Senior Manager overseeing utilization management programs at CVS Health. Requires pharmacist qualifications and strong leadership experience in a PBM environment.
Responsibilities
Overseeing the development, maintenance, and execution of utilization management programs.
Includes both the clinical content of the programs as well as the operational actions needed to ensure the programs are implemented correctly.
Comfortable partnering in a matrix relationship with colleagues at all levels and teams.
Requirements
Licensed pharmacist in good standing in state of residence
5+ years pharmacist experience within PBM environment
3+ years demonstrated people leadership experience within PBM environment
Board Certified Oncology Pharmacist (BCOP) or eligible for BCOP certification
Demonstrated in-depth understanding of utilization management and formulary, including prior authorization, step therapy, quantity limits, and Oncology and medical Specialty drug UM processes is required
Demonstrated understanding of State and Federal governing rules and regulations.
In-depth understanding of Oncology and medical Specialty drugs specific to utilization management and formulary.
Skill in managing teams within a matrixed environment
Partnering across multiple stakeholders and varied levels
Excellent written and oral communication with proven ability to distill complex concepts to leaders, colleagues and peers
Office technology and software, including Rx Claim and Medispan.
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.
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