State Licensed Clinical Pharmacist

Job Summary

A company is looking for a Clinical Pharmacist for a fully remote contract role supporting a major healthcare insurance organization.

Key Responsibilities

• Perform comprehensive clinical case reviews, including assessment of member medication regimens and prior authorization requests
• Make coverage determinations using benefit designs, clinical criteria, and regulatory standards
• Track, analyze, and report daily review volumes, utilization management metrics, and compliance indicators

Required Qualifications

• Bachelor's degree in pharmacy or an advanced pharmacy degree
• Minimum of 3 years of relevant clinical pharmacy experience
• Active and current pharmacist license in an approved state
• Prior remote or work from home experience
• Familiarity with NDC, GCN, GPI, USC codes and prior authorization requirements