Clinical Pharmacist - Medicaid Prior Authorization

CVS Health
$105,000 - $176,000Remote

About The Position

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. Position Summary Ready to take your clinical skills to the next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical Pharmacist position supporting Medicaid Prior Authorization. The position is remote. An active TX or AZ pharmacist license that is in good standing is required. New hire is required to obtain the secondary license (AZ or TX) within 90 days of hire. We are hiring for the 10:30 am - 7:00 pm CST shift (post training). The training schedule is: 10:00 am - 6:30 pm CST. You are required to work one Saturday every 4-6 weeks and occasional holidays. We offer a competitive benefit package including vacation, 10 paid holidays per year, health/dental/vision insurance, employee discounted stock purchase program, 401K, tuition reimbursement, and 20-30% employee discount at all CVS stores.

Requirements

  • Active and unrestricted TX or AZ pharmacist license. New hire is required to obtain the secondary license (AZ or TX) within 90 days of hire.
  • Experience with clinical decision-making while applying evidence-based clinical guidelines/criteria; utilizing formularies/preferred drug lists
  • Experience working in a high production team environment
  • 3+ years experience working as a pharmacist
  • Knowledge of clinical program components, formulary designs, and prescription benefit trends

Nice To Haves

  • Medicaid or Medicare experience
  • Prior authorization experience
  • Experience reviewing medical records, clinical literature, and composing SOAP notes

Benefits

  • vacation
  • 10 paid holidays per year
  • health/dental/vision insurance
  • employee discounted stock purchase program
  • 401K
  • tuition reimbursement
  • 20-30% employee discount at all CVS stores

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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