Clinical Grievance Pharmacist

This job has been removed

Location: Remote

Compensation: To Be Discussed

Reviewed: Wed, Apr 01, 2026

This job expires in: 5 days

Job Category: Insurance

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Entry Level, Experienced

Education Level: Bachelors

Job Summary

A company is looking for a Clinical Grievance and Appeals Pharmacist.

Key Responsibilities

Support clinical programs and perform quality reviews related to drug therapy and utilization
Monitor the efficiency of the Appeals, Redetermination, and Grievance processes
Provide clinical expertise for formulary decisions and participate in audits as a subject matter expert

Required Qualifications

Bachelor's degree in Pharmacy or Pharm D
Current unrestricted licensure as an RPh in the home state or ability to gain reciprocity within 4 months
Preferred minimum of two years of clinical experience or managed care pharmacy practice residency
Knowledge of PBM industry and clinical trial evaluation preferred
Proficiency in MS Word, Excel, and PowerPoint preferred

COMPLETE JOB DESCRIPTION

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