Remote Utilization Management Pharmacist Lead

Judi Health, LLC

New York (NY)

On-site

USD 128,000 - 160,000

Full time

2 days ago
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Job summary

Judi Health, LLC in the United States is seeking a Pharmacist leader to oversee a group of clinical pharmacists, support clinical programs, and stay involved in hands-on work such as prior authorizations. This fully remote, high-performing team emphasizes mentorship, workflow optimization, and collaboration across functions.

The role requires a PharmD or equivalent, 2+ years in PBM settings, and proven experience in call centers and prior authorizations.

Qualifications

  • Bachelor's or Doctor of Pharmacy Degree with 2+ years of pharmacy practice experience.
  • Experience in customer service, call center and prior authorization required.
  • Excellent communication, writing, and organizational skills.
  • Ability to work independently with minimal supervision in a remote, high-volume, metric-driven call center environment.
  • Self-motivated and detail-oriented problem solver.
  • Ability to handle multiple competing priorities in a dynamic environment and collaborate in a team.

Responsibilities

  • Supervise a group of clinical pharmacists handling phone escalations, prior authorization reviews, and clinical program outreach.
  • Participate in goal setting and regularly review performance of direct reports with coaching.
  • Support ongoing training of staff and onboarding of new clinical pharmacists, including policies and procedures.
  • Collaborate with leadership to analyze data and provide staffing, workflow, and system enhancement recommendations.
  • Perform day-to-day clinical pharmacy functions including prior authorizations and education of members and providers.

Skills

Pharmacy practice
Customer service / call center / prior
Communication writing organizational
Remote work independence
MS Office
PBM experience

Education

Bachelor's or Doctor of Pharmacy Degree

Job description

Judi Health, LLC in the United States is seeking a Pharmacist leader to oversee a group of clinical pharmacists, support clinical programs, and stay involved in hands-on work such as prior authorizations. This fully remote, high-performing team emphasizes mentorship, workflow optimization, and collaboration across functions.

The role requires a PharmD or equivalent, 2+ years in PBM settings, and proven experience in call centers and prior authorizations.

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