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Remote Pharmacist

Excellent Growth Opportunity | Offers Benefits | Day Shift Hours

Description

Your main role will be utilizing your clinical skills to complete utilization management reviews (Prior authorizations, Coverage Exceptions, Quantity Limit exceptions, and more). You will complete these reviews independently amongst a team of your peers and other pharmacy professionals.

Responsibilities:

+ Act as liaison for specific clinical pharmacy programs in tandem with key internal business partners. Programs may include clinical portions of internal and external client planning documents and/or clinical initiatives.

+ Support and resolve pharmacy related member-specific issues to include contacting members and/or providers as needed to support resolution.

+ Utilize prescription and medical claim data to conduct comprehensive medication reviews and generate clinical recommendations.

+ Follow through with the provider and/or member on recommendations to assure achievement of the desired outcome.

+ Work with pharmacies, prescribers, and members to get scripts re-written to match use patterns.

+ Contact members regarding soon-to-fill prescriptions based on member history.

+ Contact pharmacies on reject patterns as identified through data analysis.

+ Provide clinical recommendations pertaining to, but not limited to, gaps in care, medication adherence, drug interactions, therapeutic substitution, and generic substitution.

+ Identify and implement care management, cost management and process improvement opportunities.

+ Use pharmacy and medical claims data to identify high risk members and intervene with members and providers as needed to resolve drug therapy issues.

Skills

Pharmacist, Retail, Clinical, Pharmacy Benefits Management, Pharmacy, Prior authorization, PharmD, Compounding

Additional Skills & Qualifications

+ Doctor of Pharmacy (PharmD) or equivalent

+ Current pharmacist license in good standing with the State Board of Pharmacy in the State where the candidate is licensed.

Pay and Benefits

The pay range for this position is $55.00 - $55.00/hr.

Eligibility requirements apply to some benefits and may depend on your job 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 & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-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 Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jun 3, 2025.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, 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 due to a disability, please email [email protected] (%[email protected]) for other accommodation options.