Aetna
Senior Manager, Medical Oncology Pharmacist (BCOP
Work at Home, Texas, United States · Senior · Full-time
Sponsorship not specified$116k-$261kDetected 83 days ago
Pharmacy Practice
About the role
- 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.
- 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.
- Stay current on emerging oncology therapies, indications, and guideline updates to inform appeal reviews and policy discussions.
Responsibilities
- Provide clear, evidence-based clinical summaries and recommendations to support consistent, high-quality oncology decision-making.
- Support the development of business cases, clinical rationales, and strategic recommendations related to oncology programs.
Requirements
- 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.
- Required Qualifications PharmD from an accredited school of pharmacy.
Nice to have
- Comfort working cross-functionally in a matrixed, strategic environment.
- Our people fuel our future.
- Completion of relevant PGY1 residency training, with PGY2 in Oncology strongly preferred Board Certified Oncology Pharmacist (BCOP) required.
Compensation
- 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 j
Benefits
- 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.
- 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.
- 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.
- Minimum of 4 years of clinical oncology practice experience, ideally in an academic medical center, community oncology, or integrated health system.
Company info
- our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.
- Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful.
- They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.
This listing is sourced directly from Aetna's careers page and normalized into a canonical job model.