Clinical Pharmacist, Compliance

Hispanic Alliance for Career Enhancement; Deutschland; Remote; EUR 91.000 - 194.000; Vollzeit

Zusammenfassung

A leading health organization in Germany is looking for an experienced Compliance Clinical Pharmacist to ensure compliance with regulations related to Mental Health Parity. The ideal candidate will have over 5 years in managed care, strong analytical skills, and the ability to manage multiple projects. This role offers a competitive salary and benefits including a 401(k) plan and no-cost wellness programs.

Leistungen

Affordable medical plan options

401(k) plan with matching contributions

Employee stock purchase plan

No-cost wellness programs

Flexible work schedules

Tuition assistance

Qualifikationen

• 5+ years of managed care experience.
• 3+ years of compliance, quality, and/or regulatory experience with excellent communication skills.
• Experience managing simultaneous projects with multiple deliverables.

Aufgaben

• Assess compliance regulations and provide guidance on Mental Health Parity NQTL analysis.
• Research and respond to regulatory inquiries.
• Monitor pharmacy compliance activities.

Kenntnisse

Attention to detail

Analytical and problem-solving skills

Superior critical thinking skills

Effective time management

Organizational skills

Collaboration skills

Ausbildung

BS in Pharmacy or PharmD

Jobbeschreibung

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 Compliance Clinical Pharmacist, you will play a key role in the assessment and execution of compliance regulations. You will leverage your clinical and business expertise to ensure Aetna pharmacy is meeting compliance standards as it relates to Mental Health Parity and state regulations Working closely with cross-functional teams, you will help prioritize regulatory responses, assess NQTL reporting, and assist with regulatory responses.

What will you do:

• Independently collecting facts and utilizing strong clinical analytical capabilities to provide guidance on Mental Health Parity NQTL analysis in accordance with MHPAEA standards and providing recommendations on formulary updates to ensure compliance.
• Researching and responding to state inquiries from regulatory agencies
• Respond to Mental Health Parity intake requests
• Responding to complex compliance requests for information within area of responsibility
• Monitor pharmacy compliance activities to identify and report trends
• Collaborate with teams to assess reporting to identify and/or develop responses and potential changes to ensure compliance.
• Assist the compliance regulatory team with gathering information and developing responses for Market Conduct Exams.
• Help refine business needs analysis methods to establish requirements and specifications for processes improvement.
• Work closely with actuary team to assess financial impacts due to regulations.

The ideal candidate should possess the following skills:

• Attention to detail
• Analytical and problem-solving skills
• Superior critical thinking skills
• Effective time management, organizational and prioritization skills
• Quickly grasp business concepts, objectives, and strategies
• Collaborate effectively and professionally with internal and external partners

Required Qualifications

• 5+ years of managed care experience
• 3+ years of compliance, quality and/or regulatory experience. Demonstrated excellent and effective verbal and written communication skills.
• Experience managing simultaneous projects with multiple deliverables.

Preferred Qualifications

• Knowledge of fully insured health plans
• Understanding of legal requirements
• Experience with or understanding of Mental Health Parity (MHPAEA)

Education

BS in Pharmacy (RPh) or PharmD

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$106,200.00 - $225,000.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Great benefits for great people

• 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 11/24/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.