Senior Manager - Clinical Development (Pharmacist)

CVS Health • Worcester, MA

2d • 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 Clinical Development Sr. Manager will be responsible for overseeing the development, maintenance, and execution of 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 drug UM processes is required. The leader will feel comfortable partnering in a matrix relationship with colleagues at all levels and teams. This is a leadership role with direct management of the UM team. Responsibilities include oversight of development, maintenance and execution of drug utilization management. 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

• Demonstrated knowledge of: State and Federal governing rules and regulations
• In-depth understanding of traditional drugs specific to utilization management and formulary
• Utilization management within the PBM environment Demonstrated skill In: Managing 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
• BS in Pharmacy or PharmD

Nice To Haves

• Prior leadership, PBM and UM Development experience

Responsibilities

• overseeing the development, maintenance, and execution of utilization management programs
• clinical content of the programs
• operational actions needed to ensure the programs are implemented correctly
• oversight of development, maintenance and execution of drug utilization management

Benefits

• 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.
• 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.

What This Job Offers

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