Clinical Pharmacist, Formulary Strategy

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.Position Summary

As a Clinical Formulary Strategy Pharmacist, you will play a key role in the assessment and execution of formulary strategy for the Commercial line of business.What will you do:Formulary Management & Oversight

• Formulary Oversight for all Fully Insured Business
• Collaborate with Utilization Management to develop and implement Prior Authorization Criteria specific to Aetna.

• Cross functional collaboration in the development, implementation, support, and tracking of Aetna Commercial pharmacy cost of care initiatives to meet financial goals.
• ROI development with pharmacy teams, measurement new initiatives
• May lead certain cost of care projects.

• Fraud, waste, & abuse (FWA) monitoring
• Collaboration with both Special Investigation Units on pharmacy FWA items

• Collaborate with Product Teams to develop/enhance offerings to meet market demands.
• Responsible for Clinical Field Communications

• Responsible for end-to-end process of strategizing, development, and implementation for Pharmacy cost of care initiatives.
• Main clinical resource for the Health Plan for all issues/concerns that are pharmacy related.

• Active, unrestricted pharmacist license
• 5+ years of demonstrated formulary or cost of care management pharmacist experience
• Highly organized, detail-oriented with strong capability in structured and critical thinking
• Demonstrated experience with FWA
• High level of independent judgment and proactivity
• Self-motivation, high energy, and ability to successfully function in a high-demand, performance-driven environment.
• Strong internal relationship skills across diverse teams

• Knowledge of Fully Insured health plans
• Works well in a dynamic, complex, customer and team-focused environment with minimal oversite and agile mindset.
• Ability to work in 100% virtual setting.

• BS in Pharmacy or PharmD

• 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.