Remote Staff Pharmacist: Utilization & Clinical Reviews

The Cigna Group; St. Louis (MO); Remote; USD 73,000 - 83,000; Part time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401K

Job summary

Magnit is seeking a Staff Pharmacist for a temporary contractor role focused on utilization management. The position involves reviewing plan policies to determine coverage and providing clinical support for all UM activities.

Responsibilities include clinical reviews, denials of prior authorization requests, and collaboration with a multidisciplinary team to deliver patient-centered service. Remote role across the United States.

Qualifications

• Active Pharmacist Licensure required.
• Bachelor's in Pharmacy required; PharmD preferred.
• 2+ years lead/supervisor or retail pharmacy experience preferred.
• Proficient with Microsoft Office applications.
• Utilization Management experience preferred.

Responsibilities

• Supports the Coverage Review Department as a clinical resource for drug therapy questions.
• Applies critical thinking to achieve proper clinical decisions during reviews.
• Uses multiple systems to inform UM decisions.
• Manages a queue that prioritizes clinical reviews.
• Makes timely clinical decisions, sometimes with limited information.
• Collaborates with a multi-disciplinary team to ensure a customer-centric experience.

Skills

MS Office proficiency

Clinical knowledge

Review and decision-making

Lead/supervisor or retail pharmacy exp

Utilization Management exp

Education

Active Pharmacist Licensure

Bachelor's in Pharmacy

PharmD preferred

Job description

Magnit is seeking a Staff Pharmacist for a temporary contractor role focused on utilization management. The position involves reviewing plan policies to determine coverage and providing clinical support for all UM activities.

Responsibilities include clinical reviews, denials of prior authorization requests, and collaboration with a multidisciplinary team to deliver patient-centered service. Remote role across the United States.