Sr Mgr, Aetna Medicare Pharmacy (Pharmacist)

CVS Health

20d

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. As a Senior Manager within the Aetna Medicare Pharmacy team, you will play a critical role in shaping and executing the organization’s Medicare Part D formulary and product strategy. Leveraging your clinical and strategic expertise, you will drive new product initiatives, optimize existing offerings, and support membership growth. You will work closely with cross-functional teams to implement strategic initiatives, support formulary development and maintenance, and ensure alignment with regulatory requirements and business objectives. This role requires a proactive, detail-oriented professional with strong leadership, analytical, and communication skills. Job Description Summary Support the development and implementing of Medicare Part D strategy through the execution of operational, functional, and business targets within the Medicare Part D clinical Operations and Formulary Development team, ensuring measurable impact.

Requirements

• Active, unrestricted pharmacist license in state of residence
• 5+ years of relevant work experience in product management, strategy, or a related field
• 5+ years pharmacist experience in PBM or Health Plan
• Strong execution and delivery skills, including planning, implementation, and support.
• Experience in business intelligence, data-driven decision-making, and analytical problem-solving.
• Proven ability to collaborate effectively across teams and build strong relationships.
• Exceptional problem-solving and decision-making skills.
• Growth mindset with a focus on agility, continuous learning, and development.

Nice To Haves

• Work experience with RxClaim, Zynchros (or other formulary management tool), Salesforce.
• Adept at Excel, PowerPoint, Access, Microsoft Project

Responsibilities

• Contribute with the execution of strategic initiatives aligned with the organization’s goals, utilizing project management tools, data analysis, and stakeholder feedback.
• Support Formulary Development and Maintenance: Support the development and support operationalizing the Medicare Part D formulary strategy.
• Support the implementation, administration of the formulary during maintenance of business.
• Collaborate with teams to prioritize and manage the product pipeline, ensuring alignment with business objectives.
• Conduct ongoing market and competitive analysis to inform key decision-making and positioning strategies.
• Monitor and report on key financial performance indicators for the product portfolio to ensure sustained growth and profitability.
• Support and assist with formulary coding and other operational processes, including Medispan review.
• Support and assist with Medicare Part D guidance and information in member facing materials, including Evidence of Coverage, Summary of Benefits and Formulary guides.
• Act as Subject Matter Expert in areas of Medicare Part D CMS guidance and rules and regulations.

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