Hispanic Alliance for Career Enhancement
Clinical Pharmacist, Compliance
Hispanic Alliance for Career Enhancement, Chicago, Illinois, United States
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose‑driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position Summary As a Compliance Clinical Pharmacist, you will play a key role in the assessment and execution of compliance regulations. You will leverage your clinical and business expertise to ensure Aetna pharmacy is meeting compliance standards as it relates to Mental Health Parity and state regulations. Working closely with cross‑functional teams, you will 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 partners
Required 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 PharmD
Anticipated Weekly Hours 40
Time Type Full time
Pay Range The typical pay range for this role is:
$106,200.00 - $225,000.00
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.
Great benefits for great people We 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/benefits
We anticipate the application window for this opening will close on: 01/14/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
#J-18808-Ljbffr
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose‑driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position Summary As a Compliance Clinical Pharmacist, you will play a key role in the assessment and execution of compliance regulations. You will leverage your clinical and business expertise to ensure Aetna pharmacy is meeting compliance standards as it relates to Mental Health Parity and state regulations. Working closely with cross‑functional teams, you will 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 partners
Required 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 PharmD
Anticipated Weekly Hours 40
Time Type Full time
Pay Range The typical pay range for this role is:
$106,200.00 - $225,000.00
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.
Great benefits for great people We 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/benefits
We anticipate the application window for this opening will close on: 01/14/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
#J-18808-Ljbffr