Clinical Pharmacist – Prior Authorization

Job not on LinkedIn

🔥 11 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $94.5k - $193.6k / year

⏰ Full Time

🟢 Junior

💊 Pharmacist

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CVS Health Careers

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10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Review Prior Authorization requests • Verify proven and/or medically necessary indications • Review clinical documentation supporting prior authorization reviews • Provide internal pharmacist support to the PA team and member services department • Perform foreign drug reviews • Perform medical record reviews and case analysis • Provide clinical support • Collaborate on development of new drug policies and revisions to existing drug policies • Participate in clinical projects • Work a set schedule of 8-hour, 5-days-per-week or 10-hour, 4-days-per-week shifts within 5am–7pm AZT • Potential future Saturday rotation • Potential on-site training

🎯 Requirements

• 1+ Years pharmacist experience in Pharmacy Benefit Management • 1+ Years pharmacist experience with Prior Authorizations • Active, unrestricted pharmacist licensure in the State of Arizona • Active, unrestricted pharmacist licensure in state of residence • PharmD or BS in Pharmacy • 3+ Years in Pharmacy Benefit Management (preferred) • 2+ Years in Clinical Prior Authorizations (preferred) • Experience with RxClaim (preferred) • Demonstrated computer proficiency (preferred) • Qualified applicants with arrest or conviction records will be considered in accordance with all federal, state and local laws

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being

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