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Senior Manager, Medical Pharmacy Performance Management & Strategic Analytics – Aetna Pharmacy

CVS Health

🌍 Anywhere 🏠 Remote ⏱ Full-time 💼 Senior 🗓 6 days ago

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This role turns medical pharmacy performance data into strategic insights and decision-ready recommendations for the Aetna Pharmacy team across all lines of business. You’ll evaluate in-flight initiatives, monitor operational and experience trends, and partner with clinical and pharmacy network stakeholders to pinpoint the highest-impact drivers, clarify tradeoffs, and set a focused path of action. Responsibilities include: Performance narrative: Review medical pharmacy performance across multiple initiatives to provide direction on how to balance intersection, including suggested next steps and responsibility by stakeholder Performance evaluation: Assess performance of in-flight medical pharmacy (MedRx) initiatives owned by Aetna Pharmacy; identify what’s working, what’s not, and what to change by line of business Reporting & monitoring: Build and maintain reporting/analytics to track initiative success, operational performance, and experience trends Drivers & affordability opportunities: Conduct detailed analysis of cost, utilization, and operational levers at the drug and provider level and quantify opportunities to improve affordability with a focus on turning adhoc requests into repeatable monitoring Risk/opportunity sizing: Use internal and external data sources to quantify risk, upside, and tradeoffs; communicate implications clearly Operating cadence: Stand up a recurring cadence to review initiative value, progress, and decisions with cross-functional workgroups and senior leaders Cross-functional partners...

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