Job Title: Remote Pharmacist I

Job Description

You will utilize your clinical skills to complete utilization management reviews, including prior authorizations, coverage exceptions, and quantity limit exceptions. You will work independently as part of a team of pharmacy professionals. Quality and performance are measured by monthly goals.

Responsibilities

• Perform utilization management reviews independently.
• Meet monthly quality and productivity goals.
• Potential to train and review specialized cases such as oncology and hepatitis C.
• Opportunity for cross-training in other departments like Medication Therapy Management or Call Center Counseling.

Essential Skills

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree.
• Current pharmacist license in good standing with the State Board of Pharmacy.
• Two years of experience in retail, managed care, or clinical pharmacy.
• Ability to prioritize tasks and manage multiple projects.
• Motivated self-starter with a results-oriented drive.
• Ability to make clinical decisions independently.
• Proficiency in Word and Excel.
• Ability to type 35+ words per minute.

Additional Skills & Qualifications

• Previous experience in Pharmacy Benefits Management or Case/Care Management.
• Retail pharmacy experience preferred over hospital experience.

Work Environment

This is a fully remote role and candidates can be located in any state except California, Hawaii, or Virginia. Core business hours are from 5:00 AM to 10:00 PM CST, Monday to Friday. Newer contractors typically start between 9-10 AM CST. Shifts are determined by team bid based on seniority, and schedules may change based on business needs. Candidates should prepare for full-time schedules with potential overtime during peak seasons, which usually occur from November to May. Weekend and holiday shifts are rotated among team members. Training lasts approximately 10-12 weeks with no time off allowed during this period. Training is conducted Monday to Friday, 8:00 AM to 4:30 PM CST, through a mix of instructor-led sessions, videos, worksheets, and practice cases.R