Prior Authorization Pharmacist (CST) - Remote

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.

Job Title : Remote Pharmacist Temp / Temp-to-Hire

Location : Fully Remote (Must be located in CST)

Start Date : December 1 (Training Begins)

Schedule :

MondayFriday : 10 : 00 AM7 : 00 PM EST / 11 : 00 AM8 : 00 PM EST

Rotating Weekend On-Call

Duration : Temporary (with potential to convert to permanent)

Licensure : Active pharmacist license in at least one U.S. state required

Overview :

We are seeking an experienced Remote Pharmacist to join a clinical team focused on improving healthcare access and outes through effective utilization management. This is a temporary opportunity with the potential for permanent placement , and it offers the chance to make a direct impact in patient care decisions and benefit utilization.

Key Responsibilities :

Review and evaluate prior authorization requests for medications and equipment under the Medicare Part B benefit

Review appeals for previously denied requests

Assist members and providers in understanding their drug coverage and how to navigate the benefits system

Provide guidance to internal teamsboth clinical and non-clinicalon benefit policies and procedures

Ideal Candidate Profile :

2+ years of Utilization Management experience or pletion of a Managed Care Residency

In-depth knowledge of Medicare Part B drug policies and prior authorization processes

Clear understanding of the healthcare ecosystem, including payers, providers, and pharmaceutical manufacturers

Strong munication skills, especially with culturally diverse populations

Experience with pharmacy-related Quality Assurance (QA) or transitions of care is a strong plus

Previous work in multidisciplinary care teams preferred

fortable working independently in a remote environment and meeting deadlines

Must be based in CST and available for the schedule noted

Additional Details :

Start Date : December 1 (with prehensive training provided)

Contract : Pending finalization with the client

Credit Check : Pending

Ready to Apply?

Submit your resume to be considered for this unique opportunity to join a mission-driven team mitted to better outes in pharmacy and healthcare delivery.

Contact : Alexis Sommers

alexis.sommers@soliant.