Make an impact in healthcare from the comfort of your home. We're seeking a detail-oriented Clinical Pharmacist who is passionate about improving patient outcomes, ensuring appropriate medication utilization, and supporting quality pharmacy care through prior authorization reviews and clinical decision-making.
Location: Remote (North Carolina Resident Required) Pay Rate: $70/hour Employment Type: Contingent Schedule: Day Shift, Monday-Friday Why This Role Matters As a Clinical Pharmacist, you will play a critical role in ensuring members receive safe, effective, and clinically appropriate medication therapy. Your expertise will help support coverage decisions, maintain compliance standards, and contribute to high-quality pharmacy benefit management. What You'll Do Review prior authorization requests and make coverage determinations based on member benefits and established clinical criteria Analyze utilization review data and summarize daily review statistics Track review case compliance and support regulatory requirements Provide clinical guidance and support to pharmacy technicians Evaluate guideline criteria for prior authorization and non-formulary medication requests Support Pharmacy and Therapeutics Committee initiatives and pharmacy benefit design efforts Ensure quality control standards are maintained and identify performance improvement opportunities Research drug information and disease states to support accurate clinical decision-making Utilize knowledge of drug coding systems (NDC, GCN, GPI, and USC) and NCPDP claims adjudication processes What We're Looking For A current, up-to-date resume Bachelor's Degree in Pharmacy or advanced pharmacy degree required PharmD preferred Current Pharmacist license in the state of North Carolina Minimum of 3 years of pharmacist experience in a related setting Experience working in a remote/work-from-home environment Strong computer proficiency and ability to navigate multiple systems efficiently Ability to manage a high-volume workload and prioritize effectively Experience in retail pharmacy, health plan, HMO, DSNP, or managed care environments preferred Medicare and Medicaid experience preferred Medication Therapy Management (MTM) and Comprehensive Medication Review (CMR) experience preferred Knowledge of pharmacy benefit management and utilization review processes Ability to meet compliance requirements Must be eligible and provide proof of eligibility to work in the US What's In It For You Competitive pay Fully remote work opportunity Consistent Monday-Friday daytime schedule Opportunity to work with a leading healthcare organization Gain experience in prior authorization, utilization management, and managed care pharmacy Collaborative team environment with opportunities to expand clinical expertise Benefits for Manpower Associates (Upon Eligibility) Upon completion of waiting period associates are eligible for: Medical and Prescription Drug Plans Dental Plan Supplemental Life Insurance Short Term Disability Insurance 401(k) #J-18808-LjbffrCompany Description For Over 60 years, New Canaan Veterinary Hospital has been a family-owned facility serving New Canaan, Wilton, Norwalk... ...pets for examinations, treatments, and procedures, assisting with diagnostic imaging, and accurately administering medications...
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