Senior Manager, Medical Oncology Pharmacist (BCOP Required)
4062 Aetna Resources, LLCWe’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.
Position Summary
As a Clinical Pharmacist, Medical Oncology Pharmacy, you will play a critical role in supporting oncology-focused medical pharmacy initiatives while serving as a key clinical partner to Aetna Medical Directors. This role blends deep clinical oncology expertise with strategic medical pharmacy work, helping ensure evidence-based, guideline-concordant oncology coverage decisions while advancing affordability, value, and innovation across medical pharmacy programs.
Reporting to the Lead Director of Medical Pharmacy Strategy and Product, you will have a primary responsibility for supporting oncology appeal reviews and a secondary responsibility for contributing to broader medical pharmacy strategy initiatives, including site of care optimization, oncology drug list strategy, and utilization management (UM) program development. This is a 100% remote role ideal for a seasoned oncology pharmacist with strong clinical judgment, literature evaluation skills, and interest in payer-based strategy work.
Primary Responsibilities – Oncology Clinical Review
- Partner closely with Aetna Medical Directors to support the clinical review of oncology-related appeals and complex coverage determinations.
- Evaluate oncology therapies using published clinical literature, NCCN Guidelines, Aetna preferred drug lists, and medical necessity criteria.
- Provide clear, evidence-based clinical summaries and recommendations to support consistent, high-quality oncology decision-making.
- Stay current on emerging oncology therapies, indications, and guideline updates to inform appeal reviews and policy discussions.
Secondary Responsibilities – Medical Pharmacy Strategy & Programs
- Support the execution of oncology-focused medical pharmacy initiatives, including site of care strategies and oncology benefit design considerations.
- Assist in the development and refinement of medical drug lists and oncology utilization management strategies.
- Contribute to the implementation of medical pharmacy programs that improve affordability, quality, and member outcomes in oncology.
- Collaborate with cross-functional partners (medical, clinical policy, analytics, operations) to ensure alignment of oncology strategies.
- Leverage clinical expertise and available data insights to identify opportunities for improvement and innovation.
- Support the development of business cases, clinical rationales, and strategic recommendations related to oncology programs.
Required Qualifications
- PharmD from an accredited school of pharmacy.
- Completion of relevant PGY1 residency training, with PGY2 in Oncology strongly preferred
- Board Certified Oncology Pharmacist (BCOP) required.
- Minimum of 4 years of clinical oncology practice experience, ideally in an academic medical center, community oncology, or integrated health system.
- Deep knowledge of oncology pharmacotherapy, NCCN Guidelines, and evidence-based medicine principles.
- Strong ability to critically evaluate clinical literature and translate findings into clear, concise clinical recommendations.
- Experience collaborating with physicians and other clinicians in high-stakes clinical decision-making environments.
Preferred Qualifications
- Familiarity with payer-based medical pharmacy programs, prior authorization, or appeals processes.
- Understanding of medical benefit oncology management, including site of care, buy-and-bill dynamics, and benefit design considerations.
- Exposure to utilization management, medical policy development, or population health oncology programs.
- Comfort working cross-functionally in a matrixed, strategic environment.
Education
PharmD required
PGY1 residency training required
Pay Range
The typical pay range for this role is:
$115,875.00 - $261,000.00
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. This position also includes an award target in the company’s equity award program.
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Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.