Clinical Pharmacist, UM Development

CVS Health • Arlington Heights, IL

5d • $118,000 - $206,250 • Hybrid

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, UM Development will be responsible for development and execution of clinical content for non-specialty programs and services across our Book of Business. The Clinical Pharmacist, UM Development will be responsible for managing and executing long-term and ongoing departmental and enterprise initiatives. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is required. Clinical Pharmacist, UM Development will feel comfortable partnering in a matrix relationship with colleagues at all levels and teams. Additionally, Clinical Pharmacist, UM Development will serve as a subject matter expert and key point of contact for direct and indirect teams. Clinical Pharmacist, UM Development will have excellent communication skills and experience presenting to leadership. This is a hybrid role, based out of our Buffalo Grove, IL or Pittsburgh, PA office locations. Colleague would work 3 days per week in office, with the ability to work remotely the other days. Must reside in commutable distance to Buffalo Grove, IL or Pittsburgh, PA.

Requirements

• Active pharmacist license that is in good standing
• 1+ years of managed care pharmacist experience
• 1+ years relevant UM work experience and demonstrated prior authorization experience
• Demonstrated understanding of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is required.
• Proven proficiency in literature search and analysis of evidence-based medicine
• Ability to understand and optimize complex work-flow processes
• Comfort in working cross functionally while maintaining and improving inter-departmental relationships
• Strong clinical, written, and verbal skills with the ability to identify and translate clinical information into an actionable clinical program solution
• Skilled in various PC applications, including MS Office Products (Word, Excel, Access, PowerPoint

Nice To Haves

• Knowledge of PBM and benefit design preferred
• Knowledge and expertise with prior authorization.
• Clinical Pharmacy Practice Residency.

Responsibilities

• Development and execution of clinical content for non-specialty programs and services across our Book of Business.
• Managing and executing long-term and ongoing departmental and enterprise initiatives.
• Partnering in a matrix relationship with colleagues at all levels and teams.
• Serving as a subject matter expert and key point of contact for direct and indirect teams.
• Presenting to leadership.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees