Remote Clinical Pharmacist - Medicaid Prior Authorization

CVS Health Corporation; Nevada (IA); Hybrid; USD 95,000 - 194,000; Full time

Job summary

CVS Health Corporation is seeking a Medicaid Prior Authorization Pharmacist for a fully remote role open to qualified candidates in the United States with active TX or AZ licensure. The position requires 3+ years as a pharmacist or PGY1 managed care, and applicants must obtain the secondary license within 90 days.

Expect 40 hours weekly, Saturday rotation every 4–6 weeks, and potential bonuses. Shift is 10:30 am–7:00 pm CST post training; benefits include medical, dental, vision, PTO, and

Qualifications

• Active and unrestricted TX and/or AZ pharmacist license.
• New hire must obtain secondary license (AZ or TX) within 90 days.
• Demonstrated clinical decision-making using evidence-based guidelines/criteria; uses formularies.
• Experience in a high production, remote team environment.
• 3+ years as a pharmacist or completion of PGY1 managed care residency with prior authorization experience.
• Understanding of clinical program components, formulary designs, and prescription benefit trends.

Skills

Active TX/AZ license

Prior authorization experience

Remote team experience

Clinical decision-making

Evidence-based guidelines

Education

BS in Pharmacy or PharmD

Job description

CVS Health Corporation is seeking a Medicaid Prior Authorization Pharmacist for a fully remote role open to qualified candidates in the United States with active TX or AZ licensure. The position requires 3+ years as a pharmacist or PGY1 managed care, and applicants must obtain the secondary license within 90 days.

Expect 40 hours weekly, Saturday rotation every 4–6 weeks, and potential bonuses. Shift is 10:30 am–7:00 pm CST post training; benefits include medical, dental, vision, PTO, and