Clinical Pharmacist – Medicaid Prior Authorization (Oklahoma)

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

Ready to take your clinical skills to the next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna!

This is a Clinical Pharmacist Position supporting Medicaid Prior Authorization.

The position is remote within the state of Oklahoma with no anticipated in-person work, but you MUST RESIDE WITHIN THE STATE OF OKLAHOMA.

This position requires you to obtain AZ and TX pharmacist licensure within 90 days of hire.

We are hiring for a 9am – 5:30pm CST schedule.
The training schedule will (tentatively) be: 10:00 am – 6:30 pm CST for 8 weeks

You will be required to work one weekend every 2-3 weeks and occasional holidays.

Required Qualifications –

• MUST BE A RESIDENT OF OKLAHOMA
• Ability and willingness to obtain active and unrestricted AZ or TX pharmacist license within 90 days of hire
• 3+ years experience working as a clinical pharmacist.
• Experience with clinical decision-making while applying evidence based clinical guidelines/criteria; utilizing drug lists/formularies preferred
• Experience working in a high production team environment
• Demonstrated experience with clinical program components, formulary designs, and prescription benefit trends.

Preferred Qualifications

• Medicaid or Medicare experience.
• Experience reviewing Medical drugs (Jcodes and Qcodes) is a plus
• Prior authorization experience
• Experience reviewing medical records, clinical literature, and composing SOAP notes.

Education

B.S Pharm or PharmD from an accredited school of pharmacy required.

Must be licensed Pharmacist in good standing

Pay Range

The typical pay range for this role is:

$72,306.00 – $155,700.00

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 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

We anticipate the application window for this opening will close on: 04/12/2024