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Medicaid Pharmacist Jobs (NOW HIRING)

Actalent

Pharmacist

Clinical Pharmacist (Medicaid Population) Make a Meaningful Impact Through Patient-Centered Care Are you a compassionate pharmacist who is passionate about improving health outcomes and helping ...

Insight Global

Pharmacist

Minneapolis, MN · On-site

$59/hr

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating ... Maintain full compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and ...

Insight Global Healthcare

Pharmacist

Dallas, TX · Remote

$59/hr

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating ... Maintain full compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and ...

Insight Global Healthcare

Pharmacist

Dallas, TX · Remote

$59/hr

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating ... Maintain full compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and ...

University Health

Pharmacist

San Antonio, TX · On-site

$53 - $82/hr

... Medicaid standards and Texas State Board of Pharmacy Rules and Regulations. Activities include ... The ambulatory clinical staff pharmacist will continually strive to provide world-class service ...

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Medicaid Pharmacist information

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$27

$60

$74

How much do medicaid pharmacist jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for medicaid pharmacist in the United States is $60.91, according to ZipRecruiter salary data. Most workers in this role earn between $56.01 and $67.31 per hour, depending on experience, location, and employer.

What is a Medicaid Pharmacist?

A Medicaid Pharmacist focuses on managing and optimizing medication use for patients covered by Medicaid. They ensure compliance with state and federal regulations, review prescriptions for cost-effectiveness and safety, and collaborate with healthcare providers to improve patient outcomes. Additionally, they may assist in formulary management, policy development, and fraud prevention. Their role helps ensure Medicaid recipients receive appropriate and affordable medication therapy.

What are the typical daily responsibilities of a Medicaid Pharmacist?

A Medicaid Pharmacist typically reviews and approves medication authorizations, monitors formulary compliance, and provides clinical support for benefit management. They collaborate closely with physicians, case managers, and pharmacy technicians to address coverage issues, answer drug-related inquiries, and ensure regulatory compliance. Medicaid Pharmacists may also participate in policy development, staff training, and quality improvement initiatives. The work environment generally involves both independent analysis and teamwork, making strong communication and organizational skills highly valuable.

What are the key skills and qualifications needed to thrive as a Medicaid Pharmacist?

To thrive as a Medicaid Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, active pharmacy licensure, and in-depth knowledge of Medicaid guidelines, formulary management, and medication therapy management. Familiarity with pharmacy benefit management (PBM) systems, prescription processing software, and compliance tools is commonly required. Strong attention to detail, analytical thinking, and effective communication skills are vital for collaborating with healthcare providers and navigating complex cases. These competencies are essential to ensure accurate medication coverage, regulatory compliance, and optimal patient care within the Medicaid population.

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What are the most commonly searched types of Medicaid Pharmacist jobs?

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What states have the most Medicaid Pharmacist jobs?

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Medicaid Pharmacist jobs near you
Infographic showing various Medicaid Pharmacist job openings in the United States as of August 2026, with employment types broken down into 2% Internship, 3% As Needed, 67% Full Time, 26% Part Time, and 2% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $126,701 per year, or $60.9 per hour.

Clinical Pharmacist - Aetna Medicaid Prior Authorization (AZ or TX Licensed)

Oak St. Health

Remote

$94K - $176K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Job description

Medicaid Prior Authorization Pharmacist

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.

Ready to take your clinical skills to the next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna!

This is a Clinical Pharmacist Position supporting Medicaid Prior Authorization.

An active AZ or TX pharmacist license that is in good standing is required. New hire is required to obtain AZ or TX pharmacist license (whichever they currently do not have) within 90 days of hire.

We are hiring for the 10:00 am - 6:30 pm shift AZ time (post training). The training schedule is: 8:00 am - 4:30 pm AZT (8 weeks). You are required to work one Saturday every 6 weeks and occasional holidays.

This is a fully remote position open to qualified candidates within the United States.

Required Qualifications
  • Active and unrestricted AZ and/or TX pharmacist license required. Candidate must currently hold one of these licenses.
  • New hire is required to obtain additional AZ or TX pharmacist license (whichever they do not currently hold) within 90 days of hire.
  • Experience with clinical decision-making while applying evidence based clinical guidelines/criteria; utilizing formularies/preferred drug lists.
  • Experience working in a high production managed care team environment
  • 3+ years experience working as a pharmacist.
  • Demonstrated understanding of clinical program components, formulary designs, and prescription benefit trends.
Preferred Qualifications
  • Medicaid or Medicare experience
  • Prior authorization experience.
  • Experience reviewing medical records, clinical literature, and composing SOAP notes.

BS in Pharmacy or PharmD

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $94,500.00 - $176,000.00

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process.

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