Fully Remote Pharmacist (Prior Authorizations)

Contract role through April 2027 will most likely extend

*Must be Doctor of Pharmacy

*Must have PBM/Prior Authorization experience

*Must be willing to work one Saturday or Sunday after training- Business hours option for 5 8 hour days or 4 10 hour days after training

*Must have no time off needed in first 4-6 weeks of training and busy season January to April 2027

60 per hour nonnegotiable

Is your CV ready If so, and you are confident this is the role for you, make sure to apply asap.

Primary Duties and Responsibilities

• Review and render decisions on authorizations and appeals for pharmacy drug requests

• Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations

• Participate in clinical quality audits and inter-rater reliability testing

• Provide internal team support for escalations and questions

• Apply clinical expertise to ensure appropriate and safe use of pharmaceuticals by members and providers

• Compliance with all applicable laws and regulations

• Other duties as assigned

Requirements

• 3+ years of experience as a licensed pharmacist

• Active, unrestricted pharmacist license

• Doctor of Pharmacy Degree

• Willingness to obtain licensure/training with new states, as needed

*Must have experience with Prior Authorizations

Contract through April 2027 (subject to business needs)

Shifts:

• At least one weekend shift per week, such as every Saturday or every Sunday

• Those working weekends have the option to do four 10-hour shifts or five 8-hour shifts

• Shift during training will be M-F; switch to weekend shift will be around 2 months after start date

• Training will be in the format of group class training

• Group class training will be 4-6 weeks

• Request for no PTO during group training