Remote Medicaid Prior Authorization Pharmacist

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

Benefits offered by this job

Health benefits

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Medicaid Prior Authorization Pharmacist to support Medicaid Prior Authorization activities for Aetna. This fully remote role requires an active TX or AZ pharmacist license and a plan to obtain the secondary license within 90 days.

The position is based in the United States with a 40-hour work week and a 10:30 am–7:00 pm CST schedule after training, including occasional Saturdays. The ideal candidate will have 3+ years of pharmacist experience or completion of a PGY1 in

Qualifications

• Active and unrestricted TX and/or AZ pharmacist license.
• Secondary license (AZ or TX) within 90 days of hire.

Responsibilities

• Provide Medicaid prior authorization support.
• Apply clinical guidelines and formularies in decision-making.
• Review relevant medical data to determine prior authorization outcomes.

Skills

Clinical decision-making

Evidence-based guidelines

Remote team experience

Prior authorization experience

Pharmacist licensure requirements

Education

BS in Pharmacy or PharmD

Job description

CVS Health is seeking a Medicaid Prior Authorization Pharmacist to support Medicaid Prior Authorization activities for Aetna. This fully remote role requires an active TX or AZ pharmacist license and a plan to obtain the secondary license within 90 days.

The position is based in the United States with a 40-hour work week and a 10:30 am–7:00 pm CST schedule after training, including occasional Saturdays. The ideal candidate will have 3+ years of pharmacist experience or completion of a PGY1 in