Clinical Pharmacist – Aetna Medicaid Prior Authorization

Job not on LinkedIn

🔥 45 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $105k - $176k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Support Medicaid Prior Authorization as a Clinical Pharmacist for Aetna • Apply evidence-based clinical guidelines and criteria in clinical decision-making • Utilize formularies and preferred drug lists • Review medical records and clinical literature • Compose SOAP notes • Work in a high-production team environment • Work the assigned AZ-time shift, scheduled Saturdays, and occasional holidays

🎯 Requirements

• Active and unrestricted AZ or TX pharmacist license in good standing • New hire required to obtain an additional AZ or TX pharmacist license within 90 days of hire • Experience with clinical decision-making using evidence-based clinical guidelines/criteria • Experience utilizing formularies/preferred drug lists • 3+ years of experience working as a pharmacist • Experience working in a high-production team environment • Knowledge of clinical program components, formulary designs, and prescription benefit trends • Medicaid or Medicare experience preferred • Prior authorization experience preferred • Experience reviewing medical records and clinical literature preferred • Experience composing SOAP notes preferred • BS in Pharmacy or PharmD • Ability to work 10:00 am–6:30 pm AZ time after training • Ability to complete 8 weeks of training from 8:00 am–4:30 pm AZ time • Ability to work one Saturday every 6 weeks and occasional holidays

🏖️ Benefits

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