Clinical Pharmacist - 171207

ZP Group; North Carolina; Remote; USD 114,000 - 128,000; Part time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401K

Job summary

Piper Companies currently seeks a Clinical Pharmacist for a fully remote contract role. You will support utilization management, coverage determinations, and clinical pharmacy operations within a fast-paced managed care environment.

Ideal candidates hold a PharmD or equivalent and an active license, with 3+ years in managed care and strong skills in analysis, documentation, and collaboration with pharmacy technicians.

Qualifications

• Active, unrestricted pharmacist license in at least one U.S. state.
• Minimum of 3 years of experience in managed care, prior authorization review, utilization management, or a related clinical pharmacy setting.
• Familiarity with pharmacy coding and classification systems.
• Strong analytical, clinical decision-making, communication, and documentation abilities.

Responsibilities

• Conduct clinical evaluations of prior authorization and exception requests using established benefit design requirements and evidence-based coverage criteria.
• Analyze utilization management activity and prepare reports that support compliance monitoring and organizational oversight initiatives.
• Maintain accurate documentation and tracking of review cases to ensure regulatory adherence and operational consistency.
• Provide day-to-day clinical support and subject matter expertise to pharmacy technicians involved in authorization workflows.
• Review drug literature, formulary guidance, and therapeutic recommendations to support benefit management programs and quality improvement efforts.

Skills

Utilization management

Clinical decision-making

Documentation

Communication skills

Education

Bachelor's degree in Pharmacy

PharmD

Tools

NDC coding

GCN

GPI

NCPDP

USC

Job description

Piper Companies is seeking a Clinical Pharmacist to join a healthcare and pharmacy benefits organization in a fully remote capacity. This Clinical Pharmacist contract opportunity is ideal for a licensed pharmacy professional with experience supporting utilization management, medication coverage determinations, and clinical pharmacy operations within a fast-paced managed care environment.

Responsibilities

• Conduct clinical evaluations of prior authorization and exception requests using established benefit design requirements and evidence-based coverage criteria.
• Analyze utilization management activity and prepare reports that support compliance monitoring and organizational oversight initiatives.
• Maintain accurate documentation and tracking of review cases to ensure regulatory adherence and operational consistency.
• Provide day-to-day clinical support and subject matter expertise to pharmacy technicians involved in authorization workflows.
• Review drug literature, formulary guidance, and therapeutic recommendations to support benefit management programs and quality improvement efforts.

Qualifications

• Bachelor's degree in Pharmacy, PharmD, or other advanced healthcare-related discipline.
• Active, unrestricted pharmacist license in at least one U.S. state.
• Minimum of 3 years of experience in managed care, prior authorization review, utilization management, or a related clinical pharmacy setting.
• Familiarity with pharmacy coding and classification systems, including NDC, GCN, GPI, and USC, as well as NCPDP claims processing methodologies.
• Strong analytical, clinical decision-making, communication, and documentation abilities.

Compensation

• Salary Range: $114,000 - $128,000 annually
• Comprehensive Benefits: Medical, Dental, Vision, sick leave if required by law, and 401K

Application Details

• Position Type: Contract
• Work Arrangement: 100% Remote
• Posting Date: August 7, 2026
• Apply By: September 7, 2026

Keywords

Clinical Pharmacist, Prior Authorization, Utilization Management, Managed Care, Pharmacy Benefits Management, PBM, Clinical Review, Medication Coverage, Formulary Management, Pharmacotherapy, Drug Information, Pharmacy Operations, Coverage Determinations, Appeals Review, Regulatory Compliance, Quality Assurance, Drug Utilization Review, Medication Therapy Management, NDC, GCN, GPI, USC, NCPDP, Claims Adjudication, Healthcare Analytics, Case Management, Pharmacy Technician Support, Clinical Guidelines, Pharmacy and Therapeutics Committee, Benefit Design, Population Health, Specialty Pharmacy, Medicare, Medicaid, Commercial Health Plans, Utilization Review, Remote Healthcare, Clinical Documentation, Quality Improvement, Pharmacy Compliance.

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