Clinical Pharmacist – Prior Authorization

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Assess Prior Authorization requests

• Confirm established and/or medically necessary criteria

• Evaluate clinical documentation that supports prior authorization assessments

• Offer internal pharmacist assistance to the PA team and member services department

• Conduct reviews of foreign medications

• Execute medical record assessments and case analyses

• Deliver clinical support

• Collaborate on the creation of new drug policies and updates to current ones

• Engage in clinical projects

• Maintain a fixed schedule of either 8-hour shifts, 5 days a week, or 10-hour shifts, 4 days a week, between 5am–7pm AZT

• Possible future Saturday rotation

• Potential for on-site training

⛳️ Requirements

• At least 1 year of pharmacist experience in Pharmacy Benefit Management

• At least 1 year of pharmacist experience with Prior Authorizations

• Active and unrestricted pharmacist licensure in the State of Arizona

• Active and unrestricted pharmacist licensure in the state of residence

• PharmD or BS in Pharmacy

• Preferred: 3+ years in Pharmacy Benefit Management

• Preferred: 2+ years in Clinical Prior Authorizations

• Preferred: Experience with RxClaim

• Preferred: Proven computer proficiency

• Qualified candidates with arrest or conviction records will be considered in accordance with all federal, state, and local laws

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program

• Medical coverage

• Dental coverage

• Vision coverage

• Paid time off

• Retirement savings options

• Wellness programs

• Additional resources for physical, emotional, and financial well-being