Clinical Pharmacist - Aetna Medicaid Prior Authorization (AZ or TX Licensed)
Core
Clinical Pharmacist supporting Medicaid Prior Authorization for Aetna members.
Role type
Senior IC clinical pharmacist (prior authorization)
Builds
Prior authorization decisions for Medicaid members
Domain
Health insurance / Medicaid / Pharmacy benefit management
Deliverable
client delivery
Required skills
Clinical decision-making, evidence-based guidelines application, formulary management, high-volume remote work, prescription benefit trend analysis
Preferred skills
Medicaid/Medicare experience, prior authorization experience, medical record review, SOAP note composition
Technologies
None stated
Responsibilities
Reviewing prior authorization requests, applying clinical guidelines and formularies, analyzing prescription benefit trends, composing clinical documentation
Seniority
Mid-level, hands-on IC
Sourced via workday · Listed on CareerPlan, which tracks 70,000+ jobs from 20+ sources.
