Clinical Review Pharmacist - Remote

💊 Clinical Review Pharmacist – 100% Remote

$55/hr | Full-Time | Contract-to-Hire | Make a Real Impact from Anywhere

🚀 Why This Role Rocks

Join a team of pharmacy professionals making real-time decisions that directly impact patient care. In this fully remote role, you’ll use your clinical expertise to review and approve (or deny) requests like prior authorizations, formulary exceptions, and quantity limit overrides—all while collaborating with a knowledgeable and supportive team. If you're detail-driven, passionate about clinical outcomes, and enjoy autonomy with purpose, this is your kind of opportunity.

Contracts are reviewed every six months, and pharmacists here are routinely considered for long-term roles after 18–24 months.

What You'll Do

• Conduct independent reviews of utilization management requests
• Assess coverage requests with client-specific clinical criteria
• Meet monthly targets for quality and productivity
• Collaborate with pharmacy peers and clinicians
• Engage in provider and member communication if trained for call center counseling

Training & Schedule Highlights

• Training: ~16 weeks | Monday–Friday | 8:00 AM – 4:30 PM CST
  • Includes live instruction, interactive materials, and hands-on practice audits
  • Heads-up: No time off during training (barring rare exceptions)
• Schedule After Training:
  • 8-hour shifts starting at 9:00 or 10:00 AM CST
  • Assigned via team bidding based on seniority
  • Expect overtime during peak season (Nov–May)
  • Rotating weekends and holidays—bid-based scheduling ensures fairness

Logistics & Perks

• Up to 120 hours of unpaid time off annually, depending on seniority
• 6+ month initial contract with strong potential to convert to long-term
• Projected start dates: September–October
• 100% Remote – Work from anywhere (except CA, HI, or VA)
• Must hold an active pharmacist license in good standing in any other U.S. state

Ideal Candidate Profile

• PharmD or Bachelor’s in Pharmacy
• At least 2 years of experience in retail, managed care, or clinical pharmacy
• Solid decision-making skills with a knack for details and communication
• Looking for meaningful, long-term impact while working remotely