Sr Mgr, Aetna Medicare Medical Pharmacy (Pharmacist)

Job description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - 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 the Senior Manager, Aetna Medicare Medical Pharmacist, you will play a key role in the development and execution of business strategies and programs within the Medicare Part B Pharmacy Team. You will act as a Subject Matter Expert for Part B and specialty drugs. Key areas of responsibility include utilization management, clinical programs, and operational excellence. Responsible for overseeing and problem-solving daily strategy and operations issues within Medicare Part B. Partners with key stakeholders to optimize the achievement of strategic business objectives, including improving clinical outcomes and cost-effective care. Fundamental Job Components: Lead the long-term vision and strategy around Part B drug management related to utilization management (UM), clinical programs, and pharmacy operations. Lead the day-to-day implementation and operations around Part B drug strategies related to UM, clinical programs, and pharmacy operations. Monitor the Part B drug and specialty drug pipelines for innovative drug therapies and trend drivers, ensuring alignment with business objectives. Effectively resolve internal and external escalations and clearly document results. Identify gaps and recommend enhancements related to new and/or existing products, services, and workflows based on a broad view of the organization. Outreach to members and providers to optimize clinical outcomes and cost-effective care. Drive operational excellence around Part B drugs including UM and claims processes and systems. Conduct and lead meetings/presentations with cross-functional business partners and external parties, including market leads, employer group stakeholders, and vendor partners, ensuring team participation and collaboration. Other duties as assigned Other: Active, unrestricted pharmacist license in state of residence 5+ years of relevant work experi…