Clinical Pharmacist

Job DescriptionThe 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 Medicaid/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 Medicaid/Medicare programs. Provide clinical pharmacy support to programs targeted toward the Medicaid/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 3+ years in a Clinical Pharmacist Role which must include at least one of the following: o Rounding and making therapy recommendations as an active part of a multi-disciplinary care team o Independently managing patient therapy under a collaborative practice agreement o One year of a Pharmacy Practice Residency OR At least 3 months in a recent (within past year) Medicare Managed Care Clinical Pharmacy Role focused on Stars or HEDIS measures. 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.Licensed pharmacist in good standing in state of residenceCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred QualificationsBoard Certified Ambulatory Care Pharmacist, or Board-Certified Geriatric Pharmacist, or Board-Certified Pharmacotherapy Specialist, Certified in MTM Fluent in Spanish Experience with Medicare STARS and Part D formulary benefitEducationBachelor's or Doctorate in Pharmacy with an active Pharmacist LicenseBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-11-15