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, UM Development will be responsible for development and execution of clinical content for non-specialty programs and services across our Book of Business. The Clinical Pharmacist, UM Development will be responsible for managing and executing long-term and ongoing departmental and enterprise initiatives. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is required. Clinical Pharmacist, UM Development will feel comfortable partnering in a matrix relationship with colleagues at all levels and teams. Additionally, Clinical Pharmacist, UM Development will serve as a subject matter expert and key point of contact for direct and indirect teams. Clinical Pharmacist, UM Development will have excellent communication skills and experience presenting to leadership.
Required Qualifications
- Active pharmacist license that is in good standing
- 1+ years of managed care pharmacist experience
- 1+ years relevant UM work experience and demonstrated prior authorization experience
- Demonstrated understanding of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is required.
- Proven proficiency in literature search and analysis of evidence-based medicine
- Ability to understand and optimize complex work-flow processes
- Comfort in working cross functionally while maintaining and improving inter-departmental relationships
- Strong clinical, written, and verbal skills with the ability to identify and translate clinical information into an actionable clinical program solution
- Skilled in various PC applications, including MS Office Products (Word, Excel, Access, PowerPoint
- Knowledge of PBM and benefit design
Preferred Qualifications
Clinical Pharmacy Practice Residency
Education
BS in Pharmacy or PharmD
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$106,200.00 - $225,000.00This 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.
Skills Required
- Active pharmacist license in good standing
- 1+ years of managed care pharmacist experience
- 1+ years relevant utilization management work experience with prior authorization experience
- Understanding of utilization management interventions (prior authorization, step therapy, quantity limits, formulary exception)
- Proficiency in literature search and evidence-based medicine analysis
- Ability to understand and optimize complex workflow processes
- Experience working cross-functionally and maintaining inter-departmental relationships
- Strong clinical, written, and verbal communication skills with ability to translate clinical information into program solutions
- Skilled in PC applications including MS Office products (Word, Excel, Access, PowerPoint)
- Knowledge of PBM and benefit design
- BS in Pharmacy or PharmD
- Clinical Pharmacy Practice Residency
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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