Remote Prior-Auth Pharmacist (Entry) — Medicare

Actalent; Eagan (MN); Remote; USD 65,000 - 87,000; Full time

Benefits offered by this job

Medical benefits

401(k) Retirement Plan

Life Insurance

Paid time off

Job summary

Actalent is seeking an entry-level Prior Authorization Pharmacist for a 100% remote, contract-to-hire position based in the United States. The role focuses on reviewing Medicare-related utilization management requests, including formulary exceptions and PA determinations.

Responsibilities include clinical evaluations, provider/member consultations, and teamwork to ensure consistent decisions. Requires PharmD or BS in Pharmacy, and active state licensure.

Qualifications

• PharmD or B.S. in Pharmacy required.
• Current pharmacist license in good standing.
• Ability to prioritize tasks and manage multiple projects.
• Ability to make independent clinical decisions.

Responsibilities

• Conduct clinical evaluations for coverage determinations (PA/UM programs).
• Consult with providers/members about non-formulary and coverage issues.
• Collaborate to ensure consistent decision-making within the pharmacist team.
• Participate in routine touchpoints with management and team.
• Maintain a quality score of 95% or higher.
• Demonstrate strong attendance and communication skills.

Skills

Pharmacist license in good standing

Independent clinical decisions

Prior authorization knowledge

Multitasking

Education

Doctor of Pharmacy (PharmD) or B.S. in Pharmacy

Tools

Word

Excel

Job description

Actalent is seeking an entry-level Prior Authorization Pharmacist for a 100% remote, contract-to-hire position based in the United States. The role focuses on reviewing Medicare-related utilization management requests, including formulary exceptions and PA determinations.

Responsibilities include clinical evaluations, provider/member consultations, and teamwork to ensure consistent decisions. Requires PharmD or BS in Pharmacy, and active state licensure.