Clinical Pharmacist

Role: Clinical Pharmacist Utilization Management (Remote)

• Primary Responsibilities:
  • Review prior authorization and medical exception requests.
  • Perform utilization review for medical necessity.
  • Evaluate medical records and apply PA criteria.
  • Handle 20 30 cases per day.
• Required Experience:
  • Prior Authorization (PA) / Utilization Management experience.
  • Knowledge of prescription drug formularies and pharmacy workflow.
  • Strong computer skills (Microsoft Office and multiple systems).
  • Ability to work independently.
  • Comfortable communicating with providers, patients, and healthcare staff.
• Required Qualifications:
  • BS Pharmacy or PharmD.
  • Active New York Pharmacist License (mandatory).
• Work Schedule:
  • Remote, Monday Friday, 8:30 AM 5:00 PM ET.
  • Occasional weekend/holiday coverage may be required.
• Location:
  • Candidates located in New York State.
• Contract Duration:
  • Through the end of the year, with possible extension.
• Interview Process:
  • One virtual interview