Sr Mgr, Aetna Medicare Pharmacy (Pharmacist)

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.

As a Senior Manager within the Aetna Medicare Pharmacy team, you will play a critical role in shaping and executing the organization’s Medicare Part D formulary and product strategy. Leveraging your clinical and strategic expertise, you will drive new product initiatives, optimize existing offerings, and support membership growth.

You will work closely with cross-functional teams to implement strategic initiatives, support formulary development and maintenance, and ensure alignment with regulatory requirements and business objectives. This role requires a proactive, detail-oriented professional with strong leadership, analytical, and communication skills.

Job Description Summary

• Support the development and implementing of Medicare Part D strategy through the execution of operational, functional, and business targets within the Medicare Part D clinical Operations and Formulary Development team, ensuring measurable impact.

• Contribute with the execution of strategic initiatives aligned with the organization’s goals, utilizing project management tools, data analysis, and stakeholder feedback.

• Support Formulary Development and Maintenance:

  • Support the development and support operationalizing the Medicare Part D formulary strategy.

  • Support the implementation, administration of the formulary during maintenance of business.

• Collaborate with teams to prioritize and manage the product pipeline, ensuring alignment with business objectives.

• Conduct ongoing market and competitive analysis to inform key decision-making and positioning strategies.

• Monitor and report on key financial performance indicators for the product portfolio to ensure sustained growth and profitability.

• Support and assist with formulary coding and other operational processes, including Medispan review.

• Support and assist with Medicare Part D guidance and information in member facing materials, including Evidence of Coverage, Summary of Benefits and Formulary guides.

• Act as Subject Matter Expert in areas of Medicare Part D CMS guidance and rules and regulations. 

Required Qualifications

• Active, unrestricted pharmacist license in state of residence

• 5+ years of relevant work experience in product management, strategy, or a related field

• 5+ years pharmacist experience in PBM or Health Plan

• Strong execution and delivery skills, including planning, implementation, and support.

• Experience in business intelligence, data-driven decision-making, and analytical problem-solving.

• Proven ability to collaborate effectively across teams and build strong relationships.

• Exceptional problem-solving and decision-making skills.

• Growth mindset with a focus on agility, continuous learning, and development.

Preferred Qualifications

• Work experience with RxClaim, Zynchros (or other formulary management tool), Salesforce.

• Adept at Excel, PowerPoint, Access, Microsoft Project

Education

• BS in Pharmacy or PharmD

Pay Range

The typical pay range for this role is:

$67,900.00 - $199,144.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.  This position also includes an award target in the company’s equity award program. 
 

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