Clinical Pharmacist, Medical Affairs - Medicare Formulary Administration Job at CVS Health, Pittsburgh, PA

NFRQR2VVS3lzVXZjWllPZHdoOVpESHBZ
  • CVS Health
  • Pittsburgh, PA

Job Description

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** 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 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 We anticipate the application window for this opening will close on: 12/03/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Job Tags

Hourly pay, Full time, Temporary work, Work at office, Local area, Immediate start, Flexible hours, 3 days per week,

Similar Jobs

Brown Harris Stevens Residential Management, LLC

Residential Building Handyman - Union Job at Brown Harris Stevens Residential Management, LLC

 ...Prominent NYC Property Management firm, is seeking dedicated and professional handyman for union luxury building. The ideal candidate will be responsible general maintenance, orderliness, and cleanliness to ensure all building facilities and equipment are in compliance... 

Colony Tire Corporation

Delivery Driver - Non-CDL - Atlantic Tire Distributors Job at Colony Tire Corporation

 ...Delivery Driver (Non-CDL)Atlantic Tire Distributors, located in High Point, NC is...  ...come join our team for an awesome career opportunity. Full benefit package offered includes...  ...good-natured, cooperative attitude.~Independence- Job requires guiding oneself with little... 

University of Alaska Fairbanks

Event Staff - UAA Student Position Job at University of Alaska Fairbanks

 ...must be legally authorized to work in the United States without restriction. Applicants who now or may in the future require visa sponsorship to work in the United States are not eligible. The University of Alaska (UA) is responsible for providing reasonable accommodations... 

Northwest Pump

Digital Marketing Specialist Job at Northwest Pump

 ...Northwest Pump is looking for a Digital Marketing Specialist to join our growing Marketing team! This role will take the lead in developing...  ...What else? This is a full-time, hybrid (up to 2 days remote per week) position, working regular business hours, Monday through... 

BitSight

Sales Development Intern Job at BitSight

 ...Become a trusted resource and develop superior relationships with prospects; Update lead scoring and prospect interaction in salesforce.com to ensure efficient lead management; Consistently achieve qualified opportunity quotas to ensure territory revenue objectives...