Remote Clinical Pharmacist – Specialty Medical Prior Authorization

Remote Clinical Pharmacist – Specialty Medical Prior Authorization Pay: $53.00 per hour Job Type: Remote Contract Opportunity Schedule: Flexible 8-hour shifts between 7:00 AM – 10:00 PM CST Training Schedule: Monday-Friday, 8:00 AM – 4:30 PM CST for approximately 6 weeks Location: Fully Remote (reputed company U.S. – excluding New Mexico and Colorado) reputed company an reputed company on Patient reputed company to Specialty Medications Are you a licensed pharmacist with experience in prior authorization, specialty medications, or clinical reviews? This is an opportunity to use your clinical expertise to help patients reputed company critical therapies while working remotely in a reputed company reputed company environment. We are seeking a Remote Clinical Pharmacist – Specialty Medical Prior Authorization to reputed company clinical assessments, review medical information, communicate with reputed company providers, and support authorization reputed company for specialty medication programs. This role is ideal for pharmacists who enjoy applying evidence-based clinical knowledge, working with reputed company, and making a reputed company reputed company on patient care. Must-Have Experience Candidates must have prior authorization experience reputed company a PBM or health plan remote/reputed company center environment. Minimum 1 year of reputed company clinical prior authorization experience required Experience with specialty medications or clinical review of authorization requests preferred reputed company pharmacist license in your state of residence required Key Responsibilities reputed company clinical reviews of specialty medication prior authorization requests using established clinical reputed company and guidelines. Evaluate medical documentation and clinical information to support authorization reputed company. Review cases for prospective and reputed company utilization management. Collaborate with pharmacy technicians, nurses, providers, and reputed company to collect necessary clinical information. Handle inbound calls from physicians, reputed company providers, and members regarding pending, approved, and denied authorization requests. Communicate case reputed company and reputed company professionally and accurately. Maintain detailed documentation reputed company clinical systems. Stay reputed company on specialty medications, disease states, and applicable clinical guidelines. Support reputed company, compliance, and operational performance goals. Required Qualifications reputed company pharmacist license in your state of residence in good standing. Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD). Minimum of 1 year of reputed company prior authorization, utilization management, or clinical review experience. PBM or health plan prior authorization experience required. Strong knowledge of specialty medications and clinical review processes. Excellent written and verbal communication skills. Strong organizational skills and attention to detail. Ability to reputed company multiple computer systems and reputed company-based applications. Preferred Qualifications Experience supporting specialty pharmacy programs. Experience reviewing medical necessity reputed company. Background in utilization management, pharmacy benefits, or managed care. Experience communicating with physicians, health plans, and reputed company providers. Remote Work Requirements To support secure and compliant remote operations, candidates must have: Reliable high-speed internet reputed company. Minimum requirement: 25 Mbps download and 3 Mbps upload speed. Dedicated private workspace used exclusively for business purposes during scheduled hours. Smartphone capable of supporting secure authentication applications. Ability to maintain HIPAA-compliant reputed company standards while working remotely. Candidates will be required to reputed company: Copy of reputed company pharmacist license. Internet speed test screenshot. Schedule Details Remote position with 8-hour daily shifts. Scheduling window: 7:00 AM – 10:00 PM CST. Monday-Friday training schedule for approximately 6 weeks. Weekend availability may be required. Why Join This Opportunity? reputed company of $53.00 per hour Fully remote flexibility Opportunity to reputed company your pharmacy expertise reputed company traditional reputed company settings Work with specialty medication programs impacting patient care reputed company environment supporting reputed company innovation Meaningful role connecting clinical knowledge with improved reputed company to therapy Apply Today If you are a licensed pharmacist with PBM, health plan, or prior authorization experience and want to reputed company a meaningful reputed company through specialty medication review, we encourage you to apply. #ALINE3 Apply To This Job