Clinical Pharmacist – Aetna Medicaid Prior Authorization

CVS Health

. Support Medicaid Prior Authorization as a Clinical Pharmacist with Aetna .

Posted 9/22/2026full-timeRemote • United StatesMid-LevelSenior💰 $94,500 - $193,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical decision-making and evidence-based guidelines while supporting Medicaid Prior Authorization as a Clinical Pharmacist. Proficient in utilizing formularies and preferred drug lists within a high-production remote team environment.

Highest-signal resume keywords

Active TX Pharmacist LicenseActive AZ Pharmacist LicenseClinical Decision-MakingFormulary UtilizationPrior Authorization Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Guidelines ApplicationSOAP Note CompositionMedical Record ReviewEvidence-Based Decision MakingPharmacy PracticeFormulary Design UnderstandingPrescription Benefit TrendsManaged Care Residency CompletionHigh Production Environment ExperienceRemote Team Collaboration

Industry Keywords

Medicaid Prior AuthorizationClinical PharmacistPharmacyPharmDBS in PharmacyClinical Program ComponentsPreferred Drug ListsCST Shift WorkTraining ScheduleHoliday Work

Tech Stack

Tools & technologies

SOAP

About the role

Key responsibilities & impact

Support Medicaid Prior Authorization as a Clinical Pharmacist with Aetna
Apply evidence-based clinical guidelines and criteria in clinical decision-making
Utilize formularies and preferred drug lists
Work in a high-production remote team environment
Review medical records and clinical literature
Compose SOAP notes
Work the 10:30 am–7:00 pm CST shift after training
Complete training on the 10:00 am–6:30 pm CST schedule
Work one Saturday every 4–6 weeks and occasional holidays

Requirements

What you’ll need

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
Experience 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
BS in Pharmacy or PharmD
Qualified candidates within the United States who currently hold active, unrestricted TX or AZ pharmacist licensure

Benefits

Comp & perks

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