Clinical Pharmacist – Prior Authorization

CVS Health Careers

. Review Prior Authorization requests .

Posted 11/10/2026full-timeRemote • Arizona • United StatesJunior💰 $94,500 - $193,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Prior Authorization processes and Pharmacy Benefit Management, with a strong foundation in clinical support and policy development. Holds active pharmacist licensure and possesses a PharmD or BS in Pharmacy.

Highest-signal resume keywords

Pharmacy Benefit Management ExperiencePrior Authorization ExperienceActive Pharmacist LicensureClinical SupportRxClaim Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization ReviewClinical Documentation ReviewMedical Record ReviewCase AnalysisDrug Policy Development

Soft Skills

CollaborationCommunication

Tools & Technologies

RxClaim

Certifications & Qualifications

Active Pharmacist Licensure in ArizonaActive Pharmacist Licensure in State of Residence

Industry Keywords

Pharmacy Benefit ManagementClinical Prior AuthorizationsDrug PoliciesPharmDBS in Pharmacy

About the role

Key responsibilities & impact

Review Prior Authorization requests
Verify proven and/or medically necessary indications
Review clinical documentation supporting prior authorization reviews
Provide internal pharmacist support to the PA team and member services department
Perform foreign drug reviews
Perform medical record reviews and case analysis
Provide clinical support
Collaborate on development of new drug policies and revisions to existing drug policies
Participate in clinical projects
Work a set schedule of 8-hour, 5-days-per-week or 10-hour, 4-days-per-week shifts within 5am–7pm AZT
Potential future Saturday rotation
Potential on-site training

Requirements

What you’ll need

1+ Years pharmacist experience in Pharmacy Benefit Management
1+ Years pharmacist experience with Prior Authorizations
Active, unrestricted pharmacist licensure in the State of Arizona
Active, unrestricted pharmacist licensure in state of residence
PharmD or BS in Pharmacy
3+ Years in Pharmacy Benefit Management (preferred)
2+ Years in Clinical Prior Authorizations (preferred)
Experience with RxClaim (preferred)
Demonstrated computer proficiency (preferred)
Qualified applicants with arrest or conviction records will be considered in accordance with all federal, state and local laws

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being