Job Description
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
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, full-time 40 hour per week role. Hours of operation are 4am-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.
Additional Information
Required Qualifications 1+ Years pharmacist experience in Pharmacy Benefit Management 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 1+ Years in Clinical Prior Authorizations Experience with RxClaim Demonstrated computer proficiency Education PharmD or BS in Pharmacy Pay Range The typical pay range for this role is: $80,340.00 - $173,000.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education a Visit the Employer site for more details.
Compensation and Hours
Salary Range: $80,340.00 - $173,000.00 Year Benefits Provided: Not Available Other Benefits: Not Available
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