Pharmacist – Clinical Advisor

Job not on LinkedIn

🔥 12 hours ago

🏈 Alabama, Arizona, +42 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $110.9k - $249.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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

• Manage the clinical relationship with health plan pharmacy support teams, pharmacists, medical directors, CMOs, and senior health plan leaders • Manage 2 to 4 market segments, including Medicare, Medicaid, Exchange, or Commercial • Proactively manage client priorities, financial targets, clinical goals, and leadership commitments alongside business leads • Analyze client data and competitive marketplace conditions to develop and execute business plans supporting profitability and growth • Collaborate with clients on competitor analysis and products and services • Recommend formulary options, utilization management edits, clinical programs, specialty drug strategies, and benefit design opportunities • Collaborate with internal partners and trade partners on custom programs, formularies, and rebate strategies • Monitor drug trends, drug pipelines, and fraud, waste, and abuse trends • Build trusted consultative partnerships and support client loyalty • Conduct provider and member outreach as needed • Advise Clinical Benefits Pharmacists and Benefits and Operations teams on client requirements • Ensure compliance with federal, state, and local regulatory requirements • Identify client value opportunities and provide consultative recommendations and follow-up • Meet or exceed client satisfaction and client value targets

🎯 Requirements

• 3+ years of managed care Pharmacist experience and/or 1 year of Managed Care Residency program • Active pharmacist license in good standing • Demonstrated experience in a client-facing role within the managed care environment • Demonstrated understanding of and experience with utilization management trends and programs within the managed care environment • Highly organized and detail oriented • Proficient analytical ability • Effective listening and presentation skills • BS in Pharmacy or PharmD • Active, unrestricted pharmacist licensure in at least 1 state • Ability and willingness to travel up to 50% of the time

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being