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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

The Senior Clinical Pharmacist Medicare Part D (Med D) is instrumental in providing strategic and operational oversight for development, implementation, and evaluation of utilization management (UM), including the annual formulary/bid strategy and submission process. This position provides direction for UM strategy for Standard Formulary offerings by evaluating clinical relevance, efficacy, and associated value working cross-functionally to gain consensus from leadership and key stakeholders. The individual in this position is a key player on the team responsible for formulary utilization management and related processes and for ensuring full compliance with applicable CMS rules and regulations.

The individual also provides clinical subject matter expertise, support, and oversight for the design and operations of the Medicare Part D program related to drugs and UM requirements outlined in CMS Medicare Prescription Drug Benefit Manual.

This is a hybrid role, based out of our Buffalo Grove, IL or Pittsburgh, PA office locations. Colleague would work 3 days per week in office, with the ability to work remotely the other 2 days. Must reside in commutable distance to Buffalo Grove, IL or Pittsburgh, PA.

Required Qualifications

Minimum of four (4) years experience in a Managed Care environment Active, unrestricted pharmacist licensure in state of current residence

Strong clinical skills and knowledge

Superior analytical skills, quantitative skills, logic and problem solving skills.

Demonstrated ability to work with large data sets, analyze data and provide recommendations based on the analysis.

Demonstrated ability to produce results by determining timeframes, deadlines and successive steps.

Strong organizational and communication skills and proven ability to lead cross-functional teams in a matrix organization.

Demonstrated ability to work across boundaries and locations, have attention to detail, and understand the impacts of their function to the organization, clients, and plan participants.

Proficient in MS Word, Excel and PowerPoint.

Knowledge of RxCLAIM system formulary and UM setup.

Preferred Qualifications

Pharmacy Residency

Board Certification (any discipline)

Experience with MS Access

Demonstrates ability to identify opportunities, define approach, develop project plans and oversee implementation of formulary related projects and services.

Ability to exercise professional judgment in analyzing and resolving issues.

Knowledge of the regulatory environment and applicable standards.

Education

BS in Pharmacy or PharmD

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$123,250.00 - $228,800.00

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: 02/09/2026

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.