State Licensed Clinical Pharmacist

Job Summary

A company is looking for a Clinical Pharmacist to support Medicare Case Management operations in a fully remote contract position.

Key Responsibilities

• Conduct comprehensive case reviews, including evaluation of member medications and prior authorization requests
• Make determinations for drug products based on benefits, clinical criteria, and regulatory guidelines
• Track and report utilization review statistics, compliance metrics, and daily review numbers

Qualifications

• Bachelor's degree or advanced degree
• At least 3 years of relevant clinical pharmacy experience
• Current and active pharmacy license in an approved state
• Previous remote/work from home experience
• Knowledge of NDC, GCN, GPI, USC, and prior authorization guidelines