At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
The Clinical Pharmacist engages within the Medical Affairs - Medicare Formulary Administration team to support the creation and maintenance of the CVS Caremark’s standard and client-modified Medicare formularies and utilization management edits.
This role is responsible for supporting the immediate team, Clinical Advisors and other teams to prepare CMS formulary files and formulary drug lists, work with the team to provide direction to internal partners to implement utilization management related processes, projects, and requests.
This is a hybrid role, based in-office 3 days/week with the opportunity to work from home the remaining days. Candidate must reside in commutable distance to our Buffalo Grove, IL, Pittsburgh, PA or Scottsdale, AZ office locations.
Required Qualifications
- 2+ years clinical pharmacist experience in managed care (PBM) pharmacy setting and/or completion of managed care residency
- Active pharmacist license that is in good standing
- Demonstrated ability to work with large data sets and leverage MS Excel and/or MS Access, as well as other data analytics tools and platforms
- Demonstrated ability to prioritize and handle multiple projects
- Demonstrated ability to recognize problems and/or issues and engage team to bring to resolution
- Demonstrated understanding of formulary management and utilization management
- Demonstrated ability to apply knowledge or previous experience to support team work
Preferred Qualifications
- Pharmacy Practice or Managed Care residency
- Demonstrated experience with formulary management, Medicare Part D, PBM and Managed Care, drug file and adjudication
- Experience working with RxClaim and claims adjudication
- Knowledge of regulatory environment and applicable standards
- Excellent oral and written communications skills
- Excellent organizational skills
- Ability to resolve problems by influencing or motivating others
- Demonstrated ability to think strategically
Education
· Bachelor’s degree Pharmacy - required
· Doctorate PharmD - preferred
· Registered Pharmacist - required
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$118,000.00 - $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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 12/03/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.