Remote UM Pharmacist | Clinical Decision Expert

Not applicable; United States; Remote; USD 55,000 - 83,000; Full time

Job summary

Not provided in the posting. Utilization management pharmacists operate remotely in the United States, earning $40–$60 per hour on a W2 basis. Benefits begin after 30 days of employment, with biweekly payroll and a 9:00–17:30 EST training window.

The role centers on clinical review, denials, and support for UM activities. The candidate must be a licensed pharmacist with a PharmD preferred and a Bachelor’s in Pharmacy.

Qualifications

• Licensed Pharmacist with current license required.
• Bachelor's Degree in Pharmacy required; PharmD preferred.
• Proficient with Microsoft Office applications.
• Utilization Management experience preferred but not required.
• Experience with Specialty Pharmacy/pharmaceuticals preferred.
• 2+ years lead/supervisor or retail pharmacy experience preferred.

Responsibilities

• Review plans policy to determine coverage for medications.
• Provide clinical support and oversight for UM activities.
• Finalize denials of clinical prior authorization requests.

Skills

Clinical knowledge

Decision making

Critical thinking

Team collaboration

Clinical reviews

Pharmacy knowledge

Education

Licensed Pharmacist

Bachelor's Degree in Pharmacy

PharmD preferred

Tools

Microsoft Office

Job description

Not provided in the posting. Utilization management pharmacists operate remotely in the United States, earning $40–$60 per hour on a W2 basis. Benefits begin after 30 days of employment, with biweekly payroll and a 9:00–17:30 EST training window.

The role centers on clinical review, denials, and support for UM activities. The candidate must be a licensed pharmacist with a PharmD preferred and a Bachelor’s in Pharmacy.