Remote Prior Authorization Pharmacist (TN Licensed)

Clinical Consulting Solutions; Town of River Falls (WI); Remote; USD 120,000 - 150,000; Full time

Job summary

Clinical Consulting Solutions River Falls, Wisconsin is seeking a Prior Authorization Pharmacist (TN Licensed) for a REMOTE role across the United States. The successful candidate will process and document UM requests, including prior authorizations, step therapy, and formulary exceptions, applying sound clinical judgment.

The role supports Medicare, Medicaid, and Commercial lines of business. You will consult with health care providers on non-formulary coverage issues and collaborate with the

Qualifications

• Active Tennessee pharmacist license in good standing.
• PharmD or BS in Pharmacy degree.
• Strong clinical decision-making ability.
• Ability to prioritize tasks and manage multiple projects.
• Self-starter who works independently in dynamic settings.
• Familiarity with pharmacy computer systems and multi-monitor setups.

Responsibilities

• Evaluate UM requests for prior authorizations and formulary exceptions.
• Provide clinical consultation with health care providers.
• Maintain consistency of clinical decisions across the pharmacist team.
• Perform additional duties as assigned.

Skills

Clinical decision making

Prior authorization processing

Communication with providers

Task prioritization

Independent work

Adaptability

Computer systems proficiency

Education

PharmD or BS in Pharmacy

Tools

Pharmacy software

Multiple monitors

Job description

Clinical Consulting Solutions River Falls, Wisconsin is seeking a Prior Authorization Pharmacist (TN Licensed) for a REMOTE role across the United States. The successful candidate will process and document UM requests, including prior authorizations, step therapy, and formulary exceptions, applying sound clinical judgment.

The role supports Medicare, Medicaid, and Commercial lines of business. You will consult with health care providers on non-formulary coverage issues and collaborate with the