Clinical Pharmacist - Aetna Medicaid Prior Authorization (AZ or TX 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
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.
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 will be required to work one Saturday every 4-6 weeks and occasional holidays.
This is a fully remote position open to qualified candidates within the United States who currently hold active, unrestricted TX or AZ pharmacist licensure.
Required Qualifications
- Active and unrestricted TX and/or AZ pharmacist license
- New hire is required to obtain the secondary license (AZ or TX) within 90 days of hire.
- Demonstrated experience with clinical decision-making while applying evidence-based clinical guidelines/criteria; utilizing formularies/preferred drug lists.
- Experience working in a high production, remote team environment
- 3+ years experience working as a pharmacist or completion of PGY1 managed care residency, including prior authorization experience
- Demonstrated understanding of clinical program components, formulary designs, and prescription benefit trends
Preferred Qualifications
- Medicaid or Medicare experience
- Medicaid prior authorization experience
- Experience reviewing medical records, clinical literature, and composing SOAP notes
Education
BS in Pharmacy or PharmD
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$94,500.00 - $193,600.00
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.
Remote
Skills:
Clinical Practices/Protocols, Clinical Support, Establish Priorities, Formulary, Geography, Healthcare, Incentive Programs, Managed Care, Medicaid, Medical Records, Medicare, Pharmacy, Preferred Drug List, SOAP Notes, Safety/Work Safety
CVS Health
CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.
Company Size:
10,000 employees or more
Industry:
Biotechnology/Pharmaceuticals
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