Clinical Pharmacist, UM Development

Remote, USA Full-time
CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Clinical Pharmacist, UM Development will be responsible for developing and executing clinical content for non-specialty programs, managing departmental initiatives, and serving as a subject matter expert while collaborating with various teams. Responsibilities Responsible for development and execution of clinical content for non-specialty programs and services across our Book of Business Responsible for managing and executing long-term and ongoing departmental and enterprise initiatives Serve as a subject matter expert and key point of contact for direct and indirect teams Comfortable partnering in a matrix relationship with colleagues at all levels and teams Excellent communication skills and experience presenting to leadership Skills Active pharmacist license that is in good standing 1+ years of managed care pharmacist experience 1+ years relevant UM work experience and demonstrated prior authorization experience Demonstrated understanding of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is required Proven proficiency in literature search and analysis of evidence-based medicine Ability to understand and optimize complex work-flow processes Comfort in working cross functionally while maintaining and improving inter-departmental relationships Strong clinical, written, and verbal skills with the ability to identify and translate clinical information into an actionable clinical program solution Skilled in various PC applications, including MS Office Products (Word, Excel, Access, PowerPoint) Knowledge of PBM and benefit design preferred Knowledge and expertise with prior authorization Clinical Pharmacy Practice Residency Benefits Affordable medical plan options 401(k) plan (including matching company contributions) 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 Company Overview CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is
Apply Now

Similar Jobs

Mediation Specialist l

Remote, USA Full-time

Enterprise Segment Marketing Associate

Remote, USA Full-time

Customer Service Representative

Remote, USA Full-time

AI Engineer, Materia (New Grad - 2026)

Remote, USA Full-time

[Remote] Short Term Disability Claim Specialist

Remote, USA Full-time

[Remote] Business Development Associate (Remote: Philadelphia, PA)

Remote, USA Full-time

North America Procurement Specialist, Mill Services

Remote, USA Full-time

[Remote] *Customer Service $112,000+ No Experience Necessary FT/PT

Remote, USA Full-time

Associate, Private Debt

Remote, USA Full-time

Service Technician

Remote, USA Full-time

Android Developer (Kotlin)

Remote, USA Full-time

**Experienced Full Stack Risk Management Professional – Model Governance and Compliance**

Remote, USA Full-time

Experienced Remote Customer Service Specialist – Online Chat Support and Customer Experience Enhancement at blithequark

Remote, USA Full-time

Reimbursement Specialist (Medical Records Focus)-Remote

Remote, USA Full-time

Sr. Customer Insights & Research Associate

Remote, USA Full-time

Experienced Bilingual Customer Service Representative - Remote Opportunity with blithequark

Remote, USA Full-time

**Experienced Part-time Remote Data Entry Specialist – Competitive Hourly Rate**

Remote, USA Full-time

Experienced Full Stack Customer Success Associate – Delivering Exceptional Service and Support in a Remote Setting at Blithequark

Remote, USA Full-time

Social Campaign Manager

Remote, USA Full-time

Distinguished Engineer-Contact Center Automation

Remote, USA Full-time
Back to Home