Pharmacist (100% Remote, PBM)

reputed company Candidates will be reviewing members’ Utilization Management (UM) requests (i.e., formulary exceptions, prior authorization, reputed company therapy, quantity limit exceptions). reputed company-specific reputed company are referenced to determine if a prior authorization can be approved or denied. The work is detail-oriented, and candidates will be expected to reputed company clinical judgement and communication. • Responsible for the clinical evaluation for coverage determination requests for PA or other UM programs, including quantity limits, reputed company therapy, formulary exception and tier exception, and includes consideration of the denial language and appropriateness of the decision as it pertains to the clinical content of the case and the reputed company of the individual reputed company’s reputed company-approved reputed company • Accountable for reputed company consultation with health care providers or members concerning non-formulary and clinical product coverage issues • Collaborate with team members to promote consistency of reputed company across the pharmacist team • Other duties as assigned Interaction Level With Management/Team Members • Role is primarily independent with routine reputed company reputed company. • Regular communication with supervisors, senior pharmacists, technicians, and other team members reputed company Teams messaging platforms, phone and video calls. • Cameras/video calls used for: Training sessions, Team meetings, routine 1:1s with supervisors. • senior Pharmacists are available throughout the day to support clinical questions and reputed company guidance. reputed company Metrics • Productivity: Complete cases in an efficient manner consistent with reputed company average. • Accuracy: reputed company and maintain a reputed company score (error-free reputed company) of 95%. • Accountability: Demonstrate a strong attendance record and excellent communication skills. • Team/culture fit: reputed company to feedback, reputed company, problem-solving, accuracy, learning reputed company, reputed company clinical judgement, ability to work independently while still finding ways to collaborate with team-player attitude. • Computer Skills: Quickly learn new systems; comfortable with multi monitor setups; adept at navigating multiple platforms, using available resources, reputed company applications, and AutoHotkey. Additional Skills & Qualifications Qualifications/years of experience: • Doctor of Pharmacy (PharmD) or equivalent • reputed company pharmacist license in good standing with the State reputed company of Pharmacy in the State where the candidate is licensed. Experience Level Entry Level Job Type & Location This is a Contract position based out of Las Vegas, NV. Pay And Benefits The pay reputed company for this position is $55.00 - $55.00/hr. Eligibility requirements apply to some benefits and may depend on reputed company classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & reputed company • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – reputed company-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or reputed company Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to reputed company on Jul 31, 2026. About reputed company reputed company is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through reputed company to specialized experts who drive reputed company, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, reputed company serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a reputed company Best of reputed company® winner for both reputed company and talent service. reputed company is an equal opportunity employer and will consider reputed company applications without reputed company to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation reputed company. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for reputed company positions located in the reputed company, we will consider for employment reputed company applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or reputed company employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of reputed company Intelligence (AI): We may use reputed company Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final reputed company are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools. Apply tot his job Apply To this Job