablement team as a Manager, Compliance Pharmacy Payments within the PBM Reporting team. CVS Health strives to continuously innovate around how we report and analyze data to deliver enhanced insights, improved operational efficiency, and outstanding customer service.
Required Qualifications

CVS Health has an exciting opportunity to join our PBM Finance Enablement team as a Manager, Compliance Pharmacy Payments within the PBM Reporting team. CVS Health strives to continuously innovate around how we report and analyze data to deliver enhanced insights, improved operational efficiency, and outstanding customer service.

You will be responsible for standard and ad-hoc client and regulatory reporting. You will continuously improve quality control and accuracy of reported data, increase reporting efficiency, and look for ways to further automate Compliance Pharmacy Payments reporting activities. You will mentor teammates on technical and business aspects of the reporting.

You will report to the Sr. Reporting Manager within the PBM Reporting team.

To be successful in this role, you need to be a self-starter, who enjoys working on difficult problems in a fast-paced environment, who has proven technical skills, solid relationship building and communication skills, and strong drive for fostering collaboration, knowledge sharing, and continuous improvement.

Key Responsibilities

• Build relationships with Account Teams, Legal, Compliance, Client Audit, Finance Operations, and others, by providing reporting leadership representation.
• Proactively lead reporting & automation activities, tracking completion of action items, resolving issues, and mitigating risk
• Ensure the accuracy and quality of the deliverables, applying high standards for quality control to all reporting and analytic work. Ensure consistent and clear documentation for production-ready reporting solutions.

• Reviewing MCO/Client Requests with internal and external partners to translate them into clear business requirements.
• Coach the junior members of the team to understand business processes and how data are stored in EDW and support the translation of end user needs into clear business requirements and technical specifications. Rapidly deliver solutions, using agile methods.
• Handle, communicate, and escalate issues (as needed) in a timely manner so as not to impact delivery
• Continuously evaluate/evolve processes, best practices, and tools around data, reporting, and automation.  
• Lead by example to inspire a positive attitude, engagement, and professional growth. 

• Champion a culture of continuous improvement, curiosity, collaboration, and innovation. 

Required Qualifications

• 5+ years of experience leading analytics / reporting / automation initiatives
• 5+ years of SQL/SAS experience
• 5+ years of EDW/Teradata experience
• 4+ years of Linux experience
• 3+ years of experience in using visualization / automation tools (e.g., Alteryx, Tableau, R, Python, RPA tools)

Preferred Qualifications

• Experience with Google Cloud or AWS platforms
• Experience with implementation and migration of automation to cloud platforms
• Experience in healthcare industry, including health insurance, PBM or pharmacy services
• Experience with process improvement methodologies such as Lean Thinking and Six Sigma
• Experience working with IT partners to deploy production-level reporting solutions
• Proven ability to work in the agile environment
• Strong working knowledge of Office 365 applications
• Ability to quickly adapt to new technologies

Education

Bachelor’s degree or equivalent work experience

Master’s degree preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $145,860.00

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. 
 

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: 05/26/2025

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