Senior Manager Pharmacy Post-Audit (Pharmacist)

Join CVS Caremarks Pharmacy Audit team as Senior Manager Pharmacy Post-Audit Operations. This role leads the pharmacy post-audit team responsible for appeals audit escalations audit correspondence and evaluating audit compliance with state laws.

The Senior Manager owns the timely accurate and consistent execution of post-audit operations while developing team members managing priorities resolving complex audit matters and identifying operational risks.

In addition to day-to-day team leadership this position leads the business implementation of pharmacy audit regulatory changes. This work is highly interconnected with other parts of the audit process and requires close partnership with Legal Compliance Product Technology Operations and other audit teams to understand requirements determine operational impacts and turn those requirements into practical audit processes controls and team resources.

The ideal candidate is a strong people leader who can manage team priorities resolve complex or escalated audit matters lead cross-functional discussions and communicate clearly with stakeholders at different levels of the organization.

The successful candidate will help the team work efficiently consistently and in compliance with pharmacy audit requirements while supporting process improvements that make the work easier to manage and sustain.

This position is a hybrid role located out of our offices in Scottsdale AZ working out of the office Tuesday Wednesday and Thursday each week with the flexibility to work remotely the other two days.

• Lead and develop the pharmacy post-audit team including setting priorities coaching team members providing actionable feedback and supporting employee growth.
• Own the timely accurate and compliant completion of pharmacy audit appeals escalations and post-audit correspondence.
• Monitor workload timeliness quality and performance to identify risks and improve team execution.
• Review complex audit disputes and escalations apply sound judgment and determine or coordinate appropriate resolutions and record-keeping.
• Lead the business implementation of pharmacy audit regulatory changes and maintain related compliance controls.
• Work cross-functionally with Legal Compliance Product Technology Operations and other audit teams to understand business and regulatory requirements and turn them into practical audit team processes.
• Lead meetings align stakeholders document decisions and keep cross-functional work moving forward.
• Lead operational and strategic projects that advance the objectives of the Pharmacy Post-Audit team and the broader Pharmacy Audit organization.
• Create and maintain team reference materials compliance resources and process documentation.
• Identify opportunities to simplify processes strengthen controls improve consistency and enhance the experience of internal and external stakeholders.

• A background in pharmacy audit and/or pharmacy operations or a related field.
• Strong people leadership skills including the ability to coach support and develop team members.
• Sound judgment and the ability to make or facilitate decisions involving complex sensitive or escalated audit matters.
• Experience bringing together stakeholders with different priorities responsibilities and perspectives.
• Strong written and verbal communication skills including meeting facilitation executive communication and clear documentation of decisions and requirements.
• The ability to translate complex regulatory compliance or operational requirements into practical business processes and controls.
• Strong organizational skills and the ability to manage multiple priorities dependencies and deadlines.
• A collaborative approach receptiveness to feedback and a commitment to continuous improvement.
• Experience handling escalated customer provider or operational issues professionally and effectively.
• Experience creating and maintaining procedures reference materials SharePoint sites or other knowledge-management resources.

• 5 years of Pharmacy Benefit Management (PBM) experience.
• 5 years of Pharmacy or Pharmacy audit experience.
• 1 year of formal project management experience.
• Experience using SharePoint or similar tools to organize team resources.
• Experience leading cross-functional work or operational initiatives.
• Familiarity with state pharmacy audit laws.
• Familiarity with relational databases data analysis or basic SQL queries.
• Experience defining business requirements for technology or process changes.

• BS in Pharmacy or PharmD
• Active unrestricted pharmacist license in good standing required.