We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
The Clinical Advisor position is an exciting opportunity for pharmacists to leverage their clinical expertise in a client-facing role. This role will support the management of a large custom client with commercial and EGWP business. You will utilize your clinical and analytical skills within a managed care environment to positively impact the health of plan members while also helping to reduce healthcare costs. Your role will involve serving as the clinical subject matter expert on the account team, providing clinical consulting services by analyzing drug utilization patterns and trends for our Pharmacy Benefit Management (PBM) clients. In this role, you will be focusing on the clinical aspects of clients' benefit plans, as well as ensuring client prescription drug formularies and clinical benefits are set up and maintained efficiently. Your success will be measured by maintaining above-average client satisfaction scores and contributing to the account team's ability to increase client revenue through clinical programs and solutions. You will also act as a liaison with internal teams and other clinicians to support clinical programs on behalf of the client, ensuring that results are achieved. Superior analytical, writing, and organizational skills, along with the ability to meet tight deadlines, will be essential for your success in this position. The contributions you make as a Clinical Advisor will position CVS Health for long-term growth in the competitive PBM marketplace.
This position can be located anywhere in the United States, with the flexibility to work remotely or in a corporate hub location. You must be willing to travel up to 5-10% of the time.
Responsibilities
Serve as the clinical subject matter expert on the clinical account team
Leverage your analytical skills to provide clinical consulting services through analyzing drug utilization patterns and trends for the client
Work collaboratively with the client on commercial and Medicare Part D clinical initiatives and programs
Act as a liaison with internal teams and other clinicians to support clinical programs on behalf of the client
Maintain above-average client satisfaction scores
Required Qualifications
3 years of managed care experience and/or 1 year of CVS Health or other Managed Care Residency program
Active pharmacist license that is in good standing in state of residence
Demonstrated proficiency in using Microsoft applications, especially Excel, PowerPoint, and Word
Strong analytical skills and demonstrated comfort in working with large sets of data
Excellent presentation and oral/written communication skills
Demonstrated experience in Formulary and Utilization Management within PBM environment
Commitment to client service and relationship building
Knowledge of PBM adjudication engines and other systems leveraged in support of pharmacy benefit clients
Ability to travel typically 5-10% of the time. Travel may require but is not limited to flights, overnight stays, local travel, travel on short notice and other travel deemed necessary by the Company
Preferred Qualifications
Experience supporting clinical pharmacy programs serving commercial and Medicare Part D/EGWP clients
Advanced analytical skills with specific focus on quantitative analysis methods strongly preferred
Established knowledge of supporting formulary and benefit setup and coding strongly preferred
Expertise with PBM adjudication engines and other systems leveraged in support of pharmacy benefit clients
Working knowledge of the different drug compendia adopted in PBM work
Strong business acumen
Experience in a client-facing role
Ability to work on multiple projects, prioritize, and resolve complex problems
Experience managing template and/or customized formularies and/or PBM clinical pharmacy programs
Education
Bachelor of Science, Pharmacy or PharmD
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$110,925.00 - $249,600.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
