Clinical Pharmacist - 171207

Responsibilities: Conduct clinical evaluations of prior authorization and exception requests using established benefit design requirements and evidence-based coverage criteria. Analyze utilization management activity and prepare reports that support compliance monitoring and organizational oversight initiatives. Maintain accurate documentation and tracking of review cases to ensure regulatory adherence and operational consistency. Provide day-to-day clinical support and subject matter expertise to pharmacy technicians involved in authorization workflows. Review drug literature, formulary guidance, and therapeutic recommendations to support benefit management programs and quality improvement efforts. Qualifications: Bachelor's degree in Pharmacy, PharmD, or other advanced healthcare-related discipline. Active, unrestricted pharmacist license in at least one U.S. state. Minimum of 3 years of experience in managed care, prior authorization review, utilization management, or a related clinical pharmacy setting. Familiarity with pharmacy coding and classification systems, including NDC, GCN, GPI, and USC, as well as NCPDP claims processing methodologies. Strong analytical, clinical decision-making, communication, and documentation abilities. Compensation: Salary Range: $114,000 - $128,000 annually Comprehensive Benefits: Medical, Dental, Vision, sick leave if required by law, and 401K Application Details Position Type: Contract Work Arrangement: 100% Remote Posting Date: August 7, 2026 Apply By: September 7, 2026