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 work independently among a team of your peers and other pharmacy professionals. Quality and performance are measured by monthly quality and productivity goals. These roles are within the Commercial group. All new pharmacists are considered potential long-term employees with the hope of transitioning to permanent positions in the future, although timelines for conversion cannot be guaranteed.
ResponsibilitiesComplete utilization management reviews such as prior authorizations and coverage exceptions.Maintain quality and performance metrics based on monthly goals.Work independently within a team of pharmacy professionals.Participate in potential cross-training opportunities for specialized cases and other departments.Essential SkillsTwo years of work 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.Ability to prioritize tasks and manage multiple projects simultaneously.Drive to deliver results with a motivated, self-starting attitude.Ability to make clinical decisions independently.Additional Skills & QualificationsPrevious experience in Pharmacy Benefits Management or Case/Care Management.Proficient with learning new computer systems and basic IT troubleshooting.Word and Excel proficiency.Ability to type 35+ WPM.Flexibility and resourcefulness to adapt to change.Work Environment
These positions are fully remote, with the possibility to work from any state except California, Hawaii, or Virginia. Core business hours are 5:00 AM to 10:00 PM CST, Monday through Friday. After training, newer contractors typically start between 9-10 AM CST. Shifts are determined by a team bid based on seniority, and schedules are subject to change. Candidates should expect a full-time schedule with potential overtime during peak seasons, typically from November through May. Weekend shifts rotate every other weekend during peak season and every sixth weekend otherwise. The team also shares holiday shifts, with holidays in 2025 determined by a team bid. Training occurs during the first 10-12 weeks, with no time off allowed during this period. Training includes a mix of instructor-led sessions, videos, worksheets, and practice cases. Time off after training must be discussed during interviews for supervisor 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 18, 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.