Pharmacist – Clinical Advisor

This is a fully remote position, open to applicants in Alabama, +43 more states.

📋 Description

• Oversee the clinical relationships with pharmacy support teams from health plans, pharmacists, medical directors, Chief Medical Officers (CMOs), and senior leaders in health plans.

• Manage 2 to 4 market segments, which may include Medicare, Medicaid, Exchange, or Commercial.

• Proactively oversee client priorities, financial objectives, clinical goals, and commitments from leadership in collaboration with business leads.

• Analyze client data along with competitive market conditions to create and implement business plans aimed at supporting profitability and growth.

• Work with clients on competitor analysis, as well as their products and services.

• Suggest formulary options, utilization management adjustments, clinical programs, specialty drug strategies, and opportunities for benefit design.

• Partner with internal teams and trade partners to develop custom programs, formularies, and rebate strategies.

• Track drug trends, drug pipelines, and issues related to fraud, waste, and abuse.

• Establish trusted consultative partnerships to enhance client loyalty.

• Perform outreach to providers and members as necessary.

• Provide guidance to Clinical Benefits Pharmacists and the Benefits and Operations teams regarding client requirements.

• Ensure adherence to federal, state, and local regulatory standards.

• Identify opportunities for client value and offer consultative recommendations with follow-up.

• Achieve or surpass client satisfaction and value targets.

⛳️ Requirements

• A minimum of 3 years of experience as a managed care Pharmacist and/or completion of a Managed Care Residency program for at least 1 year.

• A valid pharmacist license in good standing.

• Proven experience in a client-facing capacity within the managed care sector.

• Clear understanding of and experience with utilization management trends and programs in the managed care landscape.

• Highly organized with a keen attention to detail.

• Strong analytical skills.

• Excellent listening and presentation abilities.

• Bachelor of Science in Pharmacy or a Doctor of Pharmacy (PharmD).

• Active, unrestricted pharmacist licensure in at least one state.

• Willingness and ability to travel up to 50% of the time.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program in addition to base salary.

• Comprehensive medical coverage.

• Dental insurance.

• Vision coverage.

• Paid time off.

• Options for retirement savings.

• Wellness programs.

• Additional resources that promote physical, emotional, and financial well-being.