Job Description
In this role, you will utilize your clinical skills to conduct utilization management reviews, including prior authorizations, coverage exceptions, and quantity limit exceptions. You will work independently within a team of pharmacy professionals to achieve monthly quality and productivity goals. The position is considered for potential long-term employment, with contracts evaluated every six months for extension.
ResponsibilitiesConduct utilization management reviews, including prior authorizations, coverage exceptions, and quantity limit exceptions.Work independently among a team of pharmacy professionals.Meet monthly quality and productivity goals.Essential SkillsTwo years of experience in retail, managed care, or clinical pharmacy.Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree.Current pharmacist license in good standing with the State Board of Pharmacy where the position is located.Ability to prioritize tasks and manage multiple projects simultaneously.Drive to deliver results orientation.Motivated self-starter who does not need constant direction or feedback.Ability to make clinical decisions independently.Flexibility to change and resourcefulness.Additional Skills & QualificationsPrevious Pharmacy Benefits Management (PBM) or Case/Care Management experience preferred.Retail experience highly preferred over hospital experience.Proficient with learning new computer systems and basic IT troubleshooting.Proficiency in Word and Excel.Ability to type 35+ WPM.Work Environment
This is a fully remote work-from-home position, available in any state except California, Hawaii, or Virginia. Core business hours are Monday through Friday, with newer employees typically starting between 9-9:30 AM CST. Candidates should plan for a full-time schedule plus overtime during peak seasons, typically December through April. Training is conducted Monday through Friday, 8:00 AM to 4:30 PM CST, over 10-12 weeks, and consists of instructor-led sessions, videos, worksheets, and practice cases.
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 22, 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.