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Clinical Pharmacist - Aetna Medicaid Prior Authorization (AZ or TX Licensed)

Role overview

Qualifications

  • Active and unrestricted AZ and/or TX pharmacist license required.
  • 3+ years experience working as a pharmacist.
  • Experience with clinical decision-making while applying evidence based clinical guidelines/criteria.
  • Demonstrated understanding of clinical program components, formulary designs, and prescription benefit trends.

Responsibilities

  • Support Medicaid Prior Authorization.
  • Work in a high production managed care team environment.
  • Review medical records and clinical literature.
  • Compose SOAP notes.

About the company

CVS Health logo

CVS Health

CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day. Follow @CVSHealth on social media.

Company details

Company typeLarge
Company size10001

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Job description

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 Summary
Ready 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 Medicaid Prior Authorization.


An active AZ or TX pharmacist license that is in good standing is required. New hire is required to obtain AZ or TX pharmacist license (whichever they currently do not have) within 90 days of hire.


We are hiring for the 10:00 am - 6:30 pm shift AZ time (post training). The training schedule is: 8:00 am - 4:30 pm AZT (8 weeks).


You are required to work one Saturday every 6 weeks and occasional holidays.

This is a fully remote position open to qualified candidates within the United States.

Required Qualifications

  • Active and unrestricted AZ and/or TX pharmacist license required. Candidate must currently hold one of these licenses.

  • New hire is required to obtain additional AZ or TX pharmacist license (whichever they do not currently hold) within 90 days of hire.

  • Experience with clinical decision-making while applying evidence based clinical guidelines/criteria; utilizing formularies/preferred drug lists.

  • Experience working in a high production managed care team environment

  • 3+ years experience working as a pharmacist.

  • Demonstrated understanding of clinical program components, formulary designs, and prescription benefit trends.

Preferred Qualifications

  • Medicaid or Medicare experience

  • 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 - $176,000.00

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. 
 

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 people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on
Benefits Moments.

We anticipate the application window for this opening will close on: 08/24/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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