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CVS Health

Bringing our heart to every moment of your health.

Clinical Pharmacist – Prior Authorization

PharmacistPharmacistFull TimeRemoteSeniorTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Texas

Posted

2 days ago

Salary

$50 - $84 / hour

Seniority

Senior

Bachelor DegreeEnglish

Job Description

Clinical Pharmacist – Prior Authorization

CVS Health

• Collaborates with the technicians and prior authorization team members to process referrals • Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design • Guarantee that decisions regarding cases are conveyed promptly and efficiently • Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients • Establishes and maintains communication among CVS Caremark, health plan, and employer group staff • Maintains professional and technical knowledge of drug and disease states • Performs other related projects and duties as assigned

Job Requirements

  • Active, unrestricted pharmacist licensure
  • Current pharmacist experience within Caremark PA Ops required
  • Ability and willingness to work a flexible hourly schedule to include overtime, weekends, and holidays as needed
  • Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable
  • Keyboard skills essential
  • Must be able to multitask and utilize multiple system applications simultaneously
  • Must be able to utilize available resources independently and provide high quality work
  • Must demonstrate problem solving ability and attention to detail
  • Ability to adapt and change with workflow and shifting priorities
  • Ability to work effectively in a team environment and provide mentorship to non-clinical staff on the prior authorization team
  • Must possess excellent written, verbal, grammar, and listening communication skills
  • Must be able to effectively communicate with a diverse customer base (internal and external) in a friendly and confident manner
  • Ability to maintain confidentiality of PHI (Protected Healthcare Information)

Benefits

  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • other resources, based on eligibility

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