At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary The Clinical Pharmacist engages within the Medical Affairs - Medicare Formulary Administration team to support the creation and maintenance of the CVS Caremark's standard and client-modified Medicare formularies and utilization management edits. This role is responsible for supporting the immediate team, Clinical Advisors and other teams to prepare CMS formulary files and formulary drug lists, work with the team to provide direction to internal partners to implement utilization management related processes, projects, and requests. This is a hybrid role, based in-office 3 days/week with the opportunity to work from home the remaining days. Candidate must reside in commutable distance to our Buffalo Grove, IL, Pittsburgh, PA or Scottsdale, AZ office locations. Required Qualifications - 2+ years clinical pharmacist experience in managed care (PBM) pharmacy setting and/or completion of managed care residency - Active pharmacist license that is in good standing - Demonstrated ability to work with large data sets and leverage MS Excel and/or MS Access, as well as other data analytics tools and platforms - Demonstrated ability to prioritize and handle multiple projects - Demonstrated ability to recognize problems and/or issues and engage team to bring to resolution - Demonstrated understanding of formulary management and utilization management - Demonstrated ability to apply knowledge or previous experience to support team work Preferred Qualifications - Pharmacy Practice or Managed Care residency - Demonstrated experience with formulary management, Medicare Part D, PBM and Managed Care, drug file and adjudication - Experience working with RxClaim and claims adjudication - Knowledge of regulatory environment and applicable standards - Excellent oral and written communications skills - Excellent organizational skills - Ability to resolve problems by influencing or motivating others - Demonstrated ability to think strategically EducationKia Retailers are offering skilled and experienced military Veterans with the opportunity to begin an inspiring career as a Kia Certified Service Technician. To support this Kia Retailer initiative, Kia America, Inc. has established the Kia Veterans Technician Apprenticeship...
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