Clinical Pharmacist - Prior Authorization

CVS Health

📍 Work at Home, TX, United States

Full-time other-general

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.

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 p...
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