RPh Advisor - Prior Authorization

Job Description
The basic function of the pharmacist is (1) review and complete criteria based prior authorization as per policy and procedure, (2) provide on-call after hours pharmacist availability for urgent PA requests and (3) provide internal pharmacist support to the PA team and member services department.

Pay Range
The typical pay range for this role is:
Minimum: 78,000
Maximum: 168,000

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

[Register to View]

Required Qualifications
- BS Pharmacy or PharmD
- Active TX state licensed with current license to practice with no restrictions
- Minimum of 1 to 3 years' experience in PBM or mail pharmacy experience.
- Current experience within CVS Health prior authorization operations

Preferred Qualifications
- Knowledge of CVS Health's prior authorization operations
- Excellent interpersonal skills
- Demonstrated problems 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, phone and PC use
- 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
- Execute other PA assignments as delegated by the PA supervisor or manager.

Education
Bachelor's degree in Pharmacy or PharmD

Business Overview
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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.