Senior Manager – Clinical Development, Pharmacist

CVS Health

Senior Manager in Clinical Development overseeing Pharmacy Specialty utilization management programs. Hybrid role requiring strong leadership and utilization management experience across various states.

Posted 5/7/2026full-timeNew York City • Connecticut, Illinois, New York, Pennsylvania • 🇺🇸 United StatesSenior💰 $128,750 - $261,000 per yearWebsite

About the role

Key responsibilities & impact

responsible for overseeing the development, maintenance, and execution of Pharmacy Specialty utilization management programs
includes both the clinical content of the programs as well as the operational actions needed to ensure the programs are implemented correctly
Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits, and Specialty Guideline Management UM processes is required
The leader will feel comfortable partnering in a matrix relationship with colleagues at all levels and teams
hybrid role, based in-office 3 days/wk with the opportunity to work from home the remaining days.

Requirements

What you’ll need

Licensed pharmacist in good standing in state of residence
5+ years pharmacist experience within PBM environment
3+ years demonstrated people leadership experience within PBM environment
Demonstrated in-depth understanding of and experience with utilization management and formulary, including prior authorization, step therapy, quantity limits, and Traditional drug UM processes is required
Demonstrated understanding of: State and Federal governing rules and regulations
In-depth understanding of Traditional drugs specific to utilization management and formulary.
Skill In: Managing teams within a matrixed environment
Partnering across multiple stakeholders and varied levels
Excellent written and oral communication with proven ability to distill complex concepts to leaders, colleagues and peers
Office technology and software, including Rx Claim and Medispan
Demonstrated ability to: manage multiple complex, ongoing projects
meet timelines for critical deliverables
manage direct reports to achieve team and enterprise goals
work cross-functionally while maintaining and improving inter-departmental relationships

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

utilization managementprior authorizationstep therapyquantity limitsSpecialty Guideline Managementformulary managementTraditional drug UM processesproject managementpeople leadershipclinical content development

Soft Skills

communicationteam managementcross-functional collaborationstakeholder partnershipmatrix managementorganizational skillsproblem-solvinginterpersonal skillsability to distill complex conceptsleadership

Certifications

Licensed pharmacist