Solon, Ohio

Job Description
The Advisor, Formulary Administration Pharmacist - Medicare is responsible for providing strategic and operational support for the development, implementation, and evaluation of Medicare Part D formularies, drug lists, and utilization management. This individual assists with creation and maintenance of formularies and utilization management, preparation of CMS formulary files and member formulary drug lists, preparation and review of updates for implementation, and supports other formulary and utilization management related processes and requests.
The successful candidate must have qualifications to successfully perform the following responsibilities:
1. Support creation and maintenance of Medicare Part D formularies, drug lists, and utilization management (e.g. evaluate pipeline and drug file changes, evaluate and provide formulary, drug list, utilization management and Part D status recommendations, enter and track decisions and data, analyze data, prepare documentation for internal business approvals, prepare and review formulary and utilization management updates for implementation).
2. Support preparation of files for annual and monthly CMS formulary submissions.
3. Support preparation of member formulary drug lists.
4. Provide subject matter expertise and support and for other formulary and utilization management-related processes, analyses, projects, requests and issues as needed.
5. Interface with colleagues in other internal departments as needed regarding formulary, drug list, utilization management and drug file maintenance.

Required Qualifications
-Licensed pharmacist.
-Clinical skills and knowledge.
-Strong organizational and communication skills and ability to conduct meetings and lead colleagues in problem- solving.
-Able to work across boundaries and locations, manage multiple complex projects, have attention to detail, meet timelines for deliverables, and understand the impacts of their function to the organization, clients, and plan participants.
-PC skills; MS Word, Excel, Access and Power Point.

Preferred Qualifications
-Doctor of Pharmacy
-Preference will be given for individuals with in depth knowledge of Formulary Management in the Medicare environment and the CMS formulary submission process, including three (3) years of Medicare D experience and knowledge of CMS regulatory requirements.

Bachelors Degree in Pharmacy or Doctor of Pharmacy

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. See Job Description

Solon, Ohio

Continue serving and work with a purpose

As a CVS Health colleague, you'll find career opportunities across the organization and at every stage of your career. More important, your work will have an impactful purpose on someone's life, including your own. Learn more about how you can continue serving on your next mission at CVS Health.

Careers for Veterans and Military Spouses


"The military has an ethos that is grounded in purpose-driven service that’s bigger than the individual. The same holds true for us at CVS Health. You can talk to colleagues in any part of our business and they will be able to articulate our company’s purpose. Working here provides an opportunity for service members and military spouses to continue to serve, just in a civvies."

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