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 Pharmacy Specialty Clinical Development Sr. Manager will be responsible for overseeing the development, maintenance, and execution of Pharmacy Specialty utilization management programs. This will include both the clinical content of the programs as well as the operational actions needed to ensure the programs are implemented correctly. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits, and Specialty Guideline Management UM processes is required. The leader will feel comfortable partnering in a matrix relationship with colleagues at all levels and teams.
Required Qualifications
- Licensed pharmacist in good standing in state of residence
- 5+ years pharmacist experience within PBM environment
- 3+ years demonstrated people leadership experience within PBM environment
- Demonstrated in-depth understanding of and experience with utilization management and formulary, including prior authorization, step therapy, quantity limits, and Traditional drug UM processes is required
Demonstrated understanding of:
State and Federal governing rules and regulations.
In-depth understanding of Traditional drugs specific to utilization management and formulary.
Skill In:
Managing teams within a matrixed environment
Partnering across multiple stakeholders and varied levels
Communication and presenting of strategies to Leadership
Excellent written and oral communication with proven ability to distill complex concepts to leaders, colleagues and peers
Office technology and software, including Rx Claim and Medispan
Demonstrated ability to:
manage multiple complex, ongoing projects
meet timelines for critical deliverables
manage direct reports to achieve team and enterprise goals
work cross-functionally while maintaining and improving inter-departmental relationships
Preferred Qualifications
PGY1 Managed Care Residency
5+ years people leadership experience
Education
Required - BS in Pharmacy or PharmD
Required - Current Pharmacist License in good standing
Pay Range
The typical pay range for this role is:
$115,875.00 - $261,000.00
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. This position also includes an award target in the company’s equity award program.
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
- Licensed pharmacist in good standing in state of residence
- 5+ years pharmacist experience within PBM environment
- 3+ years demonstrated people leadership experience within PBM environment
- In-depth understanding of Traditional drugs specific to utilization management and formulary
- Excellent written and oral communication skills
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Healthcare coverage is positioned as comprehensive for benefits-eligible colleagues, including medical, dental, and vision with free preventive care and access to virtual care and select no-cost MinuteClinic services. Mental health support is also highlighted with no-cost confidential counseling sessions per issue.
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Retirement Support — Retirement benefits include a 401(k) with a dollar-for-dollar match up to 5% after meeting service and hours requirements. Ownership programs are also offered through an employee stock purchase plan with a stated purchase discount.
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Pay Growth & Progression — A companywide minimum wage floor establishes a baseline that is framed as a positive starting point in some roles and markets. Unionized or high-cost areas are described as having clearer wage scales and step-ups that can materially lift pay over time.
CVS Health Insights
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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