Category Pharmacy - Pharmacist Job Type Contract A remote pharmacist role is available on a temporary-to-permanent basis, supporting Medicare Part B drug prior authorization and appeals reviews. This position offers the opportunity to apply your clinical expertise in utilization management within an evolving, fast-paced environment.

Location:

Remote (open to pharmacists licensed in any state)

Schedule:

Monday to Friday, 12:00 PM to 8:30 PM EST Mandatory weekend and holiday rotation No day off except in emergencies from January 1 to March 31, 2027

Responsibilities:

Review Part B drug and biologic prior authorization requests and appeals Apply clinical policies, utilization management criteria, and Medicare requirements to authorization decisions Support internal clinical and non-clinical teams regarding Part B drug policies and workflows Identify improvements for review quality, accuracy, and operational processes Adapt quickly to changing workflows, processes, and business priorities Maintain consistent quality and productivity while managing varying volumes and priorities

Qualifications:

PharmD degree with active pharmacist licensure in at least one state Minimum 2 years' experience in utilization management, managed care residency, or specialty pharmacy Strong clinical judgment with the ability to evaluate complex Part B drug requests independently Experience with Part B drug prior authorization and/or appeals review Prior utilization management and prior authorization experience preferred Medicare Part B, utilization management, and prior authorization expertise highly valued

Additional Information:

Equipment provided by the client Contract duration: October 1, 2026, to March 31, 2027 Contract is temp-to-hire with potential permanent employment afterward Qualified pharmacists with expertise in Medicare Part B utilization management are encouraged to apply for this role that blends clinical insight with operational excellence. Please submit your application today to be considered. Compensation for this position ranges from $52.00 to $72.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found . This posting is open for 60 days after the posting date. Equal Opportunity Employer Minorities/Women/Veterans/Disabled