Job Description
Job Description
Doctor of Pharmacy (PharmD) degree, active Pharmacist license, and minimum 1+ years Pharmacist experience required. Applicants who do not meet these qualifications will not be considered.
Hey Pharmacists! Were looking for you to join a remote Utilization Management role, reviewing Medicare Part B drug and equipment prior authorizations and appeals. Youll help members navigate their benefits and collaborate with care teams to enhance patient outes.
What youll be doing :
- Reviewing and approving prior authorizations
- Handling appeals on denied requests
- Supporting members and providers to get the best care
- Assisting internal teams with policy guidance
Whos a great fit?
Youve got 2+ years in utilization management or finished a managed care residencyMedicare Part B and prior authorization knowledge? Perfect!You know how payers, providers, and manufacturers impact patientsExperience with quality assurance or medication reconciliation is a bonusYou love working in a team and respect cultural diversityYou live in the CST time zone and have an active pharmacist license therePerks :
$55-$60 / hr100% remote (we provide the equipment!)Flexible schedule with rotating weekend on-callReady to make a difference? Send your resume to Soo.Lee@soliant. .