Clinical Pharmacist - Retrospective Drug Utilization (OK Licensed)

Hispanic Alliance for Career Enhancement; United States; Remote; USD 106,000 - 188,000; Full time

Job summary

A leading health solutions company is seeking a Clinical Pharmacist to support member-centric clinical care programs for Aetna Medicaid. The role involves performing drug utilization reviews, collaborating with healthcare teams, and requires an active pharmacist license in Oklahoma. This remote position offers a competitive salary range and comprehensive benefits, making it an exciting opportunity for qualified candidates.

Benefits

Comprehensive medical plans

401(k) plan with matching contributions

Employee stock purchase plan

Wellness programs

Tuition assistance

Qualifications

• Current unrestricted state pharmacist license in the State of Oklahoma, or ability to obtain within 90 days.
• 3+ years in a Clinical Pharmacist Role, including multi-disciplinary care team experience.
• Experience in Medicaid Managed Care Clinical Pharmacy Role.

Responsibilities

• Perform drug utilization reviews and make evidence-based recommendations.
• Communicate quality indicators for Medicaid programs.
• Collaborate with multi-disciplinary teams to improve health.

Skills

Clinical pharmacy skills

Medication management

Communication skills

Analytical skills

Education

BS in Pharmacy or Doctorate of Pharmacy (PharmD)

Job description

Overview

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. We do it all with heart, each and every day.

Position Summary

The Clinical Pharmacist supports member-centric clinical care programs for Aetna Medicaid. The Clinical Pharmacist performs retrospective drug utilization reviews. They distribute clinical drug information and educate providers, staff, members/caregivers regarding appropriate use of pharmaceutical treatment regimens. This individual will be responsible for:

• Performing pharmacy review and making evidence-based recommendations regarding Medicaid members.
• Identify opportunities within the health plan for integration of quality measures in current case management or other clinical programs.
• Communicate to providers and members on quality indicators for Medicaid programs.
• Provide clinical pharmacy support to programs targeted toward the Medicaid membership.
• Actively participate and collaborate as part of the multidisciplinary team to improve member\'s medication regimen and overall health.
• Perform other duties as required.

This is a remote role open to qualified candidates within the United States. Candidate must hold active, unrestricted pharmacist licensure in the State of Oklahoma, or be able and willing to obtain it within 90 days of hire.

Required Qualifications

1. Current unrestricted state pharmacist license in the State of Oklahoma, or ability and willingness to obtain within 90 days of hire.
2. Live in and be licensed in a state that allows clinical services to be performed in a work from home position
3. 3+ years in a Clinical Pharmacist Role which must include at least one of the following:
   • Rounding and making therapy recommendations as an active part of a multi-disciplinary care team;
   • Independently managing patient therapy under a collaborative practice agreement;
   • One year of a Pharmacy Practice Residency
4. and/or
5. • At least 6 months in a current Medicaid Managed Care Clinical Pharmacy Role focused on Stars or HEDIS measures

Preferred Qualifications

• Established experience in functions beyond fundamental dispensing and order-processing activities such as optimization of medication selection, dosing, and monitoring
• Experience with population health and/or disease state management
• Ability to research and analyze medication literature including drug information, disease states, and clinical practice guidelines to identify gaps in care and create/communicate a recommendation plan to providers.

Education

BS in Pharmacy or Doctorate of Pharmacy (PharmD)

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$106,200.00 - $187,500.00

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.

Benefits

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, including:
• 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: 10/10/2025

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