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Job Title: Clinical Pharmacist (100% Remote)

Job Description

This position is responsible for completing pharmacy and medical drug appeals along with retro prior authorizations for Medicare, Medicaid, and Health Exchange memberships. The role includes ensuring compliance with federal and state regulations, assisting in developing efficiencies in clinical review processes, providing oversight of the initial review process handled by the Pharmacy Benefit Manager (PBM), collaborating with team members to complete appeal reviews timely, and supporting members with clinical pharmacy inquiries.

Hard Skills

• PharmD

• Prior Authorization

• Medicare

Soft Skills

• Collaboration

• Compliance Management

• Efficiency Improvement

Job Type

This is a contract position with a duration of 6 Month(s).

Work Site

This is a fully remote position.

Work Environment

100% Remote - Must have reliable internet and a professional workspace at home. All necessary assets and system access will be provided.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent

• Maintaining an inclusive environment through persistent self-reflection

• Building a culture of care, engagement, and recognition with clear outcomes

• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.