To support safe and effective medication use, the remote, temp-to-hire State Licensed Utilization Management Pharmacist will review prior authorization requests, ensure compliance with regulations, and provide expert guidance to members, providers, and pharmacies. Key responsibilities: Review and make timely, evidence-based decisions on prior authorizations, appeals, and override requests Ensure compliance with federal, state, and internal regulations across various health plans Provide clear support to members and prescribers by responding to clinical inquiries with professionalism Required qualifications: Active, unrestricted pharmacist license Bachelor's or Doctor of Pharmacy degree Minimum of 6 months to a year of prior authorization or utilization management experience Minimum of 2 years of pharmacy practice experience Experience in managed care or pharmacy benefit management (PBM)
State Licensed Utilization Management Pharmacist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.