Full Job Description
Position Summary
Are you ready to take your clinical skills to the next level? Check out this outstanding opportunity for a Clinical Pharmacist with the Specialty Medical Prior Authorization team!
The Clinical Pharmacist is an operations based role that conducts reviews of medical data collected to perform prior authorization review for specialty medications. The Clinical Pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work from CVS Caremark supported systems and take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations.
Operational hours are 8am-7pm CT, and we are seeking a candidate who is able to work 8am-7pm CT. Rotating weekends and occasional holidays may be required per business needs. The position is fully remote.
Required Qualifications
- Active pharmacist license in state of residence in good standing
- 2+ years clinical pharmacist experience
- 1+ years demonstrated experience issuing clinical determinations within Prior Authorizations
- Current experience working within the Novologix system, specifically Aetna Medical Prior Authorization Operations
- Current experience issuing clinical determinations within Aetna Medical PA
Preferred Qualifications
Excellent interpersonal skills
Demonstrate problem solving ability and attention to detail
Ability to work effectively in a team environment with great dependability
Excellent oral and written communication skills
Ability to quickly assess and adapt to constantly changing situations
Required to possess a high mental agility and alertness
Ability to effectively communicate with pharmacists, other clinical colleagues, healthcare professionals, and members
Ability to effectively prioritize work while exhibiting a high level of urgency with all calls and assignments
Follows all prior authorization procedures to ensure a timely and accurate process on each prior authorization
Ability to effectively train and mentor representatives on the PA team
Call center, PBM, or clinical experience
Strong Microsoft Office skills
Experience utilizing CAS, Novologix, Sales Force, RxClaim, and PeopleSafe.
Education
Bachelor of Pharmacy or PharmD
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$50.48 - $84.62
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.
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: 08/23/2026
