Clinical Development Pharmacist, Medicare

CVS Health•Pittsburgh, PA

2d•Hybrid

About The Position

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.

Requirements

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

Nice To Haves

Knowledge of regulations impacting UM for Medicare clients is preferred.

Responsibilities

Create and maintain clinical content for drugs covered under the pharmacy benefit.
Focus significantly on Medicare Part D.
Use and develop a strong knowledge of specialty pharmaceuticals, disease management and therapeutics.
Apply knowledge of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception.
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.
Interpret drug information to support UM.
Create clinical content for Medicare Part B, including standard and client requested programs.
Be consultative to product owners, Trade, account management and clients.