Job Description
The CVS team consists of more than 140,000 dedicated people working in our stores, regional offices, distribution centers, and headquarters in Woonsocket, Rhode Island. The first CVS store opened under the name "Consumer Value Store." Since then, we have become more popularly known as CVS, but our focus on providing value to our customers has remained our hallmark.Position Summary
Responsible for reviewing clinical appeals, coverage determinations & exceptions, maintaining compliance with ERISA, Medicare and client specific requirements. Become knowledgeable in all aspects of the Appeals process and assist in meeting clients expectations regarding efficiency, service levels, privacy maintenance and quality of decision-making. Work as part of the team to meet business unit objectives. The pharmacist will be responsible for reviewing medication exception requests, as well as completing data analysis and various clinical projects. The position will also include serving as a clinical resource for other departments in the organization.
Required Qualifications
*Clinical pharmacy knowledgeData reviewAbility to prioritize and manage multiple tasksFlexibleExcellent organizational skillsStrong detail orientationStrong Microsoft Office skillsExcellent oral and written communication skills and interpersonal skillsAbility to balance clinical knowledge and customer service demands
Preferred Qualifications
*1-3 years pharmacy experience, manage care experience preferredExposure to clinical and analytical problem solvingExperience in medication review, patient counseling and identification of drug-related problemsExperience with utilization management programsExperience working with MS Office products (MS Word, Excel, etc.)
Education
*BS Pharmacy or Pharm D required *Registered pharmacist in state of Hawaii
Clinical Licensure Required
Pharmacist
Business Overview
CVS Caremark, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nations largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.
Work Environment
Pharmacy - Clinical ServicesCVS offers a competitive benefit package including:Stock Option Award Program (select employees) CVS Future Fund - 401(K) & ESOP Employee Stock Purchase Plan (ESPP) Comprehensive pre-tax medical insurance Prescription Coverage Short- and Long- term disability insurance Medical and personal leave Domestic partner benefits Life Insurance-Company-paid program Supplemental Supplemental dependent Dental Insurance Vision discount plan Adoption assistance Business travel insurance Auto and Home insurance discount plans Professional liability insurance (Pharmacists) Dependent care reimbursement account Education assistance Performance-based incentive plan Service recognition Paid vacations and holidays Merchandise discount
Job Requirements
Country: USA, State: Hawaii, City: Honolulu, Company: CVS Caremark.
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