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CVS Health Clinical Pharmacist, Formulary Management in Buffalo Grove, Illinois

Job Description

Pharmacist, Formulary Management is responsible for leading and executing the development, implementation, maintenance, and evaluation of the Health Exchanges formularies, including formulary-related processes and programs and ensuring full compliance with applicable CMS rules and state specific regulations. Provide oversight of change notification processes for template formularies and drug file maintenance. Provides clinical subject matter expertise and support for internal and external clients. Other responsibilities include: 1. Prepares formulary submission setups and updates – includes evaluating drugs for tiering based on cost, clinical classification, quality checking, troubleshooting client issues with submissions, and provision of member documents. 2. Provides business enhancement proposals, contributes to requirement specifications, and performs user acceptance testing on enhancements to Formulary Management Tool and other formulary projects. 3. Provide subject matter expertise and support for internal and external clients. Supports internal departments with clinical and analytical requests concerning formulary (e.g. RFP, Actuary, Marketing, Account Services). 4. Develop and maintain policy and procedure and work instructions.

Pay Range

The typical pay range for this role is:

Minimum: 82000

Maximum: 176800

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

  • 1+ years experience in a Managed Care environment experience. - Active Illinois pharmacist license that is in good standing.

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications

Candidates with experience in managing Health Exchanges formulary will be given preference.


Bachelor or doctorate degree in pharmacy

Business Overview

Bring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.