Staff Pharmacist

Training will be 9am-5:30pm EST. Their shift will be 9:30-6pm in their time zone starting 1/4/27. 100% remote. Duties: - Utilization management pharmacists are responsible for reviewing each plans policy to determine if coverage can be granted for a medication. - Provide clinical support and oversight for all utilization management (UM) activities. - Responsible for finalizing all denials of clinical prior authorization requests. Skills: - Supports the Coverage Review Department (CRD) as a clinical resource for drug therapy questions - Applies critical thinking to achieve proper clinical decisions when performing clinical reviews - Utilizes multiple systems and other clinical resources to achieve proper decisions in Utilization Management reviews - Works and maneuvers within a queue system that prioritizes clinical reviews - Makes clinical decisions quickly and at times decides and acts with limited information - Works and collaborates with a multi-disciplinary clinical team to provide a customer centric experience 3 Non-Negotiable Skills: - Utilization Management Experience Preferred - Strong clinical knowledge - Able to make decision