Description

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.

The Pharmacy Program Manager is an individual contributor (non-people manager) role. This is a remote role requiring a HIPAA-compliant workspace and is open to qualified candidates within the United States.

Usual working hours are 8:00am-5:00 pm or 9:00am-6:00 pm in the time zone of residence per business needs. There are no weekends or corporate holidays expected with this role.

Minimal travel (less than 10%) is expected with this position. Pharmacist may have overnight travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/audit.

The Pharmacy Program Manager role includes:

-Collaborate with an interdisciplinary care management team (nurse case managers, medical directors, dietitians, social workers) to support members on their path to better health, decrease hospital readmissions, and reduce medical costs.

-Conducts comprehensive medication reviews then telephonically outreaches patients to discuss findings with disease state(s) focus.

-Identifies and resolves medication related interventions including medication safety concerns and medication adherence.

-Assigned to a care management team, who is supporting several plan sponsors, the pharmacist acts as a "subject matter expert" for all pharmacy/medication related needs.

- Oversees pharmacy technician, who obtains answers/resolution for pharmacy benefit and precertification related issues.

-Participates in case conferences, grand rounds, and plan sponsor requested formal clinical assessments.

-Transitions daily between completing independent work and collaborating with a team while having the ability to prioritize urgent needs and multi-task.

-Strong interpersonal and communication skills are essential to communicate with members, providers, pharmacy benefit managers, and local pharmacies.

-Develops and maintains working relationships with care management team as well as internal and external departments.

-Aids in pharmacist team advancement through evaluating strategy and effectiveness of workflows.

-Enhances clinical knowledge through attending rounds, giving presentations, composing weekly departmental newsletters, being up to date with clinical guidelines, and collaborating with colleagues to share clinical information.

-This role manages pharmacist support with accountability and responsibility for an assigned team/plan sponsors and does not involve managing staff. Pharmacist will not have any direct reports.

Required Qualifications

-Active pharmacist license in good standing in the state of residence

-6+ years of demonstrated clinical pharmacy experience

-Current or past employment in a hospital and/or ambulatory care setting (excluding pharmacy school clinical rotations/internship/short term roles)

-Currently and on a daily basis applies clinical knowledge to review medications and resolve different disease management scenarios beyond dispensing role; identifies medication related interventions while resolving and offering appropriate treatment options to provider.

-Ability to review and apply clinical literature/pharmacy resources to provide clinical reviews/inquiries/newsletters.

-Proficiency in utilizing and navigating multiple software programs concurrently.

Preferred Qualifications

-Managed care experience

-Advanced training (i.e., Board-certified pharmacist, residency, fellowship, completion of APhA certificate programs)

-Medication Therapy Management (MTM) experience

-Strong computer skills (MS Office, Microsoft Teams, claims databases, proprietary software)

-Strong oral/written communication, interpersonal skills, and presentation skills within a matrix organization to solve problems and achieve team/company goals.

-Ability to prioritize and multi-task multiple referrals simultaneously.

-Ability to adjust communication style to suit the audience (patient, colleague, providers, business management etc.).

-Ability to work both independently and as part of a team.

Education

-Doctor of Pharmacy (PharmD)

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$106,200.00 - $225,000.00

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: 09/19/2025

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