Job Description
Job Description
A remote Pharmacist opportunity is available on a temp-to-hire basis, offering the chance to contribute your expertise in utilization management within a dynamic healthcare environment. This role is open to licensed pharmacists nationwide, provided you hold an active state pharmacist license.
Location: Remote
Schedule: Monday–Friday, 12:00 PM–8:30 PM EST
Weekend & Holiday Rotation: Mandatory (No day off unless emergency from 01/01/27 to 03/31/27)
Contract Duration: 10/01/26 to 03/31/27 (6 months)
Job Type: Contract to Hire
Key Responsibilities:
- Review Part B drug and biologic prior authorization requests and appeals with clinical accuracy.
- Apply clinical policies, utilization management criteria, and Medicare requirements to authorization decisions.
- Provide support to internal clinical and non-clinical teams regarding Part B drug policies and workflows.
- Identify and recommend improvements to enhance review quality, accuracy, and operational processes.
- Adapt efficiently to evolving workflows and business demands in a fast-paced setting.
- Maintain high quality and productivity while managing shifting priorities and volumes.
Qualifications:
- PharmD degree with an active pharmacist license in at least one state.
- Minimum of 2 years’ experience in utilization management, managed care residency, or applicable specialty pharmacy.
- Strong clinical judgment with the ability to independently assess complex Part B drug requests.
- Experience handling Part B drug prior authorization and appeals reviews.
- Prior utilization management and prior authorization experience strongly preferred.
This role offers the flexibility to work remotely while engaging in meaningful clinical review processes that directly impact patient care and healthcare delivery. Candidates prepared to meet the schedule demands and thrive in an evolving clinical environment are encouraged to apply.
Take the next step in your pharmacy career by applying to this role where your skills in managed care and clinical evaluation will be highly valued. Submit your application today.
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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