This remote Managed Care Pharmacist role offers an opportunity to deliver clinical pharmacy services in a dynamic health plan environment. You will collaborate with medical directors, nurse case managers, and network providers to ensure members receive high-quality, evidence-based, and cost-effective care. This contract position requires a licensed pharmacist with strong experience in managed care, focusing on medication therapy management, drug utilization review, clinical policy development, and disease management programs.
Location: Remote (Candidates from Oregon, Washington, or California only)
Schedule:
- Monday to Friday
- Rare weekends required a few times per year
Responsibilities:
- Provide direct patient care through Medication Therapy Management (MTM) programs.
- Collaborate with healthcare team members to coordinate specialty pharmaceutical acquisition and care.
- Perform drug utilization reviews and develop clinical pharmacy policies.
- Participate in Pharmacy and Therapeutics (P&T) Committee activities.
- Review pharmacy and medical claims to identify medication-related problems and develop action plans.
- Educate and consult with physicians, pharmacists, nurses, and other healthcare professionals.
- Communicate therapeutic recommendations effectively to influence prescribing decisions.
- Maintain professional development and stay current with clinical pharmacy practices.
- Prioritize tasks efficiently in a fast-paced, complex healthcare environment.
Qualifications:
- Pharmacist license in OR, WA, or CA is required.
- Minimum of 3+ years’ experience in a managed care pharmacy setting, including handling prior authorizations, audits, appeals, and ALJ court hearings.
- Strong communication and organizational skills.
- Ability to work independently and manage multiple priorities.
This position is contract-based and offers the chance to apply your managed care expertise while working remotely. If you have a passion for optimizing medication use and improving healthcare outcomes, consider applying for this challenging and rewarding opportunity.
Compensation for this position ranges from $58.00 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.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled
- Competitive Salary
- Weekly Paycheck
- Matching 401(k) Plan
- Extensive Medical Coverage
- Licensing Assistance
- Custom Housing
- Travel Assistance
- Professional Development Reimbursement