Utilization Management Pharmacist (temp, Temp-to-hire)

judi.health

Remote
Base: $125,000 - $125,000 usd; bonus/equity: not s...
Remote
Prior authorization review
Clinical decision-making
Member and provider support
The Clinical Care Pharmacist plays a vital role in promoting safe, effective, and appropriate medication use by reviewing prior authorization requests and supporting clinical programs

Job Summary

  • The Clinical Care Pharmacist plays a vital role in promoting safe, effective, and appropriate medication use by reviewing prior authorization requests and supporting clinical programs.
  • This position is responsible for reviewing and making timely, evidence-based decisions on prior authorizations, appeals, and override requests using clinical guidelines and benefit criteria.
  • The role combines clinical decision-making with a strong focus on service excellence in a fast-paced, collaborative environment, providing clear, empathetic support to members, prescribers, and pharmacies.

Matching Summary

The Clinical Care Pharmacist plays a vital role in promoting safe, effective, and appropriate medication use by reviewing prior authorization requests and supporting clinical programs.

Salary

Base: $125,000 - $125,000 USD; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • prior authorization review
  • clinical decision-making
  • member and provider support
  • HIPAA guidelines adherence
  • fraud, waste, and abuse identification

Nice-to-have

  • patient-centered approach
  • active listening skills
  • team training and development
  • process improvement initiatives

Key Requirements

  • 6 months to 1 year prior authorization experience
  • Active, unrestricted pharmacist license
  • Bachelor’s or Doctor of Pharmacy degree
  • 2 years of pharmacy practice experience
  • Managed care or PBM experience

Work Rights

Not specified

Tailored Resume

Cover Letter