Remote Oncology Utilization Pharmacist

Remote Genie; Northern (KY); Hybrid; USD 144,000 - 170,000; Full time

Job summary

Starling Oncology is seeking an experienced Utilization Management Pharmacist to lead evidence-based medication review in a remote, payer-focused environment. You will work with physicians, leadership, and IT teams to implement pathways aligned with NCCN guidelines and internal formulary standards.

The role emphasizes reducing prior authorization friction, optimizing therapy, and maintaining documentation that supports value-based oncology care.

Qualifications

• Doctor of Pharmacy (PharmD) from an ACPE-accredited School of Pharmacy.
• Oncology pharmacy experience in a clinical, managed care, utilization management, or related setting.
• Experience interpreting payer policies, prior authorization criteria, NCCN guidelines, and oncology treatment policies.

Responsibilities

• Review oncology medication requests for alignment with NCCN guidelines, TOI standards, payer policies, and internal criteria.
• Support prior authorization and utilization management workflows by clarifying clinical rationale and reducing delays.
• Translate clinical criteria into clear pathway logic and checklists for review of chemotherapy, immunotherapy, targeted therapy, biosimilars, and supportive care.
• Collaborate with Revenue Cycle Management, Informatics, Medical Oncology leadership, and UM Compliance to align EHR builds and payer requirements.
• Keep abreast of NCCN, ASCO, FDA indications, payer policies, and state/federal utilization requirements affecting reviews.
• Escalate complex cases with clear recommendations and evidence to UM leadership.

Skills

Oncology therapeutics

Workflow design

Written communication

EHR/UM portal proficiency

Education

PharmD from ACPE-accredited school

Tools

EHRs

UM portals

drug databases

spreadsheets & reports

Job description

Starling Oncology is seeking an experienced Utilization Management Pharmacist to lead evidence-based medication review in a remote, payer-focused environment. You will work with physicians, leadership, and IT teams to implement pathways aligned with NCCN guidelines and internal formulary standards.

The role emphasizes reducing prior authorization friction, optimizing therapy, and maintaining documentation that supports value-based oncology care.