Senior Manager - Clinical Development (Pharmacist)

CVS Health • Pittsburgh, PA

5d • Hybrid

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. Position Summary The Pharmacy Specialty Clinical Development Sr. Manager will be responsible for overseeing the development, maintenance, and execution of Pharmacy Specialty utilization management programs. This will include both the clinical content of the programs as well as the operational actions needed to ensure the programs are implemented correctly. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits, and Specialty Guideline Management UM processes is required. The leader will feel comfortable partnering in a matrix relationship with colleagues at all levels and teams. This is a hybrid role, based in-office 3 days/wk with the opportunity to work from home the remaining days. Candidate must reside in commutable distance to our Buffalo Grove, IL, Pittsburgh, PA, New York City or Hartford, CT office locations.

Requirements

• Licensed pharmacist in good standing in state of residence
• 5+ years pharmacist experience within PBM environment
• 3+ years demonstrated people leadership experience within PBM environment
• Demonstrated in-depth understanding of and experience with utilization management and formulary, including prior authorization, step therapy, quantity limits, and Traditional drug UM processes is required
• Demonstrated understanding of: State and Federal governing rules and regulations.
• In-depth understanding of Traditional drugs specific to utilization management and formulary.
• Skill In: Managing teams within a matrixed environment
• Partnering across multiple stakeholders and varied levels
• Communication and presenting of strategies to Leadership
• Excellent written and oral communication with proven ability to distill complex concepts to leaders, colleagues and peers
• Office technology and software, including Rx Claim and Medispan
• Demonstrated ability to: manage multiple complex, ongoing projects
• meet timelines for critical deliverables
• manage direct reports to achieve team and enterprise goals
• work cross-functionally while maintaining and improving inter-departmental relationships

Nice To Haves

• PGY1 Managed Care Residency
• 5+ years people leadership experience

Responsibilities

• overseeing the development, maintenance, and execution of Pharmacy Specialty utilization management programs
• clinical content of the programs
• operational actions needed to ensure the programs are implemented correctly
• partnering in a matrix relationship with colleagues at all levels and teams

Benefits

• This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
• This position also includes an award target in the company’s equity award program.
• This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
• Additional details about available benefits are provided during the application process and on Benefits Moments.

What This Job Offers

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