Clinical Pharmacist, Formulary Administration

CVS HealthArlington Heights, IL
12d$118,000 - $206,250Hybrid

About The Position

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 will be responsible for supporting the creation and maintenance of the Aetna Health Fully Insured formularies assuring clinical appropriateness, accuracy and clinical consistency. Responsibilities include supporting clinical workgroups, enterprise formulary initiatives, and additional formulary related clinical activities to meet the organizational and marketplace needs. The role will consult as a subject matter expert facilitating formulary decision-making process and continual enhancement of the formulary management systems for the enterprise, and provide direction to the internal partners to implement downstream formulary activities including adjudication, web/portal, communications, and publications. This position will also assist with the coordination of formulary activities to meet organizational goals, client needs, performance standards, and Plan requirements while ensuring compliance with established Policies and Procedures, Best Practices and applicable regulations and standards. This position requires attention to detail and strict adherence to timelines. Demonstrated Abilities include: -Identify, analyze and solve problems from a practical perspective -Produce results by determining timeframes, deadlines and successive steps. -Negotiate or solve matters involving significant or controversial issues. -Plan, coordinate or advise others on work effects or progress. -Resolve problems by influencing or motivating others. -Analytical, quantitative, mathematical, and interpersonal skills -Prioritize and handle multiple projects -Highly motivated -Dedication to continuous improvement This is a hybrid role based out of our Buffalo Grove, IL or Pittsburgh, PA office locations with the opportunity to work remotely 2 days per week. Candidate must live within commutable distance to either of these locations.

Requirements

  • 3+ years Pharmacist experience in managed care corporate setting, including demonstrated drug information knowledge and formulary understanding, and/or completion of PGY1 managed care residency.
  • Licensed Pharmacist in good standing in state of residence
  • MS Office Suite including Access, Excel, Power Point and Visio
  • Qualified individual will possess demonstrated working knowledge of Formulary Management in Commercial and Medicaid environments; Drug File and Adjudication knowledge; and the Pharmacy and Therapeutics Committee decision making process.
  • Clinical skills and knowledge required

Nice To Haves

  • Preference will be given for individuals with in depth knowledge of Formulary Management in the commercial and Medicaid segments.

Responsibilities

  • supporting the creation and maintenance of the Aetna Health Fully Insured formularies assuring clinical appropriateness, accuracy and clinical consistency
  • supporting clinical workgroups, enterprise formulary initiatives, and additional formulary related clinical activities to meet the organizational and marketplace needs
  • consulting as a subject matter expert facilitating formulary decision-making process and continual enhancement of the formulary management systems for the enterprise
  • providing direction to the internal partners to implement downstream formulary activities including adjudication, web/portal, communications, and publications
  • assisting with the coordination of formulary activities to meet organizational goals, client needs, performance standards, and Plan requirements while ensuring compliance with established Policies and Procedures, Best Practices and applicable regulations and standards

Benefits

  • 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.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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