Clinical Pharmacist – Prior Authorization ***REMOTE in CA***

Amerit Consulting; California; Remoto; USD 83.000 - 90.000; Tempo integral

Resumo da vaga

Amerit Consulting is seeking a Clinical Pharmacist – Prior Authorization for a 12-month remote California assignment. The role focuses on performing PA reviews, applying formulary criteria, and ensuring timely access to medications for Commercial, Medicare, and Medicaid populations.

The candidate should hold a PharmD with outpatient medication experience and possess strong communication skills to interact with providers and members.

Qualificações

• Doctor of Pharmacy (PharmD) degree required.
• Thorough knowledge of the therapeutic use of outpatient medications.
• Excellent verbal and written communication skills.

Responsabilidades

• Perform prior authorization (PA) reviews and medication-related clinical determinations.
• Support implementation of Pharmacy & Therapeutics (P&T) Committee-approved policies across Commercial and Medicare lines of business.
• Apply clinical pharmacy expertise and established medication criteria when reviewing authorization requests.
• Collaborate with Prior Authorization and Call Center teams to support appropriate medication access.
• Complete reviews within applicable regulatory and accreditation timeframes.
• Serve as a clinical resource regarding the drug formulary, medication policies, and appropriate medication use.
• Respond to clinical and operational questions from internal and external stakeholders.
• Communicate clearly and concisely with healthcare providers and members.
• Maintain compliance with applicable regulatory, accreditation, corporate, and pharmacy benefit requirements.
• Follow all applicable corporate policies and procedures.

Conhecimentos

Prior authorization reviews

Communication skills

Formação

Doctor of Pharmacy (PharmD)

Ferramentas

Microsoft Office

AuthAccel

Descrição da vaga

Clinical Pharmacist – Prior Authorization | Remote California | PBM

Remote – California | 12-Month Contract | $60–$65/hour DOE

Our client, a major Pharmacy Benefit Manager (PBM) serving more than 33 million members across Commercial, Medicare, and Medicaid programs, is seeking an experienced Clinical Pharmacist – Prior Authorization.

Job Title: Clinical Pharmacist – Prior Authorization

Location: Remote – California

Duration: 12-month contract with potential for extension

Pay Rate: $60–$65/hour, depending on experience

This role is well suited for a PharmD with prior authorization review experience and strong knowledge of outpatient medications. The Clinical Pharmacist will perform PA reviews, apply medication policies and formulary criteria, and support timely access to safe, efficacious, and medically necessary medications.

Key Responsibilities

• Perform prior authorization (PA) reviews and medication-related clinical determinations.
• Support implementation of Pharmacy & Therapeutics (P&T) Committee-approved policies across Commercial and Medicare lines of business.
• Apply clinical pharmacy expertise and established medication criteria when reviewing authorization requests.
• Collaborate with Prior Authorization and Call Center teams to support appropriate medication access.
• Complete reviews within applicable regulatory and accreditation timeframes.
• Serve as a clinical resource regarding the drug formulary, medication policies, and appropriate medication use.
• Respond to clinical and operational questions from internal and external stakeholders.
• Communicate clearly and concisely with healthcare providers and members.
• Maintain compliance with applicable regulatory, accreditation, corporate, and pharmacy benefit requirements.
• Follow all applicable corporate policies and procedures.

Required Qualifications

• Doctor of Pharmacy (PharmD) degree required.
• Thorough knowledge of the therapeutic use of outpatient medications.
• Excellent verbal and written communication skills.

Software & Technology

• Proficiency with Microsoft Office, including Outlook, Word, Copilot, and related applications.
• AuthAccel experience preferred.

Company Overview:

Amerit Consulting is a nationwide staffing and consulting firm supporting Fortune 500 clients across healthcare, technology, engineering, and professional services. With over 2,000 employees across 47 states, Amerit specializes in contract, temporary, and direct hire staffing solutions.

Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws.