Lead Clinical Pharmacist - Prior Authorization (Remote)

The Briefed

New York (NY)

Remote

USD 122,000 - 178,000

Full time

44 hours ago
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Benefits offered by this job

Unlimited vacation (policy)
11 paid holidays
Comprehensive health coverage
401(k) with company match

Job summary

The Briefed is seeking a Clinical Pharmacist Supervisor - Prior Authorization to lead a team of pharmacists performing PA reviews and appeals. You will manage daily queues, ensure turnaround times, coach staff, and escalate complex cases. You will partner with the Clinical Quality team on audits and participate in a rotated weekend/holiday on-call.

A PharmD with an active license and 4+ years in managed care are required, plus 1+ year of leadership. Remote work eligibility across the U.S.

Qualifications

  • PharmD degree from an accredited institution.
  • Active, unrestricted pharmacist license.
  • 4+ years in managed care performing clinical reviews and PA/appeals.
  • 1+ year of direct people management or leadership experience.

Responsibilities

  • Oversee daily pharmacy utilization management workflows and queue tracking.
  • Provide 1-on-1 coaching and performance evaluations to staff.
  • Escalate complex PA requests, provider appeals, and exceptions.
  • Collaborate with Clinical Quality on audits and calibration.
  • Identify and implement process improvements and job aids.
  • Participate in rotated weekend/holiday on-call.

Skills

Team management
Coaching
Clinical reviews
Utilization management
Priority setting

Education

PharmD

Job description

The Briefed is seeking a Clinical Pharmacist Supervisor - Prior Authorization to lead a team of pharmacists performing PA reviews and appeals. You will manage daily queues, ensure turnaround times, coach staff, and escalate complex cases. You will partner with the Clinical Quality team on audits and participate in a rotated weekend/holiday on-call.

A PharmD with an active license and 4+ years in managed care are required, plus 1+ year of leadership. Remote work eligibility across the U.S.

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