[Hiring] Clinical Pharmacist - Medicaid Prior Authorization @CVS Health

Remote Full-time
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This is a Clinical Pharmacist position supporting Medicaid Prior Authorization. • Ready to take your clinical skills to the next level? • An active TX or AZ pharmacist license that is in good standing is required. • New hire is required to obtain the secondary license (AZ or TX) within 90 days of hire. • We are hiring for the 10:30 am - 7:00 pm CST shift (post training). • The training schedule is: 10:00 am - 6:30 pm CST. • You will be required to work one Saturday every 4-6 weeks and occasional holidays. • This is a fully remote position open to qualified candidates within the United States who currently hold active, unrestricted TX or AZ pharmacist licensure. Qualifications • Active and unrestricted TX and/or AZ pharmacist license • New hire is required to obtain the secondary license (AZ or TX) within 90 days of hire. • Demonstrated experience with clinical decision-making while applying evidence-based clinical guidelines/criteria; utilizing formularies/preferred drug lists. • Experience working in a high production, remote team environment • 3+ years experience working as a pharmacist or completion of PGY1 managed care residency, including prior authorization experience • Demonstrated understanding of clinical program components, formulary designs, and prescription benefit trends Requirements • Medicaid or Medicare experience • Medicaid prior authorization experience • Experience reviewing medical records, clinical literature, and composing SOAP notes Education • BS in Pharmacy or PharmD 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. Benefits • Affordable medical plan options • 401(k) plan (including matching company contributions) • 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. Application Information We anticipate the application window for this opening will close on: 02/06/2026. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Apply tot his job
Apply Now →

Similar Jobs

Clinical Pharmacist, Transitions of Care/Emergency Department-Boarders MGH

Remote Full-time

Pharmacy Tech Clinical/MTM (Remote, Bilingual Needed) MST/PST

Remote Full-time

Remote Regulatory Affairs Pharmacist

Remote Full-time

Pharmacist, Part Time Weekend

Remote Full-time

Director, Clinical Content Management – Pharmacist (UpToDate Lexidrug)

Remote Full-time

Epic Clinical Systems Pharmacist - Epic Beacon

Remote Full-time

[Hiring] Pharmacy Technician I @Geisinger

Remote Full-time

Pharmacy Clinical Coordinator - UM Specialist/ EHP

Remote Full-time

Pharmacy Technician "Pharmacy Service Specialist" Remote: North Dakota

Remote Full-time

Sr. Pharmacist, Operations

Remote Full-time

Senior Product Manager- Health (Remote)

Remote Full-time

History Specialist

Remote Full-time

Internal Audit & IT SOX Manager

Remote Full-time

IT Field Support Specialist (HT I) (Government) Columbia, Maryland

Remote Full-time

Experienced Remote Data Entry Specialist – Part-Time Entry-Level Opportunity for Career Growth and Development at arenaflex

Remote Full-time

Director, Franchise Leadership Commercial and Operations (Southwest)

Remote Full-time

Delta Airlines Flight Attendant Needed-Little Rock,AR

Remote Full-time

Experienced Remote Call Center and Customer Service Representative – Delivering Exceptional Support and Solutions to Diverse Customer Base at arenaflex

Remote Full-time

Lead NodeJS Developer(Lead Application Developer) -Remote

Remote Full-time

**Experienced Customer Service Chat Support Representative – Remote Work Opportunity with arenaflex**

Remote Full-time
← Back to Home