Clinical Pharmacist - Utilization Management

To support a growing pharmacy benefit management model, the full-time Clinical Pharmacist - Utilization Management will review utilization management requests for clinical appropriateness, coordinate with pharmacy teams, and ensure compliance with state and federal guidelines, all while working remotely. Key responsibilities Review utilization management requests to determine clinical appropriateness and cost-effectiveness Coordinate with pharmacy technicians, pharmacists, and medical directors on utilization management activities Research and develop therapy-specific clinical policies and utilization management programs Required qualifications Pharmacy Degree required; PharmD preferred Minimum of 1 year experience in coordinating medication selection with prescribers; 1-3+ years of managed care experience preferred Pharmacist license in good standing in state of residence, with willingness to maintain licensure in multiple states Availability to work 40 hours per week during core operating hours, with potential evening or weekend shifts Strong knowledge of pharmacy benefits and effective problem-solving skills