CVS Health Pharmacist - Clinical Advisor in Irving, Ohio
The Clinical Advisor position is an exciting pharmacist opportunity to use your clinical background in a client-facing role. This role will support the Health Plan segment and is an integral part of the account team. As a Clinical Advisor,you will utilize clinical and analytical skills in a managed care environment to positively impact the health of clients and members while helping reduce health care costs. You will accomplish this through:Serving as the clinical subject matter expert on the account teamProviding clinical consulting services through analyzing drug utilization patterns and trends for our Pharmacy Benefit Management (PBM )clientsLeveraging your presentation skills by delivering quarterly and annual reporting, in partnership with the account owner, to clients on the clinical aspects of their benefit planEducating clients on CVS Health’s clinical programs and solutions to make recommendations for client implementation and adoptionAs a Clinical Advisor, your success will be driven by maintaining above average client satisfaction scores and contributing to the account team’s ability to increase client revenue relative to clinical programs and solutions. You will partner and serve as a liaison with internal teams and other clinicians supporting clinical programs on behalf of the client to achieve these results. Superior writing and organizational skills as well as the ability to meet tight deadlines will also be paramount to your success. The contributions you will make as a Clinical Advisor will position CVS Health for long term growth in the competitive PBM marketplace.This position can be located in a CVS Corporate Hub or has the ability to work remotely/work from home within the U.S. You must have the ability to travel up to 40% of the time.
- Minimum of 3 years of managed care experience applicable to the role or 1 year of CVS Health or other Managed Care Residency program.- Active pharmacist license that is in good standing.- Proficiency in using Microsoft applications.- Excellent presentation and oral/written communication skills.- Ability to travel up to 40% of the time. Travel may require but is not limited to flights, overnight stays, local travel, travel on short notice and other travel deemed necessary by the Company
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions 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, pregnancy, or religious belief that prevents them from being vaccinated.
If you are 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 within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.
- 1-2 years of experience supporting Pharmacy Benefit Management (PBM) clients or within a health plan.- Experience supporting business specific to Medicare Part D, Medicaid, Exchange and/or Commercial.- Expertise in Utilization Management and Formulary Management.- Proven leadership skills.- Strong business acumen.- Commitment to client service and relationship building.- Ability to work on multiple projects, prioritize, and resolve complex problems.- Experience implementing template and/or customized clinical programs.- Knowledge of PBM adjudication engine and other systems leveraged in support of clients.- Ability to learn multiple internal reporting and analytic tools for client management.- AMCP Fundamentals of Managed Care Pharmacy Certificate or similar professional advancement- 2 years of Medicare experience
Bachelor of Science, Pharmacy or PharmD.
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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