Remote PBM Clinical Pharmacist – Appeals & Coverage

SlateRx; Las Vegas (NV); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

401k

Paid Time Off

Job summary

SlateRx is seeking a Clinical Pharmacist to review coverage determinations and appeals under our policies. This remote role supports employer groups and payers nationwide. You will interpret guidelines, communicate decisions to prescribers and members, and collaborate with PA technicians and clinicians to ensure accurate, timely, and patient-friendly explanations.

Bachelor of Pharmacy or Pharm.D. required; active Pharmacist license in at least one state; prior authorization experience preferred;

Qualifications

• Prior Authorization experience in health plans or PBM environments.
• Pharmacist with active licensure in at least one U.S. state.
• Strong understanding of pharmacy benefit management and coverage policies.
• Efficient in communicating with physicians, members, and peers.

Responsibilities

• Review clinical coverage determinations and appeals per SlateRx criteria.
• Obtain necessary information and communicate decisions to prescribers and members.
• Handle inquiries from physicians and members regarding determinations.
• Provide drug information and support to staff and clients.
• Document rationale and ensure member-friendly denial explanations.

Skills

Prior Authorization

Pharmacy knowledge

Communication skills

Teamwork

Documentation accuracy

Education

Bachelor of Pharmacy or Pharm.D.

Job description

SlateRx is seeking a Clinical Pharmacist to review coverage determinations and appeals under our policies. This remote role supports employer groups and payers nationwide. You will interpret guidelines, communicate decisions to prescribers and members, and collaborate with PA technicians and clinicians to ensure accurate, timely, and patient-friendly explanations.

Bachelor of Pharmacy or Pharm.D. required; active Pharmacist license in at least one state; prior authorization experience preferred;