Remote Clinical Pharmacist: Regulatory & Formulary Expert

PRIME Therapeutics; United States; Remote; USD 108,000 - 184,000; Full time

Job summary

Prime Therapeutics is seeking a Clinical Administrative Pharmacist to work remotely in the United States. The role delivers clinical and regulatory analysis supporting operations, benefit plans, formulary management, and publications, ensuring compliance and QA standards.

Responsibilities include developing testing scenarios with clients, validating data for drug utilization and claims adjudication, and supporting formulary changes with SME input across committees.

Qualifications

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree.
• 1 year of work experience in clinical, retail, hospital, or managed care.
• Current Pharmacist license to practice in the applicable state(s).
• Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Responsibilities

• Partner with stakeholders to develop test scenarios and provide technical solutions.
• Conduct testing including test plan creation and User Acceptance Testing.
• Identify and resolve system issues to avoid service disruption.
• Ensure benefit plans comply with regulatory requirements (federal, CMS, state, local).
• Support data for drug utilization and claims adjudication systems to back coverage decisions.
• Collaborate with teams to implement formulary changes and provide SME input.

Skills

Analytical skills

Project management

Team collaboration

Regulatory knowledge

Education

PharmD or BS Pharmacy

Tools

AS400

Lotus Notes

Query tools

Excel

Word

Job description

Prime Therapeutics is seeking a Clinical Administrative Pharmacist to work remotely in the United States. The role delivers clinical and regulatory analysis supporting operations, benefit plans, formulary management, and publications, ensuring compliance and QA standards.

Responsibilities include developing testing scenarios with clients, validating data for drug utilization and claims adjudication, and supporting formulary changes with SME input across committees.