Pharmacist | Boston, Massachusetts

A remote Pharmacist opportunity is available focusing on Part B drug prior authorization and appeals. This temp-to-hire role requires active state pharmacist licensure and offers the flexibility to work from anywhere in the U.S.

Location: Remote
Schedule:

• Monday–Friday, 12:00 PM–8:30 PM EST
• Mandatory weekend and holiday rotation
• No days off except emergencies during contract period

Duration: October 1, 2026 – March 31, 2027 (6-month contract)

Responsibilities:

• Review Part B drug and biologic prior authorization requests and appeals
• Apply clinical policies, utilization management criteria, and Medicare requirements to authorization decisions
• Support clinical and non-clinical teams with questions relating to Part B drug policies and workflows
• Identify process improvements to enhance review quality and operational efficiency
• Adapt to fast-paced, evolving workflows while maintaining consistent quality and productivity

Qualifications:

• PharmD degree with active pharmacist licensure in at least one state
• Minimum 2 years’ experience in utilization management, managed care residency, or applicable specialty pharmacy
• Strong clinical judgment to independently evaluate complex Part B drug requests
• Experience with Part B drug prior authorization and appeals review strongly preferred
• Candidates with direct Medicare Part B, utilization management, or prior authorization backgrounds are highly valued

Additional Details:

• All necessary equipment will be provided
• Temp-to-hire contract with potential transition to permanent status

Pharmacists with a strong background in Medicare Part B and utilization management are encouraged to apply for this specialized remote role. Take the next step by submitting your application today.

Compensation for this position ranges from $52.00 to $72.00. 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.