Clinical - pharmacist (prior authorization)

Immediate need for a talented Clinical - Pharmacist (Prior Authorization). This is a 06+ months contract opportunity with long-term potential and is located in U.S (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 26-32993

Pay Range: $56/hr - $59/hour.

Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Review prior authorization requests based on defined criteria to determine medication approval or denial.
• Meet a production goal of 90% with an average of 40 cases completed per day.
• Maintain a quality goal of 95% for Q1 2026 and 99% for Q2-Q4 2026.
• Collaborate with healthcare providers to ensure compliance and transparency in the authorization process.
• Foster a culture of accountability, courage, curiosity, trust, and service within the team.

Key Requirements and Technology Experience:

• 1+ years of experience in retail, hospital, managed care, or PBM settings, with prior authorization review experience preferred.
• Bachelor’s or Doctorate of Pharmacy degree.
• Current state’s Pharmacist license with no restrictions.
• Preferred: Pharmacist Licenses in NC, CA, NJ, AZ, KS, TX, IN, GA.
• Familiarity with Outlook, Teams, SharePoint, and Excel is a plus.
• Strong clinical decision-making skills, flexibility, and the ability to learn quickly.

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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