Remote Per Diem Pharmacist: Prior Authorization

JobRx, Inc.; United States; On-site; USD 83,000 - 124,000; Full time

Benefits offered by this job

Paid Time Off

a 401(k) program

Health Insurance including Dental &amp

Job summary

EmpiRx Health is seeking a Per Diem Pharmacist specializing in prior authorization to review and determine clinical decisions. You will engage with providers and prescribers to ensure clinically appropriate outcomes and cost-effective care.

The role emphasizes collaboration with population health teams, documentation accuracy, and adherence to program policies in a remote setting. A Pharm.D. and active pharmacy license are required.

Qualifications

• Pharm.D. degree from an accredited college of pharmacy (Required).
• Active Pharmacist License in good standing (Required).

Responsibilities

• Act as a clinical expert on prior authorization reviews ensuring alignment with clinical criteria and plan design.
• Review, evaluate, and resolve all assigned clinical reviews with direct physician engagement.
• Perform peer-to-peer reviews with providers when requested or needed.
• Convey clinical determinations promptly to prescribers, members, and healthcare professionals per protocols.
• Monitor and identify interventions to ensure clinical savings guarantees are met.
• Stay informed on formulary updates, clinical programs, and internal policies.

Skills

Clinical judgment

Analytical thinking

Written communication

Verbal communication

Detail orientation

Organizational skills

Education

Doctor of Pharmacy (Pharm.D.)

Tools

Microsoft Office

Pharmacy systems

Job description

EmpiRx Health is seeking a Per Diem Pharmacist specializing in prior authorization to review and determine clinical decisions. You will engage with providers and prescribers to ensure clinically appropriate outcomes and cost-effective care.

The role emphasizes collaboration with population health teams, documentation accuracy, and adherence to program policies in a remote setting. A Pharm.D. and active pharmacy license are required.