Clinical Pharmacist - Prior Authorization (AZ Licensed)

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
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

Time Type

Pay Range

The typical pay range for this role is:

This 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.

Additional details about available benefits are provided during the application process and on Benefits Moments.

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