Job Description
You will utilize your clinical skills to complete utilization management reviews, including prior authorizations, coverage exceptions, and quantity limit exceptions. You will work independently as part of a team of pharmacy professionals. Quality and performance are measured by monthly goals.
ResponsibilitiesPerform utilization management reviews independently.Meet monthly quality and productivity goals.Potential to train and review specialized cases such as oncology and hepatitis C.Opportunity for cross-training in other departments like Medication Therapy Management or Call Center Counseling.Essential SkillsDoctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree.Current pharmacist license in good standing with the State Board of Pharmacy.Two years of experience in retail, managed care, or clinical pharmacy.Ability to prioritize tasks and manage multiple projects.Motivated self-starter with a results-oriented drive.Ability to make clinical decisions independently.Proficiency in Word and Excel.Ability to type 35+ words per minute.Additional Skills & QualificationsPrevious experience in Pharmacy Benefits Management or Case/Care Management.Retail pharmacy experience preferred over hospital experience.Work Environment
This is a fully remote role and candidates can be located in any state except California, Hawaii, or Virginia. Core business hours are from 5:00 AM to 10:00 PM CST, Monday to Friday. Newer contractors typically start between 9-10 AM CST. Shifts are determined by team bid based on seniority, and schedules may change based on business needs. Candidates should prepare for full-time schedules with potential overtime during peak seasons, which usually occur from November to May. Weekend and holiday shifts are rotated among team members. Training lasts approximately 10-12 weeks with no time off allowed during this period. Training is conducted Monday to Friday, 8:00 AM to 4:30 PM CST, through a mix of instructor-led sessions, videos, worksheets, and practice cases.
Pay and Benefits
The 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 Jun 5, 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.