Job Title: Staff Pharmacist
Location: Remote
Duration: 5 Months Contract
Pay Rate: $40-$60/hour on W2 without any benefits
(The hourly rate is all-inclusive. Health benefits are available after 30 days of employment for W2 employees and are subject to employee contribution. Payroll is processed on a biweekly basis.)
Shift
:
Training will be 9am-5:30pm EST….their shift will be 9:30-6pm in their time zone starting 1/4/27….100% remote. Start date is 11/30 but the shift will change after 01/04/2027
Duties:
Utilization management pharmacists are responsible for reviewing each plans policy to determine if coverage can be granted for a medication. Provide clinical support and oversight for all utilization management (UM) activities. Responsible for finalizing all denials of clinical prior authorization requests.
Skills:
Supports the Coverage Review Department (CRD) as a clinical resource for drug therapy questions
Applies critical thinking to achieve proper clinical decisions when performing clinical reviews
Utilizes multiple systems and other clinical resources to achieve proper decisions in Utilization Management reviews
Works and maneuvers within a queue system that prioritizes clinical reviews
Makes clinical decisions quickly and at times decides and acts with limited information
Works and collaborates with a multi-disciplinary clinical team to provide a customer centric experience
3 Non-Negotiable Skills:
Utilization Management Experience Preferred
Strong clinical knowledge
Able to make decision
Education
Licensed Pharmacist required
Bachelor’s Degree in Pharmacy required; PharmD preferred
Proficient technical skills utilizing Microsoft Office applications required
Utilization Management Experience Preferred, but not required
Experience with Specialty Pharmacy/Pharmaceuticals preferred
2+ years lead/supervisor or retail pharmacy experience preferred