Senior Manager - Clinical Development (Pharmacist) at CVS Health

Buffalo Grove, Illinois, United States

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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

Pharmacist License

PBM

Utilization Management

Prior Authorization

Step Therapy

Quantity Limits

Oncology Drugs

Medical Specialty Drugs

BCOP

People Leadership

Formulary Management

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.

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