Pharmacist - Boston, MA

A remote Pharmacist opportunity is available for a contract-to-permanent position supporting Part B drug and biologic prior authorization review. This role is open to licensed Pharmacists from any state, offering flexibility to work from home while engaging in critical utilization management and Medicare compliance tasks.

Location:

• Remote (open to candidates with active pharmacist licensure in any state)

Schedule:

• Monday to Friday, 12:00 PM – 8:30 PM EST
• Mandatory weekend and holiday rotation from 01/01/2027 to 03/31/2027
• No days off except for emergencies during the mandatory rotation period

Responsibilities:

• Review and process Part B drug and biologic prior authorization requests and appeals
• Apply clinical policies, utilization management criteria, and Medicare requirements for authorization decisions
• Collaborate with clinical and non-clinical teams regarding Part B drug policies and workflows
• Identify and implement improvements to review quality, accuracy, and operational efficiency
• Manage a fast-paced and evolving work environment while maintaining consistent productivity and quality

Desired Qualifications:

• PharmD degree with an active pharmacist license in at least one state
• Minimum 2 years of experience in utilization management, managed care residency, or specialty pharmacy
• Proven clinical judgment and the ability to evaluate complex Part B drug requests independently
• Experience with Part B drug prior authorization and appeals review strongly preferred
• Prior utilization management and prior authorization background highly valued

Additional Details:

• Equipment necessary for the role will be provided
• Contract duration: 6 months, with potential for permanent hire following the contract period

This opportunity is ideal for pharmacists seeking a challenging and dynamic utilization management role within Medicare Part B services. Apply now to engage in meaningful clinical decision-making within a remote, supportive work environment.

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.