Clinical Advisor - Oncology & Rare Disease Pharmacist; BCOP

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

This position is 100% remote and can be located anywhere in the USA.

This 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.

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:
      • Engage…