Pharmacist - Clinical Development
As a Clinical Development Pharmacist, you will create and maintain clinical content for specialty drugs covered under the pharmacy and medical benefit. You will use and develop a strong knowledge of specialty phamaceuticals, disease management and therapeutics. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is required.
Additionally, you will work in a matrix relationship with business partners and product teams to identify, develop, and monitor the impact of programs on supporting drug coverage through the pharmacy and medical benefit. You should have experience interpreting drug information to support UM. Knowledge of regulations impacting UM for Medicare, Medicaid and Exchange clients is preferred. It will be necessary to create clinical content for all business segments (Commercial, Medicare, Medicaid and Marketplace) including standard and client requested programs with the ability to be consultative to product owners, account management and clients.
- Active IL pharmacist license that is in good standing
- 2+ years of relevant work experience or Prior Authorization experience
- Proven proficiency in literature search and evidence-based medicine with strong oral and written communication skills.
- Ability to work independently
- Residency or BCPS
- Knowledge of PBM and benefit design preferred
- 2+ years of Managed Care or PBM experience
- 2+ years experience of clinical therapeutics for specialty drugs
B.S. Pharmacy or PharmD
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.