Remote PBM Prior-Auth Pharmacist - Contract-to-Hire

Medix™; United States; On-site; USD 112,500 - 137,500; Full time

Benefits offered by this job

Flexible work environment

Competitive salary

Contract-to-hire opportunity

Job summary

A healthcare staffing agency is seeking a PBM/Prior Authorization Review Pharmacist for a remote position. The role entails reviewing prior authorization requests, ensuring compliance with regulations, and supporting clinical programs. Ideal candidates will have a pharmacy degree and experience in managed care. This contract-to-hire role provides a chance for long-term placement based on performance.

Qualifications

• Minimum of 2 years of pharmacy practice experience.
• Experience in managed care or pharmacy benefit management (PBM).
• Availability to work after hours, weekends, and holidays on a rotating schedule.

Responsibilities

• Review and make timely, evidence-based decisions on prior authorizations.
• Ensure compliance with regulations across various health plans.
• Document clinical decisions in accordance with regulatory standards.

Skills

Communication skills

Organizational skills

Ability to manage multiple priorities

Education

Bachelor’s or Doctor of Pharmacy degree

Job description

A healthcare staffing agency is seeking a PBM/Prior Authorization Review Pharmacist for a remote position. The role entails reviewing prior authorization requests, ensuring compliance with regulations, and supporting clinical programs. Ideal candidates will have a pharmacy degree and experience in managed care. This contract-to-hire role provides a chance for long-term placement based on performance.