Clinical Pharmacist - Quality Initiatives

Hispanic Alliance for Career Enhancement; Des Moines (IA); Remote; USD 106,000 - 225,000; Full time

Job summary

An established industry player is seeking a dedicated pharmacist to support quality and accreditation efforts in a remote role. This position involves ensuring compliance with accreditation standards, collaborating with various departments, and enhancing patient safety and consumer experience. The ideal candidate will have significant experience in the PBM environment, strong project management skills, and exceptional communication abilities. Join a company that values inclusivity and offers comprehensive benefits, making a difference in healthcare delivery while working from the comfort of your home.

Benefits

Affordable medical plans

401(k) with matching

Employee stock purchase plan

No-cost wellness programs

Flexible work options

Family leave

Tuition assistance

Qualifications

• 3-5 years of pharmacist experience in PBM/managed care.
• Licensed pharmacist in good standing in state of residence.

Responsibilities

• Support accreditation audits and compliance efforts.
• Collaborate with internal partners to ensure client satisfaction.

Skills

Pharmacy Experience

Client-Facing Role

Project Management

Clinical Insight

Communication Skills

Accreditation Standards Knowledge

Critical Thinking

Education

BS in Pharmacy

PharmD

Tools

Office 365

MS Excel

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.

Position Summary

This position works in the Quality and Accreditation space within Medical Affairs and contributes to the department's quality and accreditation efforts. The individual is accountable for supporting the accreditation needs of the business and/or clients. Participates in, and may lead, efforts with business process owners to ensure ongoing compliance with accrediting body standards and related CVS Health enterprise policies and procedures.

Responsibilities include:

1. Supports accreditation audits for CVS Health and/or delegated client services. Delivers on project plans to ensure colleagues, sites, and/or clients are positioned for successful accreditation reviews. Serves as a liaison to internal partners and/or clients. Contributes to ongoing accreditation compliance efforts such as internal validation reviews; partners with process owners to help resolve compliance gaps.
2. Supports Sales and Account Services, Legal, and other impacted business areas with accreditation needs. Participates in client-driven accreditation oversight activities per contractual obligations and provides ongoing support as related to accreditation and quality initiatives. Collaborates effectively with all impacted parties to ensure full compliance to delegated functions critical to client satisfaction and retention.
3. Provides internal clinical consultative accreditation support through comprehensive research and accurate interpretation of accreditation standards for potential business implications.
4. Participates in quality-related processes across the PBM to improve patient safety, elevate consumer experience and satisfy accreditation requirements. Collaborates with clinical business units to help develop and support quality improvement efforts.
5. Contributes to department responsibilities such as credentialing, precepting, committee participation, colleague engagement and other Medical Affairs or enterprise-wide initiatives as requested by leadership.

This is a remote role, open to qualified candidates within the United States.

Required Qualifications

• 3 to 5 years pharmacist experience, inclusive of experience working in the PBM/managed care environment
• Demonstrated experience in a client-facing role within PBM environment
• Licensed pharmacist in good standing in state of residence
• Consistently demonstrate CVS Health's Heart at Work behaviors: join forces, inspire trust, put people first, create simplicity, and rise to the challenge
• Strong clinical insight and critical thinking skills: able to ask the right questions, define issues, collect data, establish facts, and draw valid conclusions
• Demonstrated experience with US accreditation bodies within PBM environment
• Able to engage in and lead conversations with internal and external audiences. Comfortable speaking and presenting in a group environment which may include internal and external senior leaders (e.g., clients, accrediting bodies)
• Strong project management skills: self-motivated with demonstrated ability to manage multiple complex, ongoing projects, coordinate activities with impacted teams, and meet timelines for critical accreditation and/or client deliverables
• Exceptional written and verbal communication skills. Able to respond skillfully and professionally to customers, accreditors or regulatory agencies with full understanding of the required confidentiality protections for patients and the enterprise
• Regular and reliable attendance; travel when needed (e.g., accreditation audits, client meetings)

Preferred Qualifications

• 2 -3 years quality, project management or accreditation experience
• Demonstrated ability to work with mathematical concepts for assessing and reporting quality performance (including statistical analysis) of clinical programs as well as required accreditation measures
• Demonstrated business proficiency in pharmacy operations (Specialty, UM, Mail Service), clinical product offerings, quality improvement processes, and core organizational functions (e.g., Compliance, Privacy, HR, IT/IS, Enterprise Resiliency)
• Strong PC skills: Office 365 (including MS Excel) with ability to quickly learn new applications as needed

Education

• BS in Pharmacy or PharmD
• Registered Pharmacist in good standing in state of residence

Additional Details

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $106,200.00 - $225,000.00

This pay range represents the base salary or hourly rate, with actual offers depending on experience, education, geography, and other factors. This role is eligible for bonuses, commissions, or incentives.

Our colleagues are our strength. We foster an inclusive workplace where everyone feels valued and they belong.

Benefits

We offer comprehensive pay and benefits, including:

• Affordable medical plans, 401(k) with matching, employee stock purchase plan
• No-cost wellness and support programs
• Flexible work, family leave, tuition assistance, and more

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

Application deadline: 05/07/2025

Qualified applicants with arrest or conviction records will be considered according to law.