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CVS Health

Clinical Pharmacist, UM Development

Posted Yesterday
Be an Early Applicant
In-Office or Remote
16 Locations
106K-225K Annually
Junior
In-Office or Remote
16 Locations
106K-225K Annually
Junior
Develop and execute clinical content for utilization management programs (prior authorization, step therapy, quantity limits, formulary exceptions). Serve as UM subject matter expert, manage departmental initiatives, perform literature review, optimize workflows, and collaborate cross-functionally to translate clinical evidence into actionable program solutions.
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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 Pharmacist, UM Development will be responsible for development and execution of clinical content for non-specialty programs and services across our Book of Business. The Clinical Pharmacist, UM Development will be responsible for managing and executing long-term and ongoing departmental and enterprise initiatives. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is required. Clinical Pharmacist, UM Development will feel comfortable partnering in a matrix relationship with colleagues at all levels and teams. Additionally, Clinical Pharmacist, UM Development will serve as a subject matter expert and key point of contact for direct and indirect teams. Clinical Pharmacist, UM Development will have excellent communication skills and experience presenting to leadership.

 

Required Qualifications

- Active pharmacist license that is in good standing

- 1+ years of managed care pharmacist experience

- 1+ years relevant UM work experience and demonstrated prior authorization experience

- Demonstrated understanding of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exception is required. 

- Proven proficiency in literature search and analysis of evidence-based medicine

- Ability to understand and optimize complex work-flow processes
- Comfort in working cross functionally while maintaining and improving inter-departmental relationships

- Strong clinical, written, and verbal skills with the ability to identify and translate clinical information into an actionable clinical program solution

- Skilled in various PC applications, including MS Office Products (Word, Excel, Access, PowerPoint

- Knowledge of PBM and benefit design

Preferred Qualifications

Clinical Pharmacy Practice Residency
Education
BS in Pharmacy or PharmD

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 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: 07/09/2026

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

CVS Health Chicago, Illinois, USA Office

525 W Monroe St, Chicago, IL, United States, 60661

CVS Health Northbrook, Illinois, USA Office

2211 Sanders Road, Northbrook, IL, United States, 60062

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