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

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