Pharmacy Program Manager

CVS Health

1d • Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Requisition Job Description The Pharmacy Program Manager is an individual contributor (non-people manager) role requiring pharmacist licensure. This is a remote role requiring a HIPAA-compliant workspace and is open to qualified candidates within the United States. Usual working hours are 8:00am-5:00 pm or 9:00am-6:00 pm in the time zone of residence per business needs. There are no weekends or corporate holidays expected with this role. Minimal travel (less than 10%) is expected with this position. Pharmacist may have overnight travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care management team (nurse case managers, medical directors, dietitians, social workers) to support members on their path to better health, decrease hospital readmissions, and reduce medical costs. -Conducts comprehensive medication reviews then telephonically outreaches patients to discuss findings with disease state(s) focus. -Identifies and resolves medication related interventions including medication safety concerns and medication adherence. -Assigned to a care management team, who is supporting several plan sponsors, the pharmacist acts as a “subject matter expert” for all pharmacy/medication related needs. - Oversees pharmacy technician, who obtains answers/resolution for pharmacy benefit and precertification related issues. -Participates in case conferences, grand rounds, and plan sponsor requested formal clinical assessments. -Transitions daily between completing independent work and collaborating with a team while having the ability to prioritize urgent needs and multi-task. -Strong interpersonal and communication skills are essential to communicate with members, providers, pharmacy benefit managers, and local pharmacies. -Develops and maintains working relationships with care management team as well as internal and external departments. -Aids in pharmacist team advancement through evaluating strategy and effectiveness of workflows. -Enhances clinical knowledge through attending rounds, giving presentations, composing weekly departmental newsletters, being up to date with clinical guidelines, and collaborating with colleagues to share clinical information. -This role manages pharmacist support with accountability and responsibility for an assigned team/plan sponsors and does not involve managing staff. Pharmacist will not have any direct reports.

Requirements

• Active pharmacist license in good standing in the state of residence
• 6+ years of demonstrated clinical pharmacist experience beyond a dispensing role
• Current or recent employment in a hospital and/or ambulatory care setting (excluding pharmacy school clinical rotations/internship/short term roles) applying clinical knowledge to resolve different disease states
• Currently and on a daily basis applies clinical knowledge to review medications and resolve different disease management scenarios beyond dispensing role; identifies medication related interventions while resolving and offering appropriate treatment options to provider.
• Proven ability to review and apply clinical literature/pharmacy resources to provide clinical reviews/inquiries/newsletters.
• Proficiency in utilizing and navigating multiple software programs concurrently.
• Doctor of Pharmacy (PharmD)
• Active, unrestricted pharmacist licensure in state of residence

Nice To Haves

• Managed care experience
• Advanced training (i.e., Board-certified pharmacist, residency, fellowship, completion of APhA certificate programs)
• Medication Therapy Management (MTM) experience
• Strong computer skills (MS Office, Microsoft Teams, claims databases, proprietary software)
• Strong oral/written communication, interpersonal skills, and presentation skills within a matrix organization to solve problems and achieve team/company goals.
• Ability to prioritize and multi-task multiple referrals simultaneously.
• Ability to adjust communication style to suit the audience (patient, colleague, providers, business management etc.).
• Ability to work both independently and as part of a team.

Responsibilities

• Collaborate with an interdisciplinary care management team (nurse case managers, medical directors, dietitians, social workers) to support members on their path to better health, decrease hospital readmissions, and reduce medical costs.
• Conducts comprehensive medication reviews then telephonically outreaches patients to discuss findings with disease state(s) focus.
• Identifies and resolves medication related interventions including medication safety concerns and medication adherence.
• Assigned to a care management team, who is supporting several plan sponsors, the pharmacist acts as a “subject matter expert” for all pharmacy/medication related needs.
• Oversees pharmacy technician, who obtains answers/resolution for pharmacy benefit and precertification related issues.
• Participates in case conferences, grand rounds, and plan sponsor requested formal clinical assessments.
• Transitions daily between completing independent work and collaborating with a team while having the ability to prioritize urgent needs and multi-task.
• Strong interpersonal and communication skills are essential to communicate with members, providers, pharmacy benefit managers, and local pharmacies.
• Develops and maintains working relationships with care management team as well as internal and external departments.
• Aids in pharmacist team advancement through evaluating strategy and effectiveness of workflows.
• Enhances clinical knowledge through attending rounds, giving presentations, composing weekly departmental newsletters, being up to date with clinical guidelines, and collaborating with colleagues to share clinical information.
• This role manages pharmacist support with accountability and responsibility for an assigned team/plan sponsors and does not involve managing staff. Pharmacist will not have any direct reports.

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
• Education Level: Ph.D. or professional degree