Remote Pharmacist - PA/Appeals & Authorizations (Contract)

Green Key Resources; United States; On-site; USD 68,191 - 97,120; Full time

Job summary

Green Key Resources is seeking a licensed pharmacist for a contract role through April 2027. The role requires 3+ years of pharmacy experience, Doctor of Pharmacy, and PBM/Prior Authorization expertise.

You will review authorizations and appeals, discuss clinical rationale with prescribers, and ensure safe pharmaceutical use. Shifts include at least one weekend, with training first, then options for four 10-hour days or five 8-hour days.

Qualifications

• Licensed pharmacist with 3+ years of experience.
• Doctor of Pharmacy Degree required.
• Experience with Prior Authorizations.
• Willingness to obtain licensure in new states as needed.

Responsibilities

• Review and render decisions on authorizations and appeals for pharmacy drug requests.
• Conduct peer-to-peer calls with prescribers to discuss the clinical rationale of adverse determinations.
• Participate in clinical quality audits and inter-rater reliability testing.
• Provide internal team support for escalations and questions.
• Apply clinical expertise to ensure appropriate and safe use of pharmaceuticals by members and providers.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Skills

Prior Authorization experience

Licensed pharmacist

Clinical decision making

Education

Doctor of Pharmacy Degree

Job description

Green Key Resources is seeking a licensed pharmacist for a contract role through April 2027. The role requires 3+ years of pharmacy experience, Doctor of Pharmacy, and PBM/Prior Authorization expertise.

You will review authorizations and appeals, discuss clinical rationale with prescribers, and ensure safe pharmaceutical use. Shifts include at least one weekend, with training first, then options for four 10-hour days or five 8-hour days.