Sr Mgr, Aetna Medicare Pharmacy (Pharmacist) Job at CVS Health, Concord, NH

bEd2Ry9QQkZ1T1JrQnN5WTRoNUxObkg4UGc9PQ==
  • CVS Health
  • Concord, NH

Job Description

At CVS Health, weu2019re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nationu2019s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues u2013 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. As a Senior Manager within the Aetna Medicare Pharmacy team, you will play a critical role in shaping and executing the organizationu2019s Medicare Part D formulary and product strategy. Leveraging your clinical and strategic expertise, you will drive new product initiatives, optimize existing offerings, and support membership growth. You will work closely with cross-functional teams to implement strategic initiatives, support formulary development and maintenance, and ensure alignment with regulatory requirements and business objectives. This role requires a proactive, detail-oriented professional with strong leadership, analytical, and communication skills. Job Description Summary + Support the development and implementing of Medicare Part D strategy through the execution of operational, functional, and business targets within the Medicare Part D clinical Operations and Formulary Development team, ensuring measurable impact. + Contribute with the execution of strategic initiatives aligned with the organizationu2019s goals, utilizing project management tools, data analysis, and stakeholder feedback. + Support Formulary Development and Maintenance: + Support the development and support operationalizing the Medicare Part D formulary strategy. + Support the implementation, administration of the formulary during maintenance of business. + Collaborate with teams to prioritize and manage the product pipeline, ensuring alignment with business objectives. + Conduct ongoing market and competitive analysis to inform key decision-making and positioning strategies. + Monitor and report on key financial performance indicators for the product portfolio to ensure sustained growth and profitability. + Support and assist with formulary coding and other operational processes, including Medispan review. + Support and assist with Medicare Part D guidance and information in member facing materials, including Evidence of Coverage, Summary of Benefits and Formulary guides. + Act as Subject Matter Expert in areas of Medicare Part D CMS guidance and rules and regulations. Required Qualifications + Active, unrestricted pharmacist license in state of residence + 5+ years of relevant work experience in product management, strategy, or a related field + 5+ years pharmacist experience in PBM or Health Plan + Strong execution and delivery skills, including planning, implementation, and support. + Experience in business intelligence, data-driven decision-making, and analytical problem-solving. + Proven ability to collaborate effectively across teams and build strong relationships. + Exceptional problem-solving and decision-making skills. + Growth mindset with a focus on agility, continuous learning, and development. Preferred Qualifications + Work experience with RxClaim, Zynchros (or other formulary management tool), Salesforce. + Adept at Excel, PowerPoint, Access, Microsoft Project Education + BS in Pharmacy or PharmD Pay Range The typical pay range for this role is: $67,900.00 - $199,144.00 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 companyu2019s 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 our comprehensive and competitive mix of pay and benefits u2013 investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + 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: 12/24/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Job Tags

Hourly pay, Full time, Temporary work, Work experience placement, Local area, Flexible hours,

Similar Jobs

Bilingual Therapies

Speech Pathology - Fairhope, AL Job at Bilingual Therapies

 ...Job Description Job Description Master's degree in Speech-Language Pathology, active SLP license and 1+ year of Speech-Language Pathology experience required. Applicants who do not meet these qualifications will not be considered. This opportunity is for experienced... 

Staffing Proxy

Hearing Aid Specialist Job at Staffing Proxy

 ...Job Description MLM Hearing is a well-established hearing care organization with deep roots in the communities it serves. Known...  ...clinic environment Requirements Active Hearing Instrument Specialist license in Wyoming state (or ability to obtain) Previous... 

24 Seven Talent

Office Coordinator Job at 24 Seven Talent

 ...Office Coordinator Bloomington, MN (Onsite II 25 hours/week) Were looking for an organized and proactive Office Coordinator to keep our Minneapolis office running smoothly. Youll support administrative operations, manage mail and supplies, coordinate meetings... 

Plus 57

Junior Account Manager Job at Plus 57

 ...Capable of assembly of marketing presentations Comfortable operating computers and mobile devices No experience necessary, entry level candidates welcome Core Responsibilities: Review on-ground marketing campaigns, determine additional needs. Collaborate... 

Highmark Health

Remote Epic Orders Analyst Job at Highmark Health

 ...A leading healthcare organization seeks a Systems Analyst to configure, roll out, and support Epic Orders applications. You'll analyze system requirements, provide solutions for end-user issues, and manage small to medium projects. Candidates should have systems administration...