[Hiring] Clinical Advisor - Oncology & Rare Disease Pharmacist @CVS Health

Role Description

This position will be responsible for driving growth in Specialty by:

• Building innovative products that secure our position as the market leader in payor focused Specialty solutions.
• Creating disruptive and holistic solutions to address oncology, rare disease, and other high-cost therapies to ensure best in class management of cost and quality of care.

As part of these responsibilities, the colleague will be responsible for developing a robust product roadmap based on current and anticipated market trends, and working across the organization to deliver new and market leading solutions to market.

Responsibilities

• Build and execute product roadmap that solves payor, provider and patient needs related to oncology, rare disease and other high-cost therapies, including:
• Develop cost management and population health programs such as formulary and coverage strategies, prior authorization programs, care management programs, patient and provider engagement programs, value-based arrangements, and more to promote the delivery of high-quality, safe, and effective programs which optimize health outcomes, improves the provider and member experience, and reduces costs for clients and members.
• Leverages Board Certified Oncologist Pharmacist (BCOP) expertise to:
• Inform the clinical strategy and provider and member journeys across the portfolio of products.
• Define drug lists, clinical workflows and clinical rules, and helps maintain this content along with other product owners.
• Stay abreast of the drug pipeline, utilization and pricing patterns, to assist product owners with innovative strategies to manage spend.
• Develops and leads a process to share new product updates, key guideline and pathways changes, unique trends and/or utilization patterns, and key study info with internal stakeholders.
• Evaluates a similar process for external stakeholders including clients and consultants to share expertise and improve marketplace presence.
• Leads clinical committees and clinical governance across portfolio with support from other product owners.
• Co-lead development and oversight of clinical workflows with the product owner, serving as a valuable clinical expert and partner to clinical operations and technology teams.
• Assists in the development of tools and processes that improve the effectiveness of clinical content (including policies, question sets, drug lists, workflows and program rules).
• Participates in the review process with product owners to ensure continuous improvement and quality monitoring.
• Serves as an internal oncology SME for new and existing product strategies, and as a representative for internal and external conferences.
• Identifies opportunities for clinical journal and research publications.

Key Skills

• Thinks and Acts Strategically:
• Identifies new innovative clinical strategies and program and technology opportunities to attain market leadership position.
• Creates and strengthens partnerships within and outside the enterprise to deliver new solutions.
• Uses critical thinking, “outside of the box” thinking, and strategy to balance multiple stakeholder needs (e.g., patient, payor, pharma, pharmacy, enterprise).
• Sets Direction:
• Engages in clinical strategy, clinical technology and content development, and proactively anticipates needs that can be addressed with an innovation strategy or solution.
• Guides roadmap development and prioritization to maintain market leadership across clinical outcomes, trend management, and patient and provider experience.
• Impacts and Influences:
• Develops and maintains productive relationships with all levels.
• Fluent at cross functional leadership.
• Delivers Results:
• Plans, develops, and executes short- and long-range innovation and program goals.
• Identifies risk and mitigation strategies to maximize clinical and quality outcomes.
• Prepares and delivers presentations that translate analytic insights to tangible actionable solutions to implement.
• Sets vision and gains alignment from team and cross functional partners; holds individuals and self-accountable for results.

Qualifications

• Oncology practice / health system experience.
• Board Certified Oncology Pharmacist (BCOP).
• Ability to manage multiple projects and work with many teams while driving work forward in a matrix-style organization, with certain ownership vs. support responsibilities.
• Ability to frame complex problems and develop solutions that address multiple interests with minimal guidance and direction - trusted team member with considerable autonomy to shape strategic direction of offerings.
• Advanced Impact and Influence skills – ability to influence and establish rapport with colleagues both senior and junior to him/her.
• Ability to travel 1-2x per year.

Preferred Qualifications

• 3+ years experience developing and owning healthcare innovation products with an in-depth understanding of managed care and overall marketplace dynamics to anticipate and address emerging market needs.

Education

• Bachelors Degree in Pharmacy OR PharmD.

Anticipated Weekly Hours

• 40

Time Type

• Full time

Pay Range

• The typical pay range for this role is: $135,575.00 - $228,800.00.
• 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.

Benefits

• 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.
• Other resources, based on eligibility.
• Additional details about available benefits are provided during the application process.