Clinical Pharmacist

Select Source International; Durham (NC); Remote; USD 110,000 - 140,000; Full time

Job summary

Select Source International is seeking a Clinical Pharmacist for a 12-month remote NC assignment. You will work 40 hours per week, M-F 8–5 EST, supporting prior authorization reviews and clinical guidance for pharmacy technicians.

Requirements include a state license, a bachelor's or advanced degree, and 3–5 years in retail/HMO/DSP. You will analyze benefit criteria, ensure quality controls, and stay current with drug coding (NDC/GCN/GPI) and NCPDP adjudication systems.

Qualifications

• Bachelor's degree or advanced degree and current state pharmacy license.
• 3–5 years of experience in related field (retail, HMO, DSP).
• Pharmacist license and relevant industry experience required.

Responsibilities

• Review prior authorization requests and determine coverage criteria.
• Report utilization review statistics to corporate compliance committees.
• Summarize daily utilization review numbers and track case compliance.
• Provide clinical guidance to pharmacy technicians.
• Knowledge of drug coding (NDC, GCN, GPI, USC) and NCPDP adjudication systems.
• Review guideline criteria for prior authorization and non-formulary drugs.
• Ensure quality controls and identify opportunities for improvement in pharmacy practices.
• Research drug information to support prior authorization reviews.

Skills

Pharmacist experience

Work from home experience

Education

Bachelor's degree or advanced degree

Tools

NCPDP systems

Job description

Job Title: Clinical Pharmacist

Location: Remote NC

Duration: 12 Months

Basic Information

• Hours per week: 40
• Shift/Work Schedule: M-F 8-5 EST

Job Description & Responsibilities

• Review prior authorization requests and make determinations for drug products according to member benefits and coverage criteria
• Report to utilization review statistics to corporate compliance committees
• Review data and summarize daily utilization review numbers
• Responsible for tracking compliance of review cases
• Provide clinical guidance and support to the assigned pharmacy technicians
• Knowledge of drug coding (NDC, GCN, GPI and USC) and NCPDP claims adjudication systems
• Review guideline criteria for prior authorization and non-formulary drugs in support of Pharmacy and Therapeutics Committee function and pharmacy benefit design.
• Ensure and evaluate quality controls and implement opportunities for performance improvement in pharmacy practices
• Research drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews

Breakdown of Duties / Typical Day

• They will review the medicine that a customer is on and help them be able to review the medicine a customer is having.
• They will be making outbound as well as inbound calls.
• Calls will be recorded and audited for quality check.
• Looking for open care gaps.
• Clinical review, prior authorization, ad-hoc tasks.

Hiring Requirements

• Education/Certifications Required: Bachelor's degree or advanced degree; Current state pharmacy license.
• Years of Experience: 3-5 years (3+ years of experience in related field)
• Industry Specific Experience: Retail, HMO, DSP

Talent Value Proposition

• Top 3-4 Required Skills:
  • Able to work on computers and has work from home experience
  • Pharmacist experience
• Nice-to-Have Skills: Medicare and managed care.