Pharmacist – Clinical Advisor

CVS Health

. Manage the clinical relationship with health plan pharmacy support teams, pharmacists, medical directors, CMOs, and senior health plan leaders .

Posted 10/2/2026full-timeRemote • United StatesMid-LevelSenior💰 $110,925 - $249,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managed care pharmacy, including client relationship management, utilization management, and compliance with regulatory requirements. Proven ability to analyze data and develop business plans that drive profitability and client satisfaction.

Highest-signal resume keywords

Managed Care Pharmacist ExperienceActive Pharmacist LicenseUtilization Management ExpertiseClient-Facing Role ExperienceAnalytical Ability

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Utilization ManagementData AnalysisFormulary ManagementClinical Program DevelopmentBenefit DesignMarket Segment ManagementClient PrioritizationFinancial Target ManagementDrug Trend MonitoringConsultative Recommendations

Soft Skills

Effective ListeningPresentation SkillsHighly OrganizedDetail OrientedBuilding Trusted Partnerships

Certifications & Qualifications

Active Pharmacist LicenseBS in PharmacyPharmD

Industry Keywords

Managed CareMedicareMedicaidExchangeCommercialClinical BenefitsPharmacy Support TeamsClient SatisfactionRegulatory ComplianceFraud, Waste, and Abuse Trends

About the role

Key responsibilities & impact

Manage the clinical relationship with health plan pharmacy support teams, pharmacists, medical directors, CMOs, and senior health plan leaders
Manage 2 to 4 market segments, including Medicare, Medicaid, Exchange, or Commercial
Proactively manage client priorities, financial targets, clinical goals, and leadership commitments alongside business leads
Analyze client data and competitive marketplace conditions to develop and execute business plans supporting profitability and growth
Collaborate with clients on competitor analysis and products and services
Recommend formulary options, utilization management edits, clinical programs, specialty drug strategies, and benefit design opportunities
Collaborate with internal partners and trade partners on custom programs, formularies, and rebate strategies
Monitor drug trends, drug pipelines, and fraud, waste, and abuse trends
Build trusted consultative partnerships and support client loyalty
Conduct provider and member outreach as needed
Advise Clinical Benefits Pharmacists and Benefits and Operations teams on client requirements
Ensure compliance with federal, state, and local regulatory requirements
Identify client value opportunities and provide consultative recommendations and follow-up
Meet or exceed client satisfaction and client value targets

Requirements

What you’ll need

3+ years of managed care Pharmacist experience and/or 1 year of Managed Care Residency program
Active pharmacist license in good standing
Demonstrated experience in a client-facing role within the managed care environment
Demonstrated understanding of and experience with utilization management trends and programs within the managed care environment
Highly organized and detail oriented
Proficient analytical ability
Effective listening and presentation skills
BS in Pharmacy or PharmD
Active, unrestricted pharmacist licensure in at least 1 state
Ability and willingness to travel up to 50% of the time

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to base pay
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being