Clinical Pharmacist - Medicaid Prior Authorization

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.Position SummaryReady to take your clinical skills to the next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna!This is a Clinical Pharmacist position supporting MedicaidPrior Authorization.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.Required 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 trendsPreferred Qualifications- Medicaid or Medicare experience- Medicaid prior authorization experience- Experience reviewing medical records, clinical literature, and composing SOAP notesEducationBS in Pharmacy or PharmDAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$94,500.00 - $193,600.00This 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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.For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 02/06/2026Qualified 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