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Senior Manager - Clinical Development (Pharmacist)

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Buffalo Grove

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Contract Type:
Employment contract

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Salary:

128750.00 - 261000.00 USD / Year

Job Description:

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Pharmacy Specialty Clinical Development Sr. Manager will be responsible for overseeing the development, maintenance, and execution of Pharmacy Specialty utilization management programs. This will include both the clinical content of the programs as well as the operational actions needed to ensure the programs are implemented correctly. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits, and Specialty Guideline Management UM processes is required. The leader will feel comfortable partnering in a matrix relationship with colleagues at all levels and teams. This is a hybrid role, based in-office 3 days/wk with the opportunity to work from home the remaining days. Candidate must reside in commutable distance to our Buffalo Grove, IL, Pittsburgh, PA, New York City or Hartford, CT office locations.

Job Responsibility:

  • Overseeing the development, maintenance, and execution of Pharmacy Specialty utilization management programs
  • Including both the clinical content of the programs as well as the operational actions needed to ensure the programs are implemented correctly

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
  • Demonstrated in-depth understanding of and experience with utilization management and formulary, including prior authorization, step therapy, quantity limits, and Traditional drug UM processes
  • Demonstrated understanding of State and Federal governing rules and regulations
  • In-depth understanding of Traditional drugs specific to utilization management and formulary
  • Skill In: Managing teams within a matrixed environment
  • Partnering across multiple stakeholders and varied levels
  • Communication and presenting of strategies to Leadership
  • 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
  • Demonstrated ability to manage multiple complex, ongoing projects
  • meet timelines for critical deliverables
  • manage direct reports to achieve team and enterprise goals
  • work cross-functionally while maintaining and improving inter-departmental relationships

Nice to have:

  • PGY1 Managed Care Residency
  • 5+ years people leadership experience
What we offer:
  • Medical, dental, and vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Bonus, commission or short-term incentive program
  • Equity award program

Additional Information:

Job Posted:
May 13, 2026

Expiration:
May 15, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:

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