Clinical Pharmacist - Medicaid Prior Authorization (NC Licensed)

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: This position is for a Clinical Pharmacist working in the Prior Authorization team. This role requires candidates to currently hold and maintain active, unrestricted pharmacist licensure in the State of North Carolina. Candidate may reside in any state. This Pharmacist will: This is a remote role open to qualified candidates within the United States. Candidate can reside in any state, but must hold active Pharmacist licensure in the State of North Carolina. - Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare pro...