This position is 100% remote and can be located anywhere in the USA.
Position SummaryThis position will be responsible for driving growth in Specialty by 1) building innovative products that secure our position as the market leader in payor focused Specialty solutions and 2) 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:Oncology, Rare Disease and High-Cost Therapy Program Innovation
- 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.
- Stays 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.
Required 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+ experience developing and owning healthcare innovation products with and in-depth understanding of managed care and overall marketplace dynamics to anticipate and address emerging market needs.
EducationBachelors Degree in Pharmacy OR PharmD
Anticipated Weekly Hours40
Time TypeFull time
Pay RangeThe 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.
Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
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, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 08/31/2026
