Pharmacist | Boston, Massachusetts

A dynamic opportunity exists for a licensed pharmacist to contribute expertise in utilization management while supporting Part B drug prior authorization and appeals review. This contract-to-hire role operates remotely, offering the chance to integrate clinical judgment with Medicare policy application in a fast-paced environment.

Responsibilities include reviewing Part B drug and biologic prior authorization requests and appeals, ensuring compliance with clinical policies and Medicare requirements. The successful candidate will collaborate with internal clinical and non-clinical teams to clarify Part B drug workflows, identify opportunities to enhance review quality, accuracy, and operational efficiency, and maintain consistent productivity despite evolving priorities.

Key qualifications for this role:

• PharmD degree with an active pharmacist license in at least one state
• Minimum of 2 years’ experience in utilization management, managed care residency, or relevant specialty pharmacy
• Proven ability to critically assess complex Part B drug requests independently
• Hands-on experience reviewing Part B drug prior authorizations and appeals

Schedule and Work Conditions:

• Monday through Friday, 12:00 PM to 8:30 PM EST
• Mandatory weekend and holiday rotation from January 1, 2027, through March 31, 2027, with time off only permitted for emergencies
• Contract duration from October 1, 2026, through March 31, 2027 (6 months)

This role is ideal for pharmacists seeking to apply clinical acumen within a highly regulated, utilization management setting, with an opportunity for long-term career growth following the initial contract period.

If you are ready to take on this challenging position that requires excellent clinical judgment and adaptability, apply now to be considered for this immediate opening.

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.