Pharmacy Program Manager

CVS Health•Washington, NV

23h•$106,200 - $206,250•Remote

About The Position

The Pharmacy Program Manager is a fully remote role open to candidates in any state. The employee must have a HIPAA-compliant workspace. The role supports members through collaboration with an interdisciplinary care management team and serves as the pharmacy and medication subject matter expert for assigned care management teams and plan sponsors. It does not involve managing staff or having direct reports. The pharmacist conducts comprehensive medication reviews and contacts patients by phone to discuss findings related to their disease states. They identify and resolve medication-related interventions, including medication safety concerns and adherence issues, and support members’ health goals, reduced hospital readmissions, and lower medical costs. The role also oversees a pharmacy technician who handles pharmacy benefit and precertification issues. The position includes participation in case conferences, grand rounds, and plan sponsor-requested clinical assessments. The pharmacist balances independent work with team collaboration, prioritizes urgent needs, maintains relationships with internal and external partners, and contributes to the advancement of pharmacist team workflows. Clinical knowledge is developed through rounds, presentations, departmental newsletters, staying current with guidelines, and sharing information with colleagues. Usual hours are 8:00 a.m.–5:00 p.m. or 9:00 a.m.–6:00 p.m. in the employee’s local time zone, according to business needs. No weekends or corporate holidays are expected. Travel is minimal (less than 10%); overnight travel may be required if a plan sponsor requests attendance at an onsite visit, assessment, or audit.

Requirements

Active, unrestricted pharmacist license in good standing in the state of residence.
At least 6 years of clinical pharmacy experience.
Current or past employment in a hospital and/or ambulatory care setting; pharmacy school clinical rotations or internships do not qualify.
Currently and regularly apply clinical knowledge to review medications and address disease-management scenarios beyond dispensing, identify medication-related interventions, and offer appropriate treatment options to providers.
Ability to review and apply clinical literature and pharmacy resources for clinical reviews, inquiries, and newsletters.
Proficiency in using and navigating multiple software programs concurrently.
Doctor of Pharmacy (PharmD).

Nice To Haves

Managed care experience.
Advanced training, such as board certification, residency, fellowship, or completion of APhA certificate programs.
Medication Therapy Management (MTM) experience.
Strong computer skills, including MS Office, Microsoft Teams, claims databases, and proprietary software.
Strong oral and written communication, interpersonal, and presentation skills in a matrix organization.
Ability to prioritize and multitask multiple referrals simultaneously.
Ability to adapt communication style to patients, colleagues, providers, business management, and other audiences.
Ability to work independently and as part of a team.

Responsibilities

Collaborate with nurse case managers, medical directors, dietitians, and social workers to support members’ health, reduce hospital readmissions, and lower medical costs.
Conduct comprehensive medication reviews and contact patients by phone to discuss findings related to their disease states.
Identify and resolve medication-related interventions, including safety concerns and medication adherence issues.
Serve as the pharmacy and medication subject matter expert for assigned care management teams and plan sponsors.
Oversee a pharmacy technician who obtains answers or resolutions for pharmacy benefit and precertification issues.
Participate in case conferences, grand rounds, and plan sponsor-requested formal clinical assessments.
Balance independent work with team collaboration, prioritize urgent needs, and manage multiple tasks.
Communicate with members, providers, pharmacy benefit managers, and local pharmacies.
Develop and maintain working relationships with care management teams and internal and external departments.
Support pharmacist team advancement by evaluating workflow strategy and effectiveness.
Enhance clinical knowledge by attending rounds, giving presentations, composing weekly departmental newsletters, staying current with clinical guidelines, and sharing clinical information with colleagues.