Remote Clinical Pharmacist - Prior Authorization (PharmD)

Amerit Consulting; California; Remote; USD 83,000 - 90,000; Full time

Job summary

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.

Qualifications

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

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.

Skills

Prior authorization reviews

Communication skills

Education

Doctor of Pharmacy (PharmD)

Tools

Microsoft Office

AuthAccel

Job description

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.