Clinical Pharmacist

3 weeks ago

Austin, Texas, United States CVS Health Full time

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Ready to take your Clinical Pharmacist skills to the next level with a Fortune 6 company? Check out this outstanding opportunity for a Clinical Pharmacist with CVS Health.

This position is for a Clinical Pharmacist working in the Prior Authorization team.

  • Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed criteria within the designated service level agreements.
  • 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 providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols.
  • One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes.
  • Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve escalations.
  • Establishes and maintains communication among CVS Caremark, health plan, and employer group staff.
  • Maintains professional and technical knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs administered within the Commercial Prior Authorization and Case Review Unit (CRU) line of business.
  • Performs other related projects and duties as assigned, including attending training sessions and development meetings, and providing on-call and after-hours pharmacist availability as needed.

We offer a competitive benefit package including vacation, 10 paid holidays per year, health/dental/vision insurance, employee discounted stock purchase program, 401K, tuition reimbursement, and 20-30% employee discount at all CVS stores.

This is a remote role open to candidates within the United States.

Required Qualifications

  • 2 years' experience working as a pharmacist in a PBM setting.
  • Current experience working with commercial Prior Authorizations in PBM- Experience using clinical resources, eg, Micromedex, Lexicomp, Clinical Pharmacology- Ability to prioritize, quickly assess, manage multiple tasks and adapt to constantly changing situations.- Excellent organizational skills. Strong detail orientation.- Strong Microsoft Office skills. Excellent oral and written communication skills and interpersonal skills.- Ability to work independently and make clinical decisions.- Experience using MS Office and other Windows based computer applications.- Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical information.- Active pharmacist license that is in good standing in the state of residence.

Preferred Qualifications- PGY1/PGY2- Prior authorization, call center and clinical experience.- Exposure to clinical and analytical problem solving.- Ability to consult with pharmacy technicians and/or physicians regarding use of medications and advise of appropriate formulary alternatives when requested.

Education

Bachelor's of Science - Pharmacy or Pharm.D.

Pay Range

The typical pay range for this role is

$ $83.17

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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit

We anticipate the application window for this opening will close on: 08/19/2024

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

  • Clinical Pharmacist

    3 weeks ago

    Austin, Texas, United States CVS Health Full time

    Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...

  • Clinical Pharmacist

    2 weeks ago

    Austin, Texas, United States Talent4Health Full time

    Position Overview:Talent4Health is currently in search of a dedicated Clinical Pharmacist for a travel opportunity. Work Schedule:10-hour shifts during nighttime hours.Employment Type:Traveling position.Qualifications:- A Bachelor's degree or Pharm.D in Pharmacy is mandatory.- A minimum of 2 years of experience as a hospital staff pharmacist is...

  • Clinical Pharmacist

    2 weeks ago

    Austin, Texas, United States Nirvana Healthcare Full time

    Position Overview:As a Clinical Pharmacist at Nirvana Healthcare, you will play a vital role in providing exceptional pharmaceutical care to our patients. Compensation:$55/HR - $65/HR Work Schedule:This position offers flexibility with options for Full Time or Part Time employment. Typical Hours:- Monday to Friday: 9 AM - 5 PM- Saturday: 10 AM - 3 PMAbout...

  • Clinical Specialty Pharmacist

    2 weeks ago

    Austin, Texas, United States Ascension Full time

    Position OverviewThe Clinical Specialty Pharmacist plays a vital role in delivering specialized pharmacy care services across various clinic sites. This position is integral to supporting pharmacy needs across multiple markets, ensuring that all clinical, operational, and prescription processes are efficiently managed.Key ResponsibilitiesAct as a subject...

  • Clinical Specialty Care Pharmacist

    2 weeks ago

    Austin, Texas, United States Ascension Full time

    Position OverviewThe Clinical Specialty Care Pharmacist plays a vital role in delivering specialized pharmacy services within a clinical environment. This position requires collaboration with a multidisciplinary team to ensure optimal patient care and medication management.Key ResponsibilitiesCollaboration: Work closely with healthcare professionals,...

  • Clinical Pharmacist in Extended Care

    2 weeks ago

    Austin, Texas, United States Soliant Full time

    Position Overview:We are seeking a dedicated pharmacist with a minimum of 1+ years of pharmacy experience to join our team in a long-term care setting.About Us:Our partner pharmacy provides essential services to a variety of healthcare facilities, including retirement communities, nursing homes, hospices, group homes, and mental health clinics across Texas....

  • Clinical Pharmacist

    2 weeks ago

    Austin, Texas, United States Ascension Full time

    Department Overview: Inpatient PharmacySchedule: PRNHospital: Ascension Seton NorthwestLocation: Austin, TXBenefits: - Paid time off (PTO) - Various health insurance options & wellness plans - Retirement benefits including employer match plans - Long-term & short-term disability - Employee assistance programs (EAP) - Parental leave & adoption assistance -...

  • Clinical Pharmacist

    2 weeks ago

    Austin, Texas, United States Ascension Full time

    Department Overview: Inpatient PharmacySchedule: PRNBenefits: Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementOpportunities to contribute to community...

  • Clinical Pharmacist

    2 weeks ago

    Austin, Texas, United States Ascension Full time

    Department Overview: Inpatient PharmacySchedule: PRNBenefits: Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementOpportunities for community engagementNote: Benefits and...

  • Traveling Pharmacist

    1 day ago

    Austin, Texas, United States Planet Healthcare Full time

    Planet Healthcare is seeking a skilled Pharmacist to join our team for a Travel opportunity in a dynamic setting.Job SummaryJob Type: TravelSpecialty: PharmacistDuration: 13 weeksHours: 40 hours per weekShift: 10 hours, flexibleAbout the JobWe are a global leader in clinical staffing, taking a candidate-first approach to create the right opportunity for each...

  • Pharmacist - Specialty Care Services

    2 weeks ago

    Austin, Texas, United States Ascension Full time

    Position OverviewThe Clinical Specialty Care Pharmacist plays a vital role in delivering specialized pharmacy services within a clinical setting. This position is integral to the multidisciplinary care team, ensuring optimal medication management and patient outcomes.Key ResponsibilitiesProvide specialized pharmacy care services across various clinical...

  • Pharmacist - District Support

    22 hours ago

    Austin, Texas, United States CVS Health Full time

    Job SummaryCVS Health is seeking a highly skilled and dedicated Pharmacist to join our team as a District Support Pharmacist. As a key member of our pharmacy team, you will play a critical role in delivering exceptional patient care and supporting the management of our pharmacies.Key ResponsibilitiesProvide expert clinical guidance and support to pharmacy...

  • Geriatric Care Pharmacist

    2 weeks ago

    Austin, Texas, United States Soliant Full time

    Position Overview:We are seeking a dedicated pharmacist with a minimum of 1+ years of pharmacy experience to join our team in a long-term care setting.Our partner pharmacy provides essential services to a variety of facilities including retirement communities, nursing facilities, hospices, group homes, and mental health clinics throughout Texas.Work...

  • Pharmacist Specializing in Long-Term Care

    2 weeks ago

    Austin, Texas, United States Soliant Full time

    Position Overview:We are seeking a dedicated and experienced pharmacist to join our team in a long-term care setting. This role is essential in providing pharmaceutical care to various healthcare facilities, including retirement communities, nursing homes, and mental health clinics.Key Responsibilities:- Ensure accurate verification and checking of...

  • ICU Pharmacist Clinical Expert

    2 weeks ago

    Austin, Texas, United States St. David's South Austin Medical Center Full time

    Clinical Pharmacy Specialist - Intensive Care UnitAre you dedicated to delivering exceptional medication management and advancing evidence-based practices? Join our esteemed team at St. David's South Austin Medical Center, where we prioritize the support and development of our professionals. Become part of a vibrant organization that recognizes your...

  • Senior Pharmacist for Long-Term Care Facilities

    6 days ago

    Austin, Texas, United States Soliant Full time

    Job DescriptionMinimum Requirements:At least 1 year of pharmacy experience is essential.About the Role:Our collaborating pharmacy specializes in long-term care, providing services to various healthcare settings including retirement communities, nursing facilities, hospices, group homes, and mental health clinics throughout Texas.This position offers a...

  • Clinical Nurse Specialist

    1 day ago

    Austin, Texas, United States Soleo Health Inc Full time

    Job DescriptionJob Summary:Soleo Health Inc is seeking a highly skilled and experienced Clinical Nurse Specialist - Infusion Therapy to join our team. As a key member of our nursing staff, you will be responsible for providing high-quality patient care and support to our patients receiving infusion therapy in the comfort of their own homes.Key...

  • Medication Management Specialist

    2 weeks ago

    Austin, Texas, United States Su Vida Services Inc Full time

    About Us At Su Vida Services Inc, we are more than just healthcare providers; we are passionate advocates committed to enhancing the lives of our beloved seniors. As a member of our team, you will embark on a rewarding journey where your expertise and compassion come together to significantly impact the well-being of an underserved community and their...

  • Pharmacy Authorization Specialist

    1 day ago

    Austin, Texas, United States A-Line Staffing Solutions Full time

    Job SummaryA-Line Staffing Solutions is seeking a skilled Pharmacy Authorization Specialist to join our team. As a Pharmacy Authorization Specialist, you will play a critical role in ensuring that patients receive the necessary medications and treatments by processing prior authorizations in a timely and accurate manner.Key ResponsibilitiesPhone Support:...

  • Intake Coordinator

    6 days ago

    Austin, Texas, United States BrightSpring Health Services Full time

    About the RoleWe are seeking a highly organized and detail-oriented Intake Coordinator to join our team at BrightSpring Health Services. As a core member of our Intake team, you will play a critical role in ensuring the timely clearance of new referrals and providing exceptional service to our patients and healthcare partners.Key ResponsibilitiesProcess...