Clinical Pharmacist - Medicare

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 Clinical Pharmacist performs retrospective drug utilization reviews. They distribute clinical drug information and educate providers and staff regarding appropriate use of pharmaceutical treatment regimens. 
 
This individual will be responsible for: 
 
Performing pharmacy review and making evidence-based recommendations regarding Medicare members. 
 
Identify opportunities within the health plan for integration of quality measures in current case management or other clinical programs. 
 
Communicate to providers and members on quality indicators for Medicare programs. 
 
Provide clinical pharmacy support to programs targeted toward Medicare membership. 
 
Actively participate and collaborate as part of the multidisciplinary team to improve member’s medication regimen and overall health. 
 
Perform other duties as required. 

 

Required Qualifications: 

• Current unrestricted state pharmacist license 

• Live in and be licensed in a state that allows clinical services to be performed in a work from home position 

• 3+ years in a Clinical Pharmacist Role* which must include at least one of the following: 

• Rounding and making therapy recommendations as an active part of a multi-disciplinary care team  

• Independently managing patient therapy under a collaborative practice agreement 

• One year of a Pharmacy Practice Residency 

 

*Clinical Pharmacist Role: 

• Established experience in functions beyond fundamental dispensing and order-processing activities such as optimization of medication selection, dosing, and monitoring 

• Experience with population health and/or disease state management 

• Ability to research and analyze medication literature including drug information, disease states, and clinical practice guidelines to identify gaps in care and create/communicate a recommendation plan to providers. 

 

Preferred Qualifications: 

• Board Certified Ambulatory Care Pharmacist, or Board-Certified Geriatric Pharmacist, or Board-Certified Pharmacotherapy Specialist, 

• Certified in MTM 

• Bilingual 

• Experience with Medicare STARS and Part D formulary benefit  

 
Education
BS or PharmD Degree in Pharmacy

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$106,200.00 - $225,000.00

This pay ran