Pharmacist – Clinical Advisor

CVS Health; Washington; Hybrid; USD 111,000 - 250,000; Full time

Job summary

CVS Health is seeking a Clinical Advisor, a pharmacist with clinical expertise to support a large client in PBM, focusing on drug utilization patterns and formulary management. This role blends clinical consulting with analytics to drive member care and cost reduction, while ensuring high client satisfaction.

The position can be remote across the United States with travel up to 5–10%. Bachelor's or PharmD required; 3 years managed care experience or CVS residency; strong Excel/PowerPoint skills;

Qualifications

• 3 years of managed care experience and/or CVS Health residency program.
• Active pharmacist license that is in good standing in state of residence.
• Proficiency with Microsoft applications (Excel, PowerPoint, Word).
• Strong analytical skills and comfort with large data sets.
• Excellent presentation and written communication skills.
• Experience in Formulary and Utilization Management within PBM.
• Willingness to travel typically 5–10%.
• Knowledge of PBM adjudication engines and related systems.
• Commitment to client service and relationship building.

Responsibilities

• Serve as the clinical subject matter expert on the clinical account team.
• Provide clinical consulting by analyzing drug utilization patterns and trends for the client.
• Collaborate with the client on commercial and Medicare Part D clinical initiatives and programs.
• Liaise with internal teams and other clinicians to support clinical programs for the client.
• Maintain above-average client satisfaction scores.

Skills

Managed care experience

Active pharmacist license

Microsoft Office

Data analysis

Presentation / communication

Formulary / Utilization Management

Travel flexibility

PBM adjudication engines

Client service / relationship building

Education

Bachelor of Science, Pharmacy

PharmD

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger — helping to simplify health care one person, one family and one community at a time.

Position Summary

The Clinical Advisor position is an exciting opportunity for pharmacists to leverage their clinical expertise in a client-facing role. This role will support the management of a large custom client with commercial and EGWP business. You will utilize your clinical and analytical skills within a managed care environment to positively impact the health of plan members while also helping to reduce healthcare costs. Your role will involve serving as the clinical subject matter expert on the account team, providing clinical consulting services by analyzing drug utilization patterns and trends for our Pharmacy Benefit Management (PBM) clients. In this role, you will be focusing on the clinical aspects of clients’ benefit plans, as well as ensuring client prescription drug formularies and clinical benefits are set up and maintained efficiently. Your success will be measured by maintaining above-average client satisfaction scores and contributing to the account team’s ability to increase client revenue through clinical programs and solutions. You will also act as a liaison with internal teams and other clinicians to support clinical programs on behalf of the client, ensuring that results are achieved. Superior analytical, writing, and organizational skills, along with the ability to meet tight deadlines, will be essential for your success in this position. The contributions you make as a Clinical Advisor will position CVS Health for long-term growth in the competitive PBM marketplace.

This position can be located anywhere in the United States, with the flexibility to work remotely or in a corporate hub location. You must be willing to travel up to 5-10% of the time.

Responsibilities

• Serve as the clinical subject matter expert on the clinical account team
• Leverage your analytical skills to provide clinical consulting services through analyzing drug utilization patterns and trends for the client
• Work collaboratively with the client on commercial and Medicare Part D clinical initiatives and programs
• Act as a liaison with internal teams and other clinicians to support clinical programs on behalf of the client
• Maintain above-average client satisfaction scores

Required Qualifications

• 3 years of managed care experience and/or 1 year of CVS Health or other Managed Care Residency program
• Active pharmacist license that is in good standing in state of residence
• Demonstrated proficiency in using Microsoft applications, especially Excel, PowerPoint, and Word
• Strong analytical skills and demonstrated comfort in working with large sets of data
• Excellent presentation and oral/written communication skills
• Demonstrated experience in Formulary and Utilization Management within PBM environment
• Commitment to client service and relationship building
• Knowledge of PBM adjudication engines and other systems leveraged in support of pharmacy benefit clients
• Ability to travel typically 5-10% of the time. Travel may require but is not limited to flights, overnight stays, local travel, travel on short notice and other travel deemed necessary by the Company

Preferred Qualifications

• Experience supporting clinical pharmacy programs serving commercial and Medicare Part D/EGWP clients
• Advanced analytical skills with specific focus on quantitative analysis methods strongly preferred
• Established knowledge of supporting formulary and benefit setup and coding strongly preferred
• Expertise with PBM adjudication engines and other systems leveraged in support of pharmacy benefit clients
• Working knowledge of the different drug compendia adopted in PBM work
• Strong business acumen
• Experience in a client-facing role
• Ability to work on multiple projects, prioritize, and resolve complex problems
• Experience managing template and/or customized formularies and/or PBM clinical pharmacy programs

Education

Bachelor of Science, Pharmacy or PharmD

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$110,925.00 – $249,600.00

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments https://learn.bswift.com/cvshealth-mainland .

We anticipate the application window for this opening will close on: 07/24/2026

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

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.