Job Title

Job DescriptionThis is a remote role and can be located anywhere in the United States.This position will be responsible for maintenance and management of numerous MAC lists, compliance with state MAC bill requirements, as well as leading a team to help ensure company targets and client and pharmacy commitments and requirements are being met. Responsibilities will include:- Strategic and accurate MAC price setting and implementation - Compliance with existing and new MAC bill requirements, including partnering with Legal, Compliance, and Regulatory Affairs - Developing, leading, and directing a team that supports MAC pricing and MAC bill requirements - Address and resolve MAC related inquiries- Identify and implement process improvements and automation- Manage, monitor and maintain a consistent, financially-sound MAC management and MAC appeal review process, taking into consideration product bioequivalence and product substitution criteria when establishing MAC prices, making alternate NDC recommendations, etc.- Develop new efficiencies, protocols and processes to improve MAC management and MAC appeal reviews to meet client and state law requirements as well as company goalsThis position may require some occasional (5%) travel to attend meetings.Required Qualifications- Licensed pharmacist in good standing- 3+ years clinical managed care pharmacy/administrative experience, completion of a PGY1 managed care residency or equivalent combination of experience and training- Knowledge and experience with drug information and generic drug pricing - Knowledge of generic drug substitution laws - Proficiency with MS Office, including Excel- Excellent attention to detail - Solid analytical and investigative abilities - Excellent organizational skills - Ability to multi-task and work in a dynamic environmentCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications- Experience with NDC Drug File - Experience with RX Claim - Experience with claims research - Experience with SASEducationBachelors in Pharmacy or PharmD requiredBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.