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.
The Clinical Pharmacist will be responsible for supporting the creation and maintenance of CVS Caremark's standard commercial formularies assuring clinical appropriateness, accuracy and clinical consistency. Responsibilities include supporting clinical workgroups, enterprise formulary initiatives, and additional formulary related clinical activities to meet the organizational and marketplace needs.
The role will consult as a subject matter expert facilitating formulary decision-making process and continual enhancement of the formulary management systems for the enterprise, and provide direction to the internal partners to implement downstream formulary activities including adjudication, web/portal, communications, and publications. This position will also assist with the coordination of formulary activities to meet organizational goals, client needs, performance standards, and Plan requirements while ensuring compliance with established Policies and Procedures, Best Practices and applicable regulations and standards. This position requires attention to detail and strict adherence to timelines.
This role will can be based out of our corporate hub in Buffalo Grove, IL in a hybrid model or work remotely if residing elsewhere in the United States.
Key Responsibilities- Support the creation, maintenance, and integrity of CVS Caremark’s standard commercial formularies.
- Serve as a clinical subject matter expert supporting enterprise formulary decision-making process.
- Lead and participate in clinical workgroups and enterprise formulary initiatives.
- Leverage AI tools, automation, and analytics to improve formulary management efficiency.
- Ensure adherence to regulatory timelines and internal quality standards.
- Build, maintain, and quality-check formularies and drug lists.
- Perform formulary analysis and reporting.
- Develop and submit state and federal formulary files.
- Manage state-specific formulary requirements and mandated variations.
- Provide guidance for adjudication and downstream implementation.
- Ensure UM strategies align with clinical best practices, MHPAEA, and are consistently applied across medical/surgical and MH/SUD drugs.
- Partner with Medical Affairs, Legal, Compliance, Product, Trade/Finance, and Operations teams.
- Coordinate implementation of formulary and UM changes.
- Present analyses and recommendations to leadership.
- PharmD or equivalent clinical pharmacy degree.
- Active pharmacist license in good standing.
- 3–5 years PBM, managed care, or UM experience.
- Demonstrated formulary experience
- Strong analytical, project management, and communication skills.
- Experience managing state-specific formularies.
- Familiarity with MH/SUD treatment guidelines.
- Experience with formulary systems, automation, and AI-enabled tools.
- BS in Pharmacy or Doctor of Pharmacy (PharmD).
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$106,200.00 - $206,250.00This 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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
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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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.
