Clinical Pharmacist, UM Development

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Clinical Pharmacist, UM Development will be responsible for developing and executing clinical content for non-specialty programs, managing departmental initiatives, and serving as a subject matter expert while collaborating with various teams.

Responsibilities

• Responsible for development and execution of clinical content for non-specialty programs and services across our Book of Business
• Responsible for managing and executing long-term and ongoing departmental and enterprise initiatives
• Serve as a subject matter expert and key point of contact for direct and indirect teams
• Comfortable partnering in a matrix relationship with colleagues at all levels and teams
• Excellent communication skills and experience presenting to leadership

Skills

• Active pharmacist license that is in good standing
• 1+ years of managed care pharmacist experience
• 1+ years relevant UM work experience and demonstrated prior authorization experience
• Demonstrated understanding of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is required
• Proven proficiency in literature search and analysis of evidence-based medicine
• Ability to understand and optimize complex work-flow processes
• Comfort in working cross functionally while maintaining and improving inter-departmental relationships
• Strong clinical, written, and verbal skills with the ability to identify and translate clinical information into an actionable clinical program solution
• Skilled in various PC applications, including MS Office Products (Word, Excel, Access, PowerPoint)
• Knowledge of PBM and benefit design preferred
• Knowledge and expertise with prior authorization
• Clinical Pharmacy Practice Residency

Benefits

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• 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

Company Overview

CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is https://www.cvshealth.com/.

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