Clinical Pharmacist, Formulary Clinical Analysis

CVS Health; United States; Remote; USD 106,000 - 225,000; Full time

Job summary

CVS Health seeks a Clinical Pharmacist to support Mental Health Parity initiatives. Responsibilities include compliance analysis for drug formulary and utilization management. The ideal candidate will have extensive clinical pharmacy experience and understanding of mental health medications. Full-time role, competitive salary, great benefits.

Benefits

401(k) plan with matching contributions

No-cost wellness programs

Flexible work schedules

Tuition assistance

Qualifications

• Licensed Pharmacist in good standing.
• 3+ years clinical pharmacy experience in managed care.
• Experience in formulary development and pharmacy utilization management.

Responsibilities

• Analyze and document compliance with Mental Health Parity Act.
• Develop and maintain client support materials.
• Provide guidance for Drug List maintenance.

Skills

Communication

Self-motivation

PC skills

Education

Bachelor of Science in Pharmacy

Doctor of Pharmacy

Pharmacy residency

Job description

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
The Clinical Pharmacist, Formulary Clinical Analysis (FCA) provides client-level Mental Health Parity (MHP) support work for the FCA team and Medical Affairs.This position reports to the FCA team Senior Manager in Medical Affairs and is responsible for clinical drug list, formulary, and utilization management (UM) analyses, with a focus on MHP. The individual is accountable for analyzing and documenting compliance of standard template drug lists to ensure adherence to the Mental Health Parity and Addiction Equity Act (MHPAEA) and related CVS Health enterprise policies and procedures. The Clinical Pharmacist will also be responsible for providing guidance for Mental Health and Substance Use Disorder Drug List maintenance.Develops and maintains all client support materials, data elements, training and internal support materials.

Required Qualifications

• Licensed Pharmacist in good standing in state of residence

• 3+ years clinical pharmacy experience, inclusive of experience in the managed care/PBM environment

• 2 to 3 years demonstrated experience in formulary development and pharmacy utilization management

• Deep, broad knowledge of drug and disease state information, considerations, and landscape, both for mental health and substance use disorders as well as medical-surgical conditions

• Strong PC skills: Office 365 with ability to quickly learn new applications as needed

• Self-motivated with demonstrated ability to manage activities with impacted teams, and meet timelines

• Excellent presentation and oral/written communication skills. Ability to respond skillfully and professionally to customers, or regulatory agencies with full understanding of the required confidentiality protections for patients and the enterprise

Preferred Qualifications

• Understanding of the Mental Health Parity and Addiction Equity Act (MHPAEA) and Nonquantitative Treatment Limitations (NQTLs), as well as knowledge of mental health and substance use disorder medications.

• Technical knowledge of drug lists (NDC/GPI, MONY codes, etc.) Able to work with mathematical concepts for the purpose of assessing and reporting of formulary as well as required compliance measures

• Able to identify and implement strategies to improve work efficiency and quality beyond designated focus area (e.g., simplify, streamline, leverage available technologies)

Education
Bachelor of Science in Pharmacy required

Doctor of Pharmacy strongly preferred

Pharmacy residency preferred

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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, visithttps://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/11/2025

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