Clinical Pharmacist, Compliance

help prioritize regulatory responses, assess NQTL reporting, and assist with regulatory responses.

What will you do:

• Independently collecting facts and utilizing strong clinical analytical capabilities to provide guidance on Mental Health Parity NQTL analysis in accordance with MHPAEA standards and providing recommendations on formulary updates to ensure compliance.

• Researching and responding to state inquiries from regulatory agencies

• Respond to Mental Health Parity intake requests

• Responding to complex compliance requests for information within area of responsibility

• Monitor pharmacy compliance activities to identify and report trends

• Collaborate with teams to assess reporting to identify and/or develop responses and potential changes to ensure compliance.

• Assist the compliance regulatory team with gathering information and developing responses for Market Conduct Exams.

• Help refine business needs analysis methods to establish requirements and specifications for processes improvement.

• Work closely with actuary team to assess financial impacts due to regulations.The ideal candidate should possess the following skills:• Attention to detail
• Analytical and problem-solving skills
• Superior critical thinking skills
• Effective time management, organizational and prioritization skills
• Quickly grasp business concepts, objectives, and strategies
• Collaborate effectively and professionally with internal and external partnersRequired Qualifications
5+ years of managed care experience

3+ years of compliance, quality and/or regulatory experience. Demonstrated excellent and effective verbal and written communication skills.
Experience managing simultaneous projects with multiple deliverables.Preferred Qualifications

Knowledge of fully insured health plans
Understanding of legal requirements
Experience with or understanding of Mental Health Parity (MHPAEA)Education

BS in Pharmacy (RPh) or PharmDAnticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$106,200.00 - $225,000.00This 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.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 11/11/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.