Pharmacist - Beverly Hills, CA

A Managed Care Pharmacist role is available for remote work Monday through Friday, with rare weekend hours required a few times per year. This position requires a valid Pharmacist license in Oregon, Washington, or California and a minimum of 3 years’ experience in a managed care environment. Expertise in handling prior authorizations, audits, appeals, and ALJ court hearings is essential.

In this role, you will function as a Clinical Pharmacist Specialist (CPS) contributing to clinical pharmacy services aimed at delivering coordinated, evidence-based, and cost-effective care. Collaboration with medical directors, nurse case managers, and healthcare providers is a key part of your responsibilities, to optimize medication therapy management and population health programs.

Key responsibilities include:

• Providing direct patient care through Medication Therapy Management (MTM) programs
• Managing population-based disease programs and specialty pharmaceutical services
• Conducting drug utilization reviews and participating in clinical policy development
• Collaborating with Pharmacy and Therapeutics (P&T) Committees to influence pharmaceutical policies
• Reviewing pharmacy and medical claims, educating members and providers
• Developing medication-related problem lists and implementing therapeutic interventions

Desired qualifications:

• Licensed Pharmacist in OR, WA, or CA
• Minimum 3 years’ experience in managed care pharmacy, particularly in prior authorizations, audits, and appeals
• Strong communication skills to effectively convey therapeutic recommendations
• Ability to manage multiple priorities in a fast-paced, dynamic healthcare environment
• Commitment to ongoing professional development and clinical education

This contract opportunity offers the flexibility of remote work with a focus on improving quality of care and managing costs efficiently.

Candidates with the required experience and licenses are encouraged to apply promptly to be considered for this role.

Compensation for this position ranges from $61.00 to $76.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date.