Clinical Pharmacist – Prior Authorization

CVS Health

. Review Prior Authorization requests .

Posted 11/10/2026full-timeRemote • 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 documentation review and drug policy development. Holds active pharmacist licensure in Arizona and possesses a PharmD or BS in Pharmacy.

Highest-signal resume keywords

Pharmacy Benefit Management ExperiencePrior Authorization ExperienceActive Pharmacist LicensureClinical Documentation ReviewRxClaim Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical SupportCase AnalysisDrug Policy DevelopmentMedical Record ReviewPrior Authorization Review

Tools & Technologies

RxClaimComputer Proficiency

Certifications & Qualifications

Pharmacist Licensure

Industry Keywords

Prior AuthorizationPharmacy Benefit ManagementClinical ProjectsDrug Policy RevisionsForeign Drug Reviews

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, medical record reviews, and case analysis
Provide clinical support and collaboration for new drug policy development and revisions to existing drug policies
Participate in clinical projects
Work a set schedule within the 5am–7pm AZT operating window
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
40 hours per week availability
Ability to work a set schedule of 8-hour shifts five days per week or 10-hour shifts four days per week within 5am–7pm AZT
Preferred: 3+ Years in Pharmacy Benefit Management
Preferred: 2+ Years in Clinical Prior Authorizations
Preferred: Experience with RxClaim
Preferred: Demonstrated computer proficiency

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 base pay