• Job Description

  Req#: R0629509

  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, UM Development will be responsible for development and execution of clinical content for non-specialty programs and services across our Book of Business. The Clinical Pharmacist, UM Development will be responsible for managing and executing long-term and ongoing departmental and enterprise initiatives. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is required. Clinical Pharmacist, UM Development will feel comfortable partnering in a matrix relationship with colleagues at all levels and teams. Additionally, Clinical Pharmacist, UM Development will serve as a subject matter expert and key point of contact for direct and indirect teams. Clinical Pharmacist, UM Development will have excellent communication skills and experience presenting to leadership.

  This is a hybrid model role based out of our Pittsburgh, PA or Buffalo Grove, IL offices. Candidates will be required to work in-office 3 days per week, and can work out of either of those office locations.

  
  
  Required Qualifications

  -Active pharmacist license that is in good standing

  - 3+ years of managed care experience

  - 3+ years relevant UM work experience and demonstrated prior authorization experience

  - Demonstrated understanding of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is required.

  - Proven proficiency in literature search and analysis of evidence-based medicine

  - Excellent written and oral communication skills with a proven ability to distill complex concepts for leadership.

  - Project and process management experience
  - Ability to understand and optimize complex work-flow processes
  - Comfort in working cross functionally while maintaining and improving inter-departmental relationships

  - Strong clinical, written, and verbal skills with the ability to identify and translate clinical information into an actionable clinical program solution

  - Skilled in various PC applications, including MS Office Products (Word, Excel, Access, PowerPoint

  - Knowledge of PBM and benefit design preferred

  
  Preferred Qualifications
  PGY1 Managed Care Residency
  
  Education
  BS in Pharmacy or PharmD

  Anticipated Weekly Hours

  40

  Time Type

  Full time

  Pay Range

  The typical pay range for this role is:

  $118,000.00 - $206,250.00

  This 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

  For more information, visit https://jobs.cvshealth.com/us/en/benefits

  We anticipate the application window for this opening will close on: 07/08/2025

  Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

• About the company

  At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.

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