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Clinical Pharmacy Manager

Primary Location: New York, NY
Additional Locations: NY-New York
Clinical Pharmacy Managers develop and promote strategies and policies that enhance quality of pharmaceutical and medical pharmaceutical care in a cost effective manner to establish competitive business advantage for CVS Health and Aetna . Clinical Pharmacy Managers core responsibilities include the development, implementation, support and promotion of clinical policies and utilization management focused on pharmaceutical, medical pharmaceutical, gene and cellular therapies.

LICENSES AND CERTIFICATIONS (one of the two listed below)
Nursing/Registered Nurse (RN) is desired
Pharmacy/Registered Pharmacist (RPh)/PhD is desired

Fundamental Components:
  • Develop CVS Enterprise clinical policy criteria and clinical UM management programs that optimize quality of patient care and healthcare costs
  • Implements national clinical management programs through CVS Enterprise clinical review process including Clinical Policy Oversight and Pharmacy & Therapeutics Committee for new to market pharmaceuticals, FDA label updates and Annual drug reviews.
  • Participates in External Consultant clinical reviews as appropriate
  • Collaborates, supports and promotes Enterprise Trade and Product programs and products
  • Proactively identifies opportunities for improvement within assigned initiatives
  • Champions strategic direction and tactical game plans for delivery of pharmaceutical care.
  • Directs and changes enhancements to business processes, policies, and infra-structure to improve operational efficiency.

Background Experience:
3+ years administrative experience. In-depth knowledge and experience in Specialty Formulary/Clinical UM criteria management in managed care / managed pharmacy / competitive environment. A current, unrestricted clinical license(s) to practice is required. Degree in Pharmacy or Nursing; Business degree a plus. Medicare/Medicaid experience, Appeals experience a plus.

LICENSES AND CERTIFICATIONS (one of the two listed below)
Nursing/Registered Nurse (RN) is desired
Pharmacy/Registered Pharmacist (RPh)/PhD is desired

Clinical Licensure:

Potential Telework Position:

Percent of Travel Required:
10 - 25%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position.

Candidate Privacy Information:
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.


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