Remote Clinical Review Pharmacist

MedOne Pharmacy Benefit Solutions; Remote; USD 85,000 - 100,000; Full time

Job summary

A healthcare solutions provider is looking for a detail-oriented pharmacist to support clinical reviews and collaborate across teams. This role involves evaluating clinical guidelines, conducting consults with healthcare providers, and ensuring high-quality decisions. The ideal candidate will have a pharmacy degree, be a registered pharmacist in good standing, and possess strong problem-solving and communication skills. This position can be remote or based in one of our offices in Dubuque, IA, or Kansas City, MO.

Benefits

Dynamic and inclusive team environment

Flexible workplace options

Qualifications

• Ability to translate clinical information for various audiences.
• High degree of accuracy and detail-oriented.
• Ability to work independently and manage time effectively.

Responsibilities

• Evaluate and interpret clinical guideline criteria.
• Conduct outbound clinical consult calls with healthcare providers.
• Document cases thoroughly for prior authorization and appeals.

Skills

Clinical knowledge

Detail-oriented

Problem-solving skills

Strong communication skills

Customer service skills

Education

Pharmacy degree from an accredited school

Registered Pharmacist in good standing

PGY1 Managed Care Residency

Tools

Microsoft Office Suite

Micromedex

Lexicomp

Clinical Pharmacology

CRM systems (Microsoft Dynamics)

Job description

A healthcare solutions provider is looking for a detail-oriented pharmacist to support clinical reviews and collaborate across teams. This role involves evaluating clinical guidelines, conducting consults with healthcare providers, and ensuring high-quality decisions. The ideal candidate will have a pharmacy degree, be a registered pharmacist in good standing, and possess strong problem-solving and communication skills. This position can be remote or based in one of our offices in Dubuque, IA, or Kansas City, MO.