Clinical Pharmacist - 171207

Zachary Piper Solutions; North Carolina; Remote; USD 114,000 - 128,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401K

Sick leave

Job summary

Piper Companies is seeking a Clinical Pharmacist to join a healthcare and pharmacy benefits organization in a fully remote capacity.

The role supports utilization management, medication coverage determinations, and clinical pharmacy operations within a fast-paced managed care environment. Licensing and 3+ years of experience are required to succeed in this position.

Qualifications

• Licensed pharmacist with active license in at least one state.
• Minimum 3 years in managed care, prior authorization, or clinical pharmacy.
• Familiar with NDC/GCN/GPI/USC and NCPDP processes.

Responsibilities

• Conduct clinical evaluations of prior authorization requests using benefit criteria.
• Analyze utilization management activity and prepare compliance reports.
• Maintain accurate documentation and case tracking for regulatory adherence.
• Provide day-to-day clinical support to pharmacy technicians.
• Review literature and formulary guidance to support benefit programs.

Skills

Clinical decision-making

Analytical skills

Documentation

Communication

Education

Bachelor's degree/ PharmD

Active pharmacist license

Tools

NDC

GCN

GPI

USC

NCPDP

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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