RPh Advisor – Commercial Specialty

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🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $50 - $84 / hour

⏰ Full Time

🟢 Junior

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design • Collaborate with the technicians and prior authorization team members to process referrals • Maintain professional and technical knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs • Provide on-call after hours availability for urgent Prior Authorization requests

🎯 Requirements

• BS Pharmacy • Active, unrestricted pharmacist license required within state of practice/residence • 1 to 3 years of experience in pharmacy • Current pharmacist experience within Caremark Commercial Specialty required • Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable • Ability and willingness to work a flexible hourly schedule to include overtime, weekends, and holidays as needed • Must demonstrate problem solving ability and attention to detail

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package