Remote Clinical Pharmacist - Specialty Meds & Oncology

Actalent

Tacoma (WA)

Remote

USD 63,000 - 89,000

Full time

5 days ago
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Job summary

Actalent is seeking a Clinical Pharmacist for a 100% remote role focused on utilization management for specialty medications, emphasizing oncology and complex therapies. You will perform detailed reviews of coverage determinations, including prior authorizations and formulary exceptions, across multiple lines of business.

The role involves real-time evaluation of ~500 specialty medications, collaboration with pharmacists and healthcare providers, and training during onboarding.

Qualifications

  • Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy degree.
  • Current pharmacist license in good standing with a US State Board of Pharmacy.
  • Five or more years of work experience as a pharmacist in retail, managed care, or clinical settings.

Responsibilities

  • Review clinical evaluations for coverage determinations and prior authorizations.
  • Assess specialty medications across oncology and other specialties.
  • Apply clinical criteria and guidelines to determine coverage.
  • Document rationales clearly in systems supporting determinations.
  • Consult with healthcare providers to discuss coverage issues.

Skills

5+ years pharmacist experience
US Pharmacist license
Remote work capability

Education

PharmD or BS in Pharmacy

Tools

Microsoft Office
AutoHotkey

Job description

Actalent is seeking a Clinical Pharmacist for a 100% remote role focused on utilization management for specialty medications, emphasizing oncology and complex therapies. You will perform detailed reviews of coverage determinations, including prior authorizations and formulary exceptions, across multiple lines of business.

The role involves real-time evaluation of ~500 specialty medications, collaboration with pharmacists and healthcare providers, and training during onboarding.

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