Job Description
Your main role will be utilizing your clinical skills to complete utilization management reviews, including prior authorizations, coverage exceptions, and quantity limit exceptions. You will perform these reviews independently within a team of your peers and other pharmacy professionals. Quality and performance are measured by monthly quality and productivity goals. All new pharmacists are considered as potential long-term employees, with a hope to transition to permanent roles in the future. However, contract evaluations occur every six months for potential extensions.
ResponsibilitiesConduct utilization management reviews independently.Participate in a team of pharmacy professionals to ensure high-quality service.Meet monthly quality and productivity goals.Assist in cross-department training opportunities, such as Medication Therapy Management or Call Center Counseling, if available.Essential SkillsDoctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree.Two years of work experience in retail, managed care, or clinical pharmacy.Current pharmacist license in good standing with the State Board of Pharmacy.Ability to prioritize tasks and manage multiple projects simultaneously.Drive to deliver results and a motivated self-starter.Ability to make clinical decisions independently.Proficient with learning new computer systems, basic IT troubleshooting, and using multiple monitors.Proficient in Word and Excel.Ability to type 35+ words per minute.Additional Skills & QualificationsPrevious Pharmacy Benefits Management or Case/Care Management experience preferred.Retail experience, such as CVS or Walgreens, is highly preferred over hospital experience.Work Environment
This is a fully remote work-from-home position, open to candidates located in any state except California, Hawaii, or Virginia. Candidates can be licensed in any U.S. state but cannot reside in California, Hawaii, or Virginia. Shifts typically start between 9-10 am CST and are determined by team bid based on seniority. Candidates should expect full-time schedules with potential overtime during peak seasons, typically November through May. The team rotates weekend shifts, with holidays determined by a team bid. Training is mandatory and lasts approximately 10-12 weeks, with hours from 8 am to 4:30 pm CST, Monday through Friday. Time off during training is limited, and any required time off must be discussed during the interview for consideration.
Pay and BenefitsThe 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 Jul 30, 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 actalentaccommodation@actalentservices.com for other accommodation options.