Clinical Pharmacist – Prior Authorization

This is a fully remote position, open to applicants in Arizona, +7 more states.

📋 Description

• Assess Prior Authorization requests

• Confirm proven 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 drugs, medical records, and case analyses

• Provide clinical support and collaborate on the development of new drug policies and updates to existing ones

• Engage in clinical projects

• Adhere to a scheduled work routine within the 5am–7pm AZT operating hours

• Possible future Saturday rotation

• Possible 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 license in the State of Arizona

• Active and unrestricted pharmacist license in the state of residence

• PharmD or BS in Pharmacy

• Availability for 40 hours per week

• Capability to work a fixed schedule of 8-hour shifts five days a week or 10-hour shifts four days a week within the 5am–7pm AZT timeframe

• Preferred: 3+ years in Pharmacy Benefit Management

• Preferred: 2+ years in Clinical Prior Authorizations

• Preferred: Familiarity with RxClaim

• Preferred: Proven computer proficiency

🏝️ Benefits

• Medical coverage

• Dental coverage

• Vision coverage

• Paid time off

• Retirement savings options

• Wellness programs

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

• CVS Health bonus, commission or short-term incentive program in addition to base pay