Sr. Advisor, Clinical Pharmacy Programs

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.

Role Description:

The Sr. Advisor, Clinical Pharmacy Programs reports to the Executive Director, Pharmacy plays a key role in supporting Medicare Part D STARs, clinical pharmacy initiatives, and enterprise-wide clinical guidelines and decision support efforts. This role involves clinical oversight, measure development, data analytics, committee leadership, and cross-functional collaboration. 

This high-visibility position requires a self-starter who excels in a fast-paced environment, leverages data for insights, and enjoys tackling complex challenges. The role involves extensive collaboration with external payers, internal Pharmacy teams, clinical and operational field leaders, and regular communication with senior leadership.

Core Responsibilities:

Stars Program Support

• Serve as clinical lead and subject matter expert for STARs Part D measure development, testing (UAT), and documentation.

• Field and resolve Part D STARs-related escalations from care teams and leaders.

• Maintain and enhance Part D STARs measure requirements based on CMS guidance.

• Act as point of contact for clinical inquiries regarding Part D STARs.

• Support ad-hoc data analysis, including year-end performance push initiatives.

Clinical Pharmacy Programs

• Lead the scoping for clinical pharmacy programs and support the development and execution.

• Collaborate with interdisciplinary teams to align pharmacy interventions with organization goals.

• Contribute to planning efforts by analyzing historical performance, program impact, and feasibility to inform future direction.

• Develop and monitor KPIs, clinical metrics, and outcomes tracking to evaluate program effectiveness.

• Provide clinical support and guidance for care teams engaged in medication management, patient outreach, and pharmacy-led initiatives.

Clinical Guidelines and Operations

• Develop and maintain enterprise-wide clinical guidelines.

• Lead content development for medication management guides and CDS tools.

• Serve as Chair of the Pharmacy & Therapeutics (P&T) Committee. 

• Drive process improvement initiatives related to prescribing and medication management best practices.

• Lead and support system improvement projects, including EMR enhancements and implementations.

What we’re looking for:

• Bachelor's or Doctor of Pharmacy degree from an accredited institution.

• Licensed as a pharmacist in good standing in the state the candidate resides

• Minimum of 3-5 years of experience in managed care or population health settings. 

• Experience with Part D STARs quality measures and clinical program design.

• Strong analytical skills and ability to work with data to drive clinical decisions and program strategy.

• Exceptional communication and stakeholder management skills.

• Demonstrated leadership experience in committee or cross-functional teams.

• Proficient in Microsoft Excel, clinical documentation systems, and data interpretation.

• Passion for excellence, willing to go the extra mile to achieve objectives and ensure consistently high quality work product

• Ability to succinctly summarize and synthesize large amounts of information

• Strong accountability and discipline against timelines and deliverables

• US work authorization

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