Remote Per Diem Pharmacist — Prior Authorization Specialist

Empirx-Health-4; United States; On-site; USD 69,000 - 96,000; Part time

Benefits offered by this job

Paid Time Off

401(k) program

Health Insurance (Dental & Vision)

Health Savings Account

Employee Assistance Program

Job summary

EmpiRx Health in the United States is seeking a Per Diem Pharmacist to support clinical prior authorization determinations and provide evidence-based pharmacy care. The role emphasizes collaboration with providers and adherence to population health goals while offering remote, part-time hours.

The position aligns with EmpiRx Health’s mission to optimize patient outcomes and manage costs. The Per Diem Pharmacist will review clinical data, engage with prescribers, and ensure timely, compliant

Qualifications

• Pharm.D degree from an accredited college of pharmacy (Required).
• Minimum of 3 years of pharmacy experience in clinical, PBM, or managed care settings.
• Prior experience with prior authorization, utilization management, or health plan operations preferred.

Responsibilities

• Act as a clinical expert on prior authorization review and evaluation in accordance with clinical criteria and covered plan design.
• Review, evaluate, and resolve all assigned clinical reviews through comprehensive case review and direct physician engagement.
• Perform peer-to-peer reviews with providers as needed or when requested.
• Convey clinical determinations promptly within established turnaround time requirements to prescribers, members, and healthcare professionals following protocols.
• Monitor and proactively identify clinical interventions to ensure clinical savings guarantees are met.
• Review and evaluate current clinical literature to support recommendations and decision-making.

Skills

Clinical review

Prior authorization

Communication skills

Analytical thinking

Education

Pharm.D degree

Tools

Pharmacy management software

Microsoft Office

Job description

EmpiRx Health in the United States is seeking a Per Diem Pharmacist to support clinical prior authorization determinations and provide evidence-based pharmacy care. The role emphasizes collaboration with providers and adherence to population health goals while offering remote, part-time hours.

The position aligns with EmpiRx Health’s mission to optimize patient outcomes and manage costs. The Per Diem Pharmacist will review clinical data, engage with prescribers, and ensure timely, compliant