Clinical Pharmacist - Prior Authorization

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.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
40Time Type
Full timePay Range

The typical pay range for this role is:$94,500.00 - $193,600.00This 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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 08/27/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Jefferson City, MO

Job ID: CVS-R0689626_1005

Employment Type: FULL_TIME

Posted: 2025-08-22T19:47:37