Remote Clinical Pharmacist - Prior Authorization Expert

7505 Caremark, L.L.C.; Louisiana (MO); On-site; USD 130,258,000 - 218,201,000; Full time

Benefits offered by this job

Bonus program

Medical insurance

Dental insurance

Vision insurance

Paid time off

Retirement plan

Wellness program

Job summary

CVS Health is seeking a Clinical Pharmacist for the Prior Authorization team. This remote role involves processing referrals, evaluating PA requests, and communicating decisions to providers and plans.

Required: active pharmacist licensure and Caremark PA Ops experience; 40-hour week; flexible schedule with potential overtime; strong Microsoft Office skills. BS in Pharmacy or PharmD preferred. Benefits available.

Qualifications

• Active pharmacist licensure required.
• Current pharmacist experience within Caremark PA Ops required.
• Ability and willingness to work a flexible hourly schedule including overtime, weekends, and holidays.

Responsibilities

• Process referrals and collect clinical data for assessments.
• Evaluate PA requests against clinical criteria and plan design.
• Convey approval/denial decisions to providers, plans, patients, and staff.
• Handle inbound/outbound calls to facilitate PA requests and resolve escalations.

Skills

Pharmacist licensure

Caremark PA Ops experience

Multitasking

Problem solving

Communication skills

Team collaboration

PHI confidentiality

Education

BS in Pharmacy

PharmD

Tools

Excel

Word

Outlook

PowerPoint

Access

Visio

Job description

CVS Health is seeking a Clinical Pharmacist for the Prior Authorization team. This remote role involves processing referrals, evaluating PA requests, and communicating decisions to providers and plans.

Required: active pharmacist licensure and Caremark PA Ops experience; 40-hour week; flexible schedule with potential overtime; strong Microsoft Office skills. BS in Pharmacy or PharmD preferred. Benefits available.