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.

Education
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

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