[Hiring] Clinical Pharmacist - Medicaid Prior Authorization @CVS Health

Remote Full-time
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

This is a Clinical Pharmacist position supporting Medicaid Prior Authorization.
• Ready to take your clinical skills to the next level?
• An active TX or AZ pharmacist license that is in good standing is required.
• New hire is required to obtain the secondary license (AZ or TX) within 90 days of hire.
• We are hiring for the 10:30 am - 7:00 pm CST shift (post training).
• The training schedule is: 10:00 am - 6:30 pm CST.
• You will be required to work one Saturday every 4-6 weeks and occasional holidays.
• This is a fully remote position open to qualified candidates within the United States who currently hold active, unrestricted TX or AZ pharmacist licensure.

Qualifications
• 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; 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

Requirements
• Medicaid or Medicare experience
• Medicaid prior authorization experience
• Experience reviewing medical records, clinical literature, and composing SOAP notes

Education
• BS in Pharmacy or PharmD

Anticipated Weekly Hours
• 40

Time Type
• Full time

Pay Range

The typical pay range for this role is: $94,500.00 - $193,600.00. 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.

Benefits
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

Application Information

We anticipate the application window for this opening will close on: 02/06/2026. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply tot his job

Apply To this Job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Communication Center Representative

Remote

[Remote] AWS Infrastructure Solutions Consultant (Sales role)

Remote

Experienced Senior Instrument Sales Representative for Genetic Science Division - Capital Equipment and Reagent Sales Expert

Remote

**Experienced Bilingual Financial Customer Service Representative – Remote Opportunity at arenaflex**

Remote

**Experienced Bilingual Customer Service Representative - Mandarin/Cantonese (Remote in New York, NY)**

Remote

Remote 3D Design Consultant for Cocktail Glass Holders

Remote

Senior/Staff Software Engineer, Data Engineering Team

Remote

Regional Director Of Sales - Senior Living

Remote

Fertility RN Coordinator (Hybrid)

Remote

Amazon marketplace specialist - seller center experienced

Remote
← Back