Remote Position

[Hiring] Clinical Pharmacist (Prior Authorization) @Pyramid Consulting

🌍 Remote · United States 💼 Full-time

Role Description Immediate need for a talented Clinical - Pharmacist (Prior Authorization). This is a 06+ months contract opportunity with long-term potential and is located in U.S (Remote). Key Responsibilities:

  • Review prior authorization requests based on defined criteria to determine medication approval or denial.
  • Meet a production goal of 90% with an average of 40 cases completed per day.
  • Maintain a quality goal of 95% for Q1 2026 and 99% for Q2-Q4 2026.
  • Collaborate with healthcare providers to ensure compliance and transparency in the authorization process.
  • Foster a culture of accountability, courage, curiosity, trust, and service within the team.

Qualifications

  • 1+ years of experience in retail, hospital, managed care, or PBM settings, with prior authorization review experience preferred.
  • Bachelor’s or Doctorate of Pharmacy degree.
  • Current state’s Pharmacist license with no restrictions.
  • Preferred: Pharmacist Licenses in NC, CA, NJ, AZ, KS, TX, IN, GA.
  • Familiarity with Outlook, Teams, SharePoint, and Excel is a plus.
  • Strong clinical decision-making skills, flexibility, and the ability to learn quickly.

Requirements

  • Pay Range: $56/hr - $59/hour.
  • Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Company Description

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions.

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