Remote Lead Pharmacist for Utilization Management & Prior Authorization

Judi Health, LLC; United States; Remote; USD 110,000 - 170,000; Full time

Job summary

Judi Health, LLC is seeking a Lead Utilization Management Pharmacist to oversee daily clinical pharmacy functions and ensure efficient processing of medication requests in a remote work setting across the United States. The role requires an active pharmacist license (PharmD) or equivalent and 2+ years of experience, with experience in prior authorization and call centers.

You will collaborate with business and clinical partners to improve workflows while meeting regulatory and internal

Qualifications

• Active, unrestricted pharmacist license and Doctor of Pharmacy or Bachelor's degree with 2+ years of experience.
• Experience in customer service, call center, and prior authorization.
• Ability to work independently in a remote, metric-driven environment.

Responsibilities

• Lead Utilization Management Pharmacist overseeing daily clinical pharmacy functions.
• Perform prior authorization reviews, appeal reviews, and override requests.
• Collaborate with business and clinical partners to improve workflows and ensure consistency.
• Monitor queues to meet regulatory and internal compliance requirements.

Skills

Customer service

Prior authorization

Education

Doctor of Pharmacy

Bachelor's degree

Job description

Judi Health, LLC is seeking a Lead Utilization Management Pharmacist to oversee daily clinical pharmacy functions and ensure efficient processing of medication requests in a remote work setting across the United States. The role requires an active pharmacist license (PharmD) or equivalent and 2+ years of experience, with experience in prior authorization and call centers.

You will collaborate with business and clinical partners to improve workflows while meeting regulatory and internal