Clinical Pharmacist, Clinical Program Oversight

Posted Yesterday
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21 Locations
In-Office or Remote
106K-206K Annually
Senior level
Fitness • Healthtech • Retail • Pharmaceutical
The Role
Responsible for reviewing CVS Caremark clinical programs (concept and annual reviews) to ensure CMS, NCQA, and URAC compliance. Coordinate consultations, prepare documentation, distribute minutes, and participate in UM P&T Subcommittee and National P&T Committee processes. Collaborate with Clinical Development, Clinical Operations, Omnicare, Specialty Program Development, Quality, Appeals, and leadership; support CPO Manager and VP of Clinical Affairs.
Summary Generated by Built In

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
The Clinical Pharmacist, Clinical Program Oversight will be responsible for the review of all CVS Caremark clinical programs at the concept phase and all current clinical programs on an annual basis or as deemed necessary to ensure regulatory compliance with Center for Medicare & Medicaid (CMS), NCQA, and URAC.  The key responsibilities will be the coordination of all activities including; external consultations, preparation of documentation for the review of CVS Caremark's clinical programs, distribution of meeting minutes, and participation in the Utilization Management (UM) Pharmacy and Therapeutics (P&T) Subcommittee process.   Responsibilities will also include the preparation of documents and participation in support of the Caremark National P&T Committee process.  The CPO clinical pharmacist will work in collaboration with the Clinical Development, Clinical Operations, Omnicare, Specialty Program Development, Corporate Quality, Appeals, and other areas regarding clinical issues by communicating timely and relevant clinical information, and assisting the CPO Manager and Vice President of Clinical Affairs.

This is a remote role open to qualified candidates within the US.
Required Qualifications

- 5+ years relevant clinical pharmacist experience

- Demonstrated experience in PBM clinical pharmacy space

- Excellent clinical and analytical skills

- Excellent verbal, written, interpersonal, and presentation skills, including the ability to tailor the message to the specific audience.

- Strong clinical experience in evidence-based medicine and proficient online literature retrieval (PubMed, Lexicomp, etc)

- Attention to detail in authoring and editing documents for accuracy, spelling, grammar, and content.

- Strong project management skills.

- Proficient in Microsoft Word, Excel, and PowerPoint.

- Demonstrated knowledge of concepts of formulary and Pharmacy & Therapeutics Committee and clinical programs and PBM.

- Ability and willingness to travel up to 5% if needed to meet business needs

- Licensed pharmacist in good standing

Preferred Qualifications

Post Graduate (PGY1/PGY2) Pharmacy Residency

Board Certified Pharmacotherapy Specialist (BCPS)

Strong clinical experience in drug information and UM program process.

Education

BS in Pharmacy or PharmD from accredited school of pharmacy

Licensed pharmacist in good standing
 

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$106,200.00 - $206,250.00

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on
Benefits Moments.

We anticipate the application window for this opening will close on: 08/17/2026

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

Skills Required

  • 5+ years relevant clinical pharmacist experience
  • Demonstrated experience in PBM clinical pharmacy space
  • Excellent clinical and analytical skills
  • Excellent verbal, written, interpersonal, and presentation skills
  • Strong clinical experience in evidence-based medicine and proficient online literature retrieval (PubMed, Lexicomp)
  • Attention to detail in authoring and editing documents for accuracy, spelling, grammar, and content
  • Strong project management skills
  • Proficient in Microsoft Word, Excel, and PowerPoint
  • Demonstrated knowledge of formulary and Pharmacy & Therapeutics Committee and clinical programs and PBM
  • Ability and willingness to travel up to 5% if needed
  • Licensed pharmacist in good standing
  • BS in Pharmacy or PharmD from accredited school of pharmacy
  • Post Graduate (PGY1/PGY2) Pharmacy Residency
  • Board Certified Pharmacotherapy Specialist (BCPS)
  • Strong clinical experience in drug information and UM program process
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The Company
HQ: Woonsocket, RI
119,959 Employees
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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