Clinical Development Pharmacist, Medicare

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
As a Clinical Development Pharmacist, you will create and maintain clinical content for drugs covered under the pharmacy benefit. This specific role will focus significantly on Medicare Part D. You will use and develop a strong knowledge of specialty pharmaceuticals, disease management and therapeutics. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is required.

Additionally, you will work in a matrix relationship with business partners and product teams to identify, develop, and monitor the impact of programs on supporting drug coverage through the pharmacy benefit. You should have experience interpreting drug information to support UM. Knowledge of regulations impacting UM for Medicare clients is preferred. It will be necessary to create clinical content for Medicare Part B, including standard and client requested programs with the ability to be consultative to product owners, Trade, account management and clients.

This is a hybrid role and will be based out of our Pittsburgh, PA or Buffalo Grove, IL office locations.

Required Qualifications:
- Active pharmacist license that is in good standing in state of residence
- 3+ years of clinical pharmacy experience
- 2+ years of experience with Medicare Part D
- 2+ years experience of clinical therapeutics for specialty and/or oncology drugs
- Proven proficiency in literature search and evidence-based medicine
- Excellent written and oral communication skills
- Ability to work independently

Education:
B.S. Pharmacy or PharmD

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$118,000.00 - $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: 05/11/2026

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