Clinical Pharmacist - Prior Authorization (AZ Licensed)

CVS Health; Arizona; Hybrid; USD 95,000 - 194,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Other resources

Job summary

CVS Health is hiring a Clinical Pharmacist to support Prior Authorization reviews and clinical documentation evaluation. The role requires active Arizona licensure and PBM/Prior Authorization experience.

This is a remote position with potential on-site training for qualified candidates within the United States, preferably Phoenix, AZ area. The 40-hour week offers scheduling flexibility within 5am-7pm AZ time, with job duties including medical record reviews, case analyses, and collaboration on

Qualifications

• Active, unrestricted pharmacist licensure in Arizona.
• 1+ years pharmacist experience in Pharmacy Benefit Management.
• 1+ years pharmacist experience with Prior Authorizations.

Responsibilities

• Review PA requests and verify proven indications.
• Review clinical documentation to support prior authorization reviews.
• Provide internal pharmacist support to PA team and member services.
• Support development and revision of drug policies and clinical projects.

Skills

Pharmacist PBM experience

Prior Authorizations

AZ Pharmacist license

Education

PharmD or BS in Pharmacy

Tools

RxClaim

Computer proficiency

Job description

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

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

40

Time Type

Full time

Pay 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. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 11/17/2026.

Benefits

• medical coverage
• dental coverage
• vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.