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A leading healthcare organization is seeking a remote Pharmacist to conduct utilization management reviews, contributing to quality patient care. Candidates should possess a PharmD, have two years of relevant experience, and be motivated self-starters. This position offers competitive pay at $55/hour and opportunities for long-term employment.
Express Scripts Pharmacy Benefit Services
TalentBurst, Inc
ProPivotal
ProPivotal
Mass General Brigham
Massachusetts General Hospital
MedChi, The Maryland State Medical Society
The Segal Group, Inc
OptiRoi Media
eviCore healthcare
K Health Inc.
South University Inc.
MedChi, The Maryland State Medical Society
Latino Medical Student Association
The Gerontological Society of America (GSA).
eviCore healthcare
Accelerated Urgent Care
The Medicus Firm
Norton Healthcare, Inc.
M3 Wake Research, Inc.
Utilize your clinical skills to independently complete utilization management reviews such as prior authorizations, coverage exceptions, and quantity limit exceptions. Join a team of pharmacy professionals dedicated to maintaining high quality and performance standards, as measured by monthly goals. This position offers the potential for long-term employment, with contracts evaluated every six months for extension.
Responsibilities
Conduct utilization management reviews including prior authorizations and coverage exceptions.
Work independently and collaboratively with a team of pharmacy professionals.
Meet monthly quality and productivity goals.
Participate in potential cross-training opportunities for specialized cases and other departments.
Two years of experience in retail, managed care, or clinical pharmacy.
Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree.
Current pharmacist license in good standing with the State Board of Pharmacy.
Ability to prioritize tasks and manage multiple projects.
Motivated self-starter with the ability to make independent clinical decisions.
Proficiency in learning new computer systems and basic IT troubleshooting.
Proficiency in Word and Excel.
Ability to type 35+ WPM.
Additional Skills & Qualifications
Previous experience in Pharmacy Benefits Management (PBM) or Case/Care Management.
Retail pharmacy experience is highly preferred over hospital experience.
Pay and Benefits
The pay range for this position is $55.00 - $55.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Jun 23, 2025.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
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