Clinical Pharmacist - 171207

Piper Companies; United States; Remote; USD 114.000 - 128.000; Vollzeit

Benefits dieser Stelle

Medical

Dental

Vision

401K

Sick leave

Zusammenfassung

Piper Companies is seeking a Clinical Pharmacist to join a healthcare and pharmacy benefits organization in a fully remote capacity. This 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 include evaluating prior authorizations, analyzing utilization data, documenting reviews, and supporting

Qualifikationen

• Active, unrestricted pharmacist license in the U.S.
• Minimum of 3 years in managed care or related clinical pharmacy
• Experience with utilization management and prior authorization
• Familiarity with NDC, GCN, GPI, USC and NCPDP claims processing
• Strong analytical, decision-making, communication and documentation

Aufgaben

• Conduct clinical evaluations of prior authorization and exception requests using benefit criteria.
• Analyze utilization management activity and prepare reports for compliance monitoring.
• Maintain accurate documentation and tracking of review cases for regulatory adherence.
• Provide day-to-day clinical support to pharmacy technicians in authorization workflows.
• Review literature and formulary guidance to support benefit management and quality initiatives

Kenntnisse

Analytical skills

Clinical decision-making

Communication

Documentation

Ausbildung

Bachelor's / PharmD

Tools

NDC

GCN

GPI

USC

NCPDP

Jobbeschreibung

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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