Remote Clinical Pharmacist - Utilization Management
Job Description
We are seeking a dedicated Clinical Pharmacist to join our team in a fully remote capacity. You will be responsible for reviewing utilization management requests and making informed decisions based on client-specific criteria. This role requires precision, clinical judgment, and effective communication with healthcare providers and team members.
Responsibilities
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Review and evaluate commercial members' utilization management requests, including formulary exceptions, prior authorization, step therapy, and quantity limit exceptions.
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Utilize client-specific criteria to determine approval or denial of prior authorizations.
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Conduct clinical evaluations for coverage determination requests, considering denial language and decision appropriateness.
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Consult directly with healthcare providers or members on non-formulary and clinical product coverage issues.
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Collaborate with team members to ensure consistency in decision-making across the pharmacist team.
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Participate in routine structured touchpoints and communicate regularly with supervisors and team members via Teams, phone, and video calls.
Essential Skills
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Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy degree.
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Current pharmacist license in good standing with the State Board of Pharmacy where the position is located.
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Minimum of two years of experience in retail, managed care, or clinical pharmacy.
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Ability to prioritize tasks and manage multiple projects simultaneously.
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Proficiency in making independent clinical decisions and adapting to change.
Additional Skills & Qualifications
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Comfortable with learning new computer systems and proficient in basic IT troubleshooting.
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Skilled in using multiple monitors and Microsoft Word and Excel.
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Ability to type 45+ words per minute.
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Familiarity with pharmacy benefits management is not preferred but beneficial.
Job Type & Location
This is a Contract position based out of Atlanta, GA.
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 May 27, 2026.
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 process due to a disability, please email ~~~ for other accommodation options.
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
