Senior Manager - Clinical Development (Pharmacist) at CVS Health

Buffalo Grove, Illinois, United States

CVS Health Logo
Not SpecifiedCompensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Pharmacy Benefit ManagementIndustries

Requirements

  • Licensed pharmacist in good standing in state of residence
  • BS in Pharmacy or PharmD
  • Current Pharmacist License in good standing
  • 5+ years pharmacist experience within PBM environment
  • 3+ years demonstrated people leadership experience within PBM environment
  • Board Certified Oncology Pharmacist (BCOP) or eligible for BCOP certification
  • Demonstrated in-depth understanding of utilization management and formulary, including prior authorization, step therapy, quantity limits, and Oncology and medical Specialty drug UM processes
  • Demonstrated understanding of state and federal governing rules and regulations
  • In-depth understanding of Oncology and medical Specialty drugs specific to utilization management and formulary
  • Skill in managing teams within a matrixed environment
  • Skill in partnering across multiple stakeholders and varied levels
  • Excellent written and oral communication with proven ability to distill complex concepts to leaders, colleagues and peers
  • Proficiency in office technology and software, including Rx Claim and Medispan
  • Demonstrated ability to manage multiple complex, ongoing projects
  • Demonstrated ability to meet timelines for critical deliverables
  • Demonstrated ability to manage direct reports to achieve team and enterprise goals
  • Demonstrated ability to work cross-functionally while maintaining and improving inter-departmental relationships
  • Reside in commutable distance to Buffalo Grove, IL, Pittsburgh, PA, or New York, NY office locations

Responsibilities

  • Overseeing the development, maintenance, and execution of utilization management programs
  • Managing both the clinical content of the programs as well as the operational actions needed to ensure the programs are implemented correctly
  • Partnering in a matrix relationship with colleagues at all levels and teams

Skills

Key technologies and capabilities for this role

Pharmacist LicensePBMUtilization ManagementPrior AuthorizationStep TherapyQuantity LimitsOncology DrugsMedical Specialty DrugsBCOPPeople LeadershipFormulary Management

Questions & Answers

Common questions about this position

What is the pay range for this Senior Manager role?

The typical pay range for this role is $128,750.00 - $239,250.00.

Is this a remote role, or do I need to work in the office?

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, or New York, NY office locations.

What are the key required qualifications and skills for this position?

Required qualifications include a current pharmacist license, 5+ years pharmacist experience in a PBM environment, 3+ years people leadership in PBM, BCOP certification or eligibility, and in-depth knowledge of utilization management processes like prior authorization and step therapy. Key skills include managing teams in a matrixed environment, partnering with stakeholders, excellent communication, and handling complex projects.

What is the company culture like at CVS Health?

CVS Health emphasizes building a world of health around consumers with dedicated, purpose-driven colleagues passionate about transforming health care in a connected, convenient, and compassionate way.

What makes a strong candidate for this Senior Manager position?

Strong candidates will have a PharmD or BS in Pharmacy, active pharmacist license, PBM experience including 5+ years as a pharmacist and 3+ years in leadership, BCOP certification, deep utilization management knowledge, and proven skills in matrix team management, stakeholder partnering, and cross-functional project execution. Preferred qualifications include a PGY1 Managed Care Residency and 5+ years of people leadership.

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.

Land your dream remote job 3x faster with AI