Remote Clinical Pharmacist – Utilization Management (PA)

TruDataRx, Inc.; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

TruDataRx, Inc. is seeking a Clinical Pharmacist I to adjudicate initial prior authorization requests in a fast-paced, fully remote environment across the United States.

The ideal candidate holds a PharmD and an active state license, with strong clinical judgment and experience in managed care. You will collaborate with the PSS team, apply evidence-based criteria, and support efficient utilization management processes.

Qualifications

• Strong foundational clinical skills with ability to evaluate complex data.
• Experience applying health plan criteria and regulatory guidelines.
• Proficient in remote, high-volume production environments.

Responsibilities

• Adjudicate initial PA requests efficiently with clinical accuracy.
• Apply plan criteria and guidelines to determine medical necessity.
• Communicate decisions clearly to providers and members.
• Support Pharmacy Support Specialist team with clinical interpretations.

Skills

Clinical acumen

Remote productivity

Process-oriented

Communication excellence

Education

PharmD degree

Active pharmacist license

Tools

Medi-Span

First Databank

Job description

TruDataRx, Inc. is seeking a Clinical Pharmacist I to adjudicate initial prior authorization requests in a fast-paced, fully remote environment across the United States.

The ideal candidate holds a PharmD and an active state license, with strong clinical judgment and experience in managed care. You will collaborate with the PSS team, apply evidence-based criteria, and support efficient utilization management processes.