Job Description
This role involves utilizing clinical skills to conduct utilization management reviews, including prior authorizations, coverage exceptions, and quantity limit exceptions. As a pharmacist, you will work independently within a team of pharmacy professionals to complete these reviews. Your performance will be assessed based on monthly quality and productivity goals. While new pharmacists are considered potential long-term employees, contracts are evaluated every six months for extension.
ResponsibilitiesConduct utilization management reviews independently among a team of pharmacy professionals.Meet monthly quality and productivity goals.Participate in specialized training opportunities for reviewing complex cases, such as oncology and hepatitis C.Cross-train for other departments, such as Medication Therapy Management (MTM) or Call Center Counseling (CCC), if available.Essential SkillsDoctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree.Current pharmacist license in good standing with the State Board of Pharmacy in the state where the position is located.Two years of experience in retail, managed care, or clinical pharmacy.Proficiency with learning new computer systems and basic IT troubleshooting.Ability to type 35+ words per minute.Additional Skills & QualificationsPrevious experience in Pharmacy Benefits Management (PBM) or Case/Care Management is highly preferred.Ability to prioritize tasks and manage multiple projects simultaneously.Drive to deliver results and self-motivation.Flexibility and resourcefulness in adapting to change.Work Environment
This is a fully remote position, available to candidates residing in any state except California, Hawaii, or Virginia. Candidates can be licensed in any U.S. state, but must not live in Virginia. The typical shift starts between 9-10am CST, with schedules subject to change based on business needs. Full-time schedules plus overtime during peak seasons are expected. Peak season is typically from November through May, with weekend shifts rotating every other weekend during this time. Training occurs Monday to Friday, 8-4:30pm CST for approximately 10-12 weeks, and is a mix of instructor-led sessions, videos, worksheets, and practice cases. Time off is minimal during training, with exceptions for emergencies.
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 20, 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.