Clinical Pharmacist, UM Development

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🔥 0 minutes ago

🥔 Idaho, Pennsylvania, +1 more states – Remote

🥔 Idaho – Remote 🔔 Pennsylvania – Remote 🍁 Vermont – Remote

💵 $106.2k - $225k / year

⏰ Full Time

🟢 Junior

💊 Pharmacist

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

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

🎯 Requirements

• 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 • 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)

🏖️ Benefits

• Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources, based on eligibility