State Licensed Per Diem Pharmacist

Job Summary

To support a growing pharmacy benefits management team, the part-time State Licensed Per Diem Pharmacist will manage clinical prior authorization reviews, collaborate with healthcare providers, and ensure quality assurance in a remote work environment.

Key Responsibilities:

• Act as a clinical expert on prior authorization review and evaluations in accordance with clinical criteria
• Monitor clinical interventions to ensure clinical savings guarantees are met and participate in quality improvement initiatives
• Provide guidance to members and providers regarding clinical inquiries and support internal staff training as needed

Required Qualifications:

• Pharm.D. degree from an accredited college of pharmacy
• Minimum of 3 years of pharmacy experience in clinical, PBM, or managed care settings
• Active Pharmacist License in good standing
• Prior experience with prior authorization or utilization management preferred
• Proficiency in Microsoft Office Suite and pharmacy management software