Pharmacy Program Manager

4062 Aetna Resources, LLC

Texas

Hybrid

USD 106,000 - 206,000

Full time

3 days ago
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Benefits offered by this job

Medical, dental, vision coverage
Retirement savings options
Wellness programs

Job summary

CVS Health is seeking a Pharmacy Program Manager for a 100% remote role. The position requires a PharmD and active license, with 6+ years in clinical pharmacy. You will collaborate with an interdisciplinary team to improve patient outcomes, conduct medication reviews, and oversee pharmacy operations with minimal travel.

Hours typically 8:00am–5:00pm or 9:00am–6:00pm, no weekends. The role emphasizes leadership in care management, clinical assessments, and communication with providers and plan

Qualifications

  • Active, unrestricted pharmacist license in good standing in the state of residence.
  • 6+ years of clinical pharmacy experience.
  • Hospital and/or ambulatory care setting experience.
  • Ability to review clinical literature and provide reviews/newsletters.
  • Proficiency in navigating multiple software programs concurrently.

Responsibilities

  • Collaborate with care management team to support members and reduce hospital readmissions.
  • Conduct comprehensive medication reviews and telephonically discuss findings.
  • Identify and resolve medication-related interventions and safety concerns.
  • Oversee pharmacy technicians handling benefits and precertifications.
  • Participate in case conferences and formal clinical assessments.
  • Communicate effectively with members, providers, and pharmacy staff.

Skills

Interdisciplinary collaboration
Clinical pharmacy
Communication skills
PHI/ HIPAA compliance
Multi-software navigation

Education

Doctor of Pharmacy (PharmD)

Tools

MS Office
Microsoft Teams
Claims databases

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.

Requisition Job Description

The Pharmacy Program Manager position is a 100% remote role requiring a HIPAA-compliant workspace and the employee can live in any state. Usual working hours are 8:00am-5:00 pm or 9:00am-6:00 pm in the time zone of residence per business needs. There are no weekends or corporate holidays expected with this role. Minimal travel (less than 10%) is expected with this position. Pharmacist may have overnight travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/audit.

Pharmacy Program Manager role includes:
  • Collaborate with an interdisciplinary care management team (nurse case managers, medical directors, dietitians, social workers) to support members on their path to better health, decrease hospital readmissions, and reduce medical costs.
  • Conducts comprehensive medication reviews then telephonically outreaches patients to discuss findings with disease state(s) focus.
  • Identifies and resolves medication related interventions including medication safety concerns and medication adherence.
  • Assigned to a care management team, who is supporting several plan sponsors, the pharmacist acts as a “subject matter expert” for all pharmacy/medication related needs.
  • Oversees pharmacy technician, who obtains answers/resolution for pharmacy benefit and precertification related issues.
  • Participates in case conferences, grand rounds, and plan sponsor requested formal clinical assessments.
  • Transitions daily between completing independent work and collaborating with a team while having the ability to prioritize urgent needs and multi-task.
  • Strong interpersonal and communication skills are essential to communicate with members, providers, pharmacy benefit managers, and local pharmacies.
  • Develops and maintains working relationships with care management team as well as internal and external departments.
  • Aids in pharmacist team advancement through evaluating strategy and effectiveness of workflows.
  • Enhances clinical knowledge through attending rounds, giving presentations, composing weekly departmental newsletters, being up to date with clinical guidelines, and collaborating with colleagues to share clinical information.
  • This role manages pharmacist support with accountability and responsibility for an assigned team/plan sponsors and does not involve managing staff. Pharmacist will not have any direct reports.
Required Qualifications
  • Active, unrestricted pharmacist license in good standing in the state of residence
  • 6+ years of clinical pharmacy experience
  • Current or past employment in a hospital and/or ambulatory care setting (excluding pharmacy school clinical rotations/internship)
  • Currently and on a daily basis applies clinical knowledge to review medications and resolve different disease management scenarios beyond dispensing role; identifies medication related interventions while resolving and offering appropriate treatment options to provider.
  • Ability to review and apply clinical literature/pharmacy resources to provide clinical reviews/inquiries/newsletters.
  • Proficiency in utilizing and navigating multiple software programs concurrently.
Preferred Qualifications
  • Managed care experience
  • Advanced training (i.e., Board-certified pharmacist, residency, fellowship, completion of APhA certificate programs)
  • Medication Therapy Management (MTM) experience
  • Strong computer skills (MS Office, Microsoft Teams, claims databases, proprietary software)
  • Strong oral/written communication, interpersonal skills, and presentation skills within a matrix organization to solve problems and achieve team/company goals.
  • Ability to prioritize and multi-task multiple referrals simultaneously.
  • Ability to adjust communication style to suit the audience (patient, colleague, providers, business management etc.).
  • Ability to work both independently and as part of a team.
Education

Doctor of Pharmacy (PharmD)

Anticipated Weekly Hours 40

Time Type Full time

Pay Range

The typical pay range for this role is: $106,200.00 - $206,250.00 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.

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.

We anticipate the application window for this opening will close on: 11/23/2026

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

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

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