North Carolina Licensed Clinical Pharmacist

Job Summary

To support patient care and pharmacy operations, the full-time temporary North Carolina Licensed Clinical Pharmacist will review prior authorization requests, analyze utilization data, and provide clinical guidance while working remotely.

Key responsibilities

• Review prior authorization requests and make coverage determinations in accordance with clinical criteria
• Analyze and report utilization review statistics to corporate compliance committees
• Provide clinical guidance and oversight to pharmacy technicians while monitoring compliance with established guidelines

Required qualifications

• Bachelor's degree or advanced degree in Pharmacy or related field
• 3+ years of experience in a clinical pharmacy or utilization review setting
• Active, current state pharmacist license
• Strong knowledge of pharmacy benefit management and prior authorization processes
• Experience with claims adjudication systems and drug coding standards