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Clinical Pharmacist - Medicaid Prior Authorization

Company: CVS Health
Location: Scottsdale
Posted on: November 24, 2022

Job Description:

Job Description

Ready to take your clinical skills to the next level? Check out this outstanding remote opportunity for a Medicaid Prior Authorization Pharmacist with Aetna!This is a work from home role as a Clinical Pharmacist role supporting the Medicaid Prior Authorization team.An active AZ or TX pharmacist license that is in good standing is required. New hire is required to obtain KS pharmacist license within 90 days of hire.We are hiring for the 10:00 am - 6:30 pm shift AZ time (post training).During training, the schedule is: 7:00 am - 3:30 pm AZT (8 weeks).You are required to work one Saturday every 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.

Pay Range

The typical pay range for this role is:

Minimum: 74,600

Maximum: 160,700

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

- Active and unrestricted AZ or TX pharmacist license.- New hire is required to obtain KS pharmacist license within 90 days of hire.- 3+ years experience working as a pharmacist- 1+ years experience working as a prior authorization pharmacist within the PBM environment- Experience with clinical decision-making while applyingevidence based clinical guidelines/criteria; utilizingformularies/preferred drug lists.- Experience working in a high production team environment- Knowledge of clinical program components, formularydesigns, and prescription benefit trends.

Preferred Qualifications

Medicaid or Medicare experienceExperience reviewing medical records, clinical literature,and composing SOAP notes.


Bachelor's degree from an accredited school of pharmacy or Pharm. D. from an accredited school of pharmacy required.AZ or TX RPh licensure required

Business Overview

Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors--- support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Keywords: CVS Health, Scottsdale , Clinical Pharmacist - Medicaid Prior Authorization, Healthcare , Scottsdale, Arizona

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