Clinical Pharmacist - Prior Authorization (AZ Licensed)

Clinical Pharmacist

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.

As a Clinical Pharmacist, you will review Prior Authorizations, verify proven and/or medically necessary indications and review clinical documentation in support of prior authorization reviews.

The primary function of the clinical pharmacist is to review PA requests, verify proven and/or medically necessary indications and review clinical documentation in support of prior authorization reviews. You will also provide internal pharmacist support to the PA team and member services department therefore excellent oral and written communication skills are needed. The clinical pharmacist will also perform foreign drug reviews, medical record reviews, case analysis, provide clinical support and collaboration for development of new drug policies/revisions to existing drug policies, and clinical projects.

This is a remote role with the potential for on-site training and is open to qualified candidates within the United States, with the ideal candidate residing in the Phoenix, AZ area. Candidate must currently hold active, unrestricted pharmacist licensure in the State of Arizona.

This is a full-time 40 hour per week role. Hours of operation are 5am-7pm AZT, and the Clinical Pharmacist will work a set schedule of 8 hour (5 days/wk) or 10 hour (4 days/wk) shifts within that timeframe with the potential for a future Saturday rotation.

Required Qualifications:

• 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

Preferred Qualifications:

• 3+ Years in Pharmacy Benefit Management
• 2+ Years in Clinical Prior Authorizations
• Experience with RxClaim
• Demonstrated computer proficiency

Education:

• PharmD or BS in Pharmacy

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $94,500.00 - $193,600.00

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.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.