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.