Clinical Pharmacist - Quality Initiatives

Hispanic Alliance for Career Enhancement; Trenton (NJ); Remote; USD 106,000 - 225,000; Full time

Job summary

An established industry player is seeking a dedicated professional to join its Quality and Accreditation team. This remote role offers the chance to contribute to vital accreditation efforts, ensuring compliance with standards that enhance patient safety and elevate consumer experiences. The ideal candidate will possess strong clinical insight, project management skills, and a passion for quality improvement. With a competitive salary range and comprehensive benefits, this opportunity allows you to make a meaningful impact while enjoying a supportive work environment. If you are ready to take on the challenge and drive positive change in healthcare, this position is for you.

Benefits

401(k) plan with matching contributions

Employee stock purchase plan

Wellness programs

Tuition assistance

Flexible work schedules

Paid time off

Dependent care resources

Colleague assistance programs

Qualifications

• 3-5 years of pharmacist experience in a PBM/managed care environment.
• Strong project management skills and ability to manage multiple projects.
• Exceptional written and verbal communication skills.

Responsibilities

• Supports accreditation audits and ensures compliance with standards.
• Collaborates with clinical units to improve patient safety and consumer experience.
• Provides consultative support through research and interpretation of standards.

Skills

Pharmacy experience

Project management

Clinical insight

Communication skills

Client-facing experience

Accreditation knowledge

Critical thinking

Education

BS in Pharmacy or PharmD

Registered Pharmacist

Tools

Office 365

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
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:

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.

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.

Provides internal clinical consultative accreditation support through comprehensive research and accurate interpretation of accreditation standards for potential business implications.

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.

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 the purpose of assessing and reporting quality performance (including statistical analysis) of clinical programs as well as required accreditation measures
• Demonstrated business proficiency in various areas including 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 (to include 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

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

We anticipate the application window for this opening will close on: 05/07/2025

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