Job Description
Job Description
A remote Pharmacist opportunity is available with a leading healthcare provider, offering a contract-to-hire position. This role requires a dedicated professional with strong clinical judgment and experience in utilization management, focusing on Part B drug and biologic prior authorization requests and appeals.
Location: Remote (open to licensed pharmacists from any state)
Schedule: Monday–Friday, 12:00 PM–8:30 PM EST
Weekend & Holiday Rotation: Mandatory (no days off except emergencies from 01/01/27 to 03/31/27)
Contract Duration: 10/01/26 to 03/31/27 (6 months)
Key Responsibilities:
- Review and evaluate Part B drug and biologic prior authorization requests and appeals according to clinical policies and Medicare requirements.
- Apply utilization management criteria to ensure appropriate authorization decisions.
- Provide support to internal clinical and non-clinical teams regarding Part B drug policies and workflows.
- Identify and recommend improvements for review quality, accuracy, and operational efficiency.
- Adapt to a fast-paced environment with changing workflows, processes, and business needs.
- Consistently maintain high quality and productivity while managing shifting priorities and workload volumes.
Required Qualifications:
- PharmD degree and an active pharmacist license in at least one state.
- Minimum of 2 years of utilization management experience, managed care residency, or applicable specialty pharmacy background.
- Strong clinical judgment with the ability to independently assess complex Part B drug requests.
- Familiarity with Part B drug prior authorization and appeals processes.
- Prior utilization management and prior authorization experience strongly preferred.
This position offers the opportunity to contribute to impactful clinical decisions within a remote setting. If you meet these qualifications and are ready for a challenging role that values clinical expertise, apply today to take the next step in your pharmacy career.
Compensation for this position ranges from $55.00 to $65.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date.
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