Clinical Pharmacist - Prior Authorization

Ready to take your Clinical Pharmacist skills to the next level with a Fortune 4 company? Check out this outstanding opportunity for a Clinical Pharmacist with CVS Health.
This position is for a Clinical Pharmacist working in the Prior Authorization team. The pharmacist’s primary role is reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design.
Work is computer based and includes receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information.
Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases.
Organize workload, sets priorities, completes assignments in a timely manner and utilizes clinical resources appropriately while complying with department protocols.
The basic function of the pharmacist is to review and complete criteria based prior authorization as per policy and procedure. Provide on-call after hours pharmacist availability for urgent PA requests and provide internal pharmacist support to the PA team and member services department.
We offer a competitive benefit package including vacation, 10 paid holidays per year, health/dental/vision insurance, employee discounted stock purchase program, 401K, tuition reimbursement, and 20-30% employee discount at all CVS stores.
Pay Range
The typical pay range for this role is:
Minimum: 78,000
Maximum: 168,000
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 assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit

jobs.CVSHealth.com/benefits

Required Qualifications

• Experience using MS Office and other Windows based computer applications.
• Ability to work independently and make clinical decisions.
• Active pharmacist license that is in good standing in the state of residence.
• Ability to prioritize, quickly assess, manage multiple tasks and adapt to constantly changing situations.
• Strong Microsoft Office skills. Excellent oral and written communication skills and interpersonal skills.
• 2 years’ experience working as a pharmacist in a PBM setting.
• Ability to receive phone calls from prior auth pharmacy technicians and/or providers for clinical information.
• Experience using clinical resources, e.g., Micromedex, Lexicomp, Clinical Pharmacology
• Excellent organizational skills. Strong detail orientation.

Preferred Qualifications

• PGY1/PGY2
• Ability to consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested.
• Exposure to clinical and analytical problem solving.
• Prior authorization, call center and clinical experience.

Education
Bachelor's of Science - Pharmacy or Pharm.D.
Business Overview
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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.