Clinical Pharmacist - Prior Authorization
$50.48 - $84.62 per hourCVS Health Corporation
- # Clinical Pharmacist - Prior AuthorizationApply: Remote: Work At Home-Texas: Full time: Posted Today: End Date: September 23, 2026 (5 days left to apply): R1045719We’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.Ready to take your Clinical Pharmacist skills to the next level with a Fortune 6 company? Check out this outstanding opportunity for a Clinical Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team.- Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed criteria within the designated service level agreements. - Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols. - One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes. - Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve escalations. - Establishes and maintains communication among CVS Caremark, health plan, and employer group staff. - Maintains professional and technical knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs administered within the Commercial Prior Authorization and Case Review Unit (CRU) line of business. - Performs other related projects and duties as assigned, including attending training sessions and development meetings, and providing on-call and after-hours pharmacist availability as needed. This is a remote role open to qualified candidates within the United States. **Required Qualifications** • 2 years’ experience working as a pharmacist in a PBM setting. • Current experience working within Commercial Prior Authorizations in Caremark PBM environment • Demonstrated experience using clinical resources, e.g., Micromedex, Lexicomp, Clinical Pharmacology • Ability to prioritize, quickly assess, manage multiple tasks and adapt to constantly changing situations. • Excellent organizational skills. Strong detail orientation. • Strong Microsoft Office skills. Excellent oral and written communication skills and interpersonal skills. • Ability to work independently and make clinical decisions. • Experience using MS Office and other Windows based computer applications. • Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical information. • Active pharmacist license that is in good standing in the state of residence. **Preferred Qualifications** • PGY1/PGY2 • Prior authorization, call center and clinical experience. • Exposure to clinical and analytical problem solving. • Ability to consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested. **Education** Bachelor's of Science - Pharmacy or Pharm.D.**Anticipated Weekly Hours**40**Time Type**Full time**Pay Range**The typical pay range for this role is:$50.48 - $84.62This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.**Great benefits for great people**We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.This full‐time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‐being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.Additional details about available benefits are provided during the application process and on Benefits Moments.We anticipate the application window for this opening will close on: 09/23/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
- J-18808-Ljbffr CVS Health Corporation
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Clinical Pharmacist - Prior Authorization in Wisconsin vacancy
- ...drug information and recommendations for optimization of medication therapy to physicians, nurses and patientsDevelops competency in clinical practice including appropriate drug therapy for patients and prevention/resolution of drug related problems. Develops competency...SuggestedFull timeLocal area
- ...Clinical Pharmacist The Clinical Pharmacist at the Tomah Veterans Affairs Medical Center (VAMC) functions in the clinical sections of the Pharmacy service line under the Chief of Staff's Office. The primary functions will be the interpretation and verification of medication...SuggestedWork at office
US Government Jobs
Tomah, WI2 days ago $118.53k - $155.95k
...Clinical Pharmacist Warrens, WI $118,532 - $155,945 a year Profession: Pharmacy Job Type: Full Time Job Requisition: Clinical Pharmacist Position Overview: As a Clinical Pharmacist, you will play a vital role in optimizing medication therapy for our patients...SuggestedFull timeMLee Healthcare Staffing and Recruiting, Inc
Warrens, WI4 days ago- ...Summary The Clinical Pharmacist at the Tomah Veterans Affairs Medical Center (VAMC) functions... ...urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse... ...by the Schedule A excepted appointment authority. If you are unable to apply online...SuggestedFull timePart timeWork experience placementSeasonal workWork at officeLocal areaTrial periodMonday to FridayShift workNight shiftAfternoon shift
VETERANS HEALTH ADMINISTRATION
Tomah, WI1 day ago - ...based on patient history and medication profile review, good clinical practice, and other pertinent factors. Provides drug information... ...students and assists in the training of new technicians and pharmacists. Participates in quality improvement activities involving...SuggestedFull timeLocal areaMonday to FridayShift work
US Department of Veterans Affairs
Tomah, WI2 days ago $3,577 per month
...Client Name Aspirus Medford Hospital Job Type Travel Offering Allied Profession Clinical Pharmacist Specialty Non-Retail Job ID 19014418 Job Title Clinical Pharmacist - Non-Retail Weekly...Weekly payShift workAspirus Medford Hospital
Medford, WI2 days ago- ...Description The Hospital is seeking a full-time Clinical Pharmacist to join our pharmacy Team! The Pharmacist performs clinical and distributive tasks necessary to ensure that the patient's medication therapy is safe, effective, timely, and efficient. The Pharmacist works...Full time
City of Richland
Richland Center, WI7 hours ago $3,276 per month
...Client Name Aspirus Riverview Hospital Job Type Travel Offering Allied Profession Clinical Pharmacist Specialty Non-Retail Job ID 19056545 Job Title Clinical Pharmacist - Non-Retail Weekly...Weekly payShift workAspirus Riverview Hospital
Wisconsin Rapids, WI1 day ago- ...Outpatient Clinical Pharmacist The Outpatient Clinical Pharmacist functions as an independent professional responsible for supporting... ...Statement #: 10065F Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized....Permanent employmentTraineeshipLocal areaRemote workRelocation packageDay shift
US Department of Veterans Affairs
Milwaukee, WI3 days ago - ...InGenesis is currently seeking a Pharmacist to work with our client. In this role, you will be responsible for providing safe... ...entities. This is an entry level position into the practice of clinical pharmacy in the alternate setting. The staff Clinical Pharmacist...Local areaShift work
InGenesis
Milwaukee, WI7 hours ago - ...located in Kingman, AZ Are you a passionate and dedicated pharmacist seeking a challenging opportunity to deliver exceptional patient... ..., and compliant use of medications by performing both clinical and distributive functions. Responsibilities include reviewing...Full timeTemporary workH1bRelocation packageRotating shift
Kingman Regional Medical Center
Milwaukee, WI23 days ago - ...Clinical Pharmacist Clinical pharmacists: Assess the status of the patient's health problems and determine whether the prescribed medications are optimally meeting the patient's needs and goals of care. Evaluate the appropriateness and effectiveness of the patient's...
- We're Hiring: Clinical Pharmacist (Per Diem) | Sauk Prairie Healthcare Looking for a flexible opportunity to make a meaningful impact on patient care? We're seeking a Clinical Pharmacist (Per Diem) to join our team and provide pharmaceutical services for inpatient, outpatient...Daily paidImmediate startFlexible hoursShift work
$61.36 - $90.18 per hour
...compassionate, quality care to the people of Montana and Northern Wyoming, as it has for more than 125 years. In addition to 30 regional clinics, we offer a number of progressive specialty services. St. Vincent even has a special “hospital within a hospital” just for children...Hourly paySummer workLocal areaRelocation packageShift workWeekend work- The Staff Pharmacist at Watertown Regional Medical Center reports to the director of pharmacy and is responsible for preparing, dispensing... ...techniques per USP standards. Provide drug information and clinical consultation to interdisciplinary healthcare team members....Weekend work
- ...Clinical Pharmacist Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here. Position specifics: Title: Clinical Pharmacist FTE: Per Diem Schedule: Variable Holiday Rotation: Per unit guidelines Weekend Rotation...Daily paidInternshipLocal areaImmediate startShift work
$69.74 per hour
...program is preferred. Work Experience: 1+ hospital experience strongly preferred [Preferred] Licenses and Certifications: Licensed Pharmacist in Texas (RPH) [Required] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements -...Price workWork experience placementReliefLocal areaShift workWeekend work- ...Remote Clinical Review Pharmacist Work From Home Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions and treatment plans for safety, appropriateness, and cost-effectiveness while working from home. Key Responsibilities...Remote jobWork from homeFlexible hours
- Advocate Aurora Health in Kenosha, WI, operates a retail pharmacy at Store 1150 with a 4-day work week and a 40-hour schedule. The team provides 7:30 AM-10 PM coverage on weekdays and 8 AM-4 PM on weekends, with two PM shifts and every 3rd weekend rotation. The role requires...Flexible hoursShift workWeekend workWeekday work
- Clinical Pharmacist - Per Diem, Variable Schedule Position Summary: Provide pharmaceutical services to SPH inpatients and outpatients and to satellite clinics. Responsibilities Order Entry: Enter medication orders into the Meditech computer system, init orders, review for...Daily paidInternshipImmediate startShift work
$91.7k - $163.7k
...leaders to drive superior financial, clinical, and operational performance for health... ...Connecting. Growing together. As a Specialty Pharmacist you will provide high-touch support to... ...therapy access and continuityOversee prior authorizations and utilization management, ensuring...Minimum wageFull timeWork experience placementWork at officeLocal area$116.86k - $175.29k
...other benefits! POSITION SUMMARY Performs clinical and distributive pharmacy activities and... ...members and operations. Practices the pharmacists’ patient care process in providing safe... ...medications, supplies, and equipment prior to dispensing from the pharmacy. Completes...Temporary workShift workWeekend work$63.45 - $95.2 per hour
...delicate, high cost, and limited distribution medications. Join a team of 50+ highly skilled and motivated tech specialists and clinical pharmacist specialists, based out of the closed-door Menomonee Falls specialty pharmacy on Whittaker Way and with an opportunity to be...Daily paidFull timeTemporary workPart timeWork at officeLocal areaFlexible hoursShift workRotating shift$126.09k - $163.92k
...based on FTE status. Job Responsibilities Provide comprehensive clinical pharmacy services to a specialty patient population on a daily... ...Serve as a preceptor and resource to the Pharmacy Residents, Pharmacists (Pharmacist I, II, and III), pharmacy interns and students....Full timeShift workRotating shiftWeekend work- Walmart is hiring a Staff Pharmacist to share clinical knowledge and work to the top of your license, empowering you to talk with patients and advocate for their wellbeing. This role places you at the forefront of patient care in our community pharmacy team. Our Walmart...
- ...Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior... ...requests for accuracy, appropriateness, and clinical necessity. Apply plan criteria, evidence-based guidelines...Remote jobWork from homeFlexible hours
- Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help patients...Remote jobWork from homeFlexible hoursAfternoon shift
$48.7 - $72.5 per hour
...a hospital system pharmacy outsourced to Cardinal Health, the Pharmacist II adjusts and dispenses medication to patients and drives the... ...light of other medications the patient is using and completes clinical tasks related to antimicrobial stewardship. Educates patients...Hourly payPart timeReliefLocal areaImmediate startMonday to FridayShift workWeekend workCardinal Health
Wausau, WI2 days ago$48.7 - $72.5 per hour
...Pharmacist II What Health System Pharmacy contributes to Cardinal Health Pharmacy Operations is responsible for the safe, efficient... ...light of other medications the patient is using and completes clinical tasks related to antimicrobial stewardship. Educates patients...Hourly payReliefLocal areaImmediate startMonday to FridayShift workWeekend work- Bring your expertise to West Texas as a Hospital Pharmacist and help shape an exciting new era of inpatient medication care at a thriving... ...facility with a patient-first culture grounded in integrity, clinical safety, and compassionate service. The organization provides...Local area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Pharmacist - Prior Authorization. Be the first to apply!
Related searches
- remote prior authorization Wisconsin
- prior authorization nurse work from home Wisconsin
- prior authorization pharmacist Wisconsin
- medical prior authorization specialist Wisconsin
- prior authorization specialist Wisconsin
- prior authorization Wisconsin
- prior authorization coordinator Wisconsin
- prior authorization nurse Wisconsin
- clinical pharmacist
- non clinical pharmacist