Clinical Pharmacist - Medicare

Overview

Clinical Pharmacist Role: 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.

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.

• 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 the Medicare membership.
• Actively participate and collaborate as part of the multidisciplinary team to improve member’s medication regimen and overall health.

• 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

OR

• At least 3 months in a recent Medicare Managed Care Clinical Pharmacy Role focused on Stars or HEDIS measures
• 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.

• Board Certified Ambulatory Care Pharmacist, Board Certified Geriatric Pharmacist, or Board Certified Pharmacotherapy Specialist
• Certified in MTM
• Bilingual
• Experience with Medicare STARS and Part D formulary benefit

BS in Pharmacy or Doctorate of Pharmacy (Pharm

D) required

Active, unrestricted pharmacist licensure

40

Full time

The Typical Pay Range For This Role Is $ - $

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit

We anticipate the application window for this opening will close on: 01/19/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.