Job Information
CVS Health Senior Manager - Clinical Development (Pharmacist) in Buffalo Grove, Illinois
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
The Pharmacy Specialty Clinical Development Sr. Manager will be responsible for overseeing the development, maintenance, and execution of Pharmacy Specialty utilization management programs. This will include 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.
This is a hybrid role, based in-office 3 days/wk with the opportunity to work from home the remaining days. Candidate must reside in commutable distance to our Buffalo Grove, IL, Pittsburgh, PA, New York City or Hartford, CT office locations.
Required Qualifications
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
Communication and presenting of strategies to Leadership
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
Preferred Qualifications
PGY1 Managed Care Residency
5+ years people leadership experience
Education
Required - BS in Pharmacy or PharmD
Required - Current Pharmacist License in good standing
Pay Range
The typical pay range for this role is:
$128,750.00 - $261,000.00
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. This position also includes an award target in the company’s equity award program.
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.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .
We anticipate the application window for this opening will close on: 04/27/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.