Pharmacy Program Manager
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Job Description
CVS Health Pharmacy Program Manager conducting medication reviews and clinical interventions. Supporting members, care teams, and plan sponsors remotely to improve outcomes and reduce costs.
Responsibilities:
- Collaborate with an interdisciplinary care management team to support members, decrease hospital readmissions, and reduce medical costs
- Conduct comprehensive medication reviews and telephonically outreach to patients regarding findings and disease states
- Identify and resolve medication-related interventions, safety concerns, and adherence issues
- Serve as the pharmacy and medication subject matter expert for assigned care management teams and plan sponsors
- Oversee a pharmacy technician handling pharmacy benefit and precertification issues
- Participate in case conferences, grand rounds, and formal clinical assessments requested by plan sponsors
- Prioritize urgent needs and multitask while transitioning between independent work and team collaboration
- Communicate with members, providers, pharmacy benefit managers, and local pharmacies
- Develop and maintain relationships with care management teams and internal and external departments
- Evaluate workflow strategy and effectiveness to support pharmacist team advancement
- Enhance clinical knowledge through rounds, presentations, weekly departmental newsletters, current clinical guidelines, and colleague collaboration
- Provide pharmacist support for assigned teams and plan sponsors without direct staff reports
Requirements:
- 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
- Ability to identify medication-related interventions and offer appropriate treatment options to providers
- Ability to review and apply clinical literature/pharmacy resources to provide clinical reviews, inquiries, and newsletters
- Proficiency in utilizing and navigating multiple software programs concurrently
- Doctor of Pharmacy (PharmD)
- HIPAA-compliant workspace
- Preferred: managed care experience
- Preferred: advanced training, such as board certification, residency, fellowship, or completion of APhA certificate programs
- Preferred: Medication Therapy Management (MTM) experience
- Preferred: strong computer skills, including MS Office, Microsoft Teams, claims databases, and proprietary software
- Preferred: strong oral/written communication, interpersonal, and presentation skills within a matrix organization
- Preferred: ability to prioritize and multitask multiple referrals simultaneously
- Preferred: ability to adjust communication style to suit different audiences
- Preferred: ability to work independently and as part of a team
Benefits:
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program in addition to the base pay range
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