Clinical Development Pharmacist, Medicare

CVS Health
Pittsburgh, PA
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** As a Clinical Development Pharmacist, you will create and maintain clinical content for drugs covered under the pharmacy benefit. This specific role will focus significantly on Medicare Part D. You will use and develop a strong knowledge of specialty pharmaceuticals, 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 benefit. You should have experience interpreting drug information to support UM. Knowledge of regulations impacting UM for Medicare clients is preferred. It will be necessary to create clinical content for Medicare Part B, including standard and client requested programs with the ability to be consultative to product owners, Trade, account management and clients. This is a hybrid role and will be based out of our Pittsburgh, PA or Buffalo Grove, IL office locations. **Required Qualifications** : - Active pharmacist license that is in good standing in state of residence - 3+ years of clinical pharmacy experience - 2+ years of experience with Medicare Part D - 2+ years experience of clinical therapeutics for specialty and/or oncology drugs - Proven proficiency in literature search and evidence-based medicine - Excellent written and oral communication skills - Ability to work independently **Education** : B.S. 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 We anticipate the application window for this opening will close on: 12/01/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Posted 2025-11-13

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