Pharmacist | Cambridge, Massachusetts

Job Description

Job Description

A pharmacy professional is needed to support a dynamic healthcare organization with expertise in Part B drug and biologic prior authorization processes. This contract-to-hire opportunity offers remote work with a structured weekday schedule and a critical role in ensuring compliance with Medicare requirements and clinical policy standards.

Responsibilities include reviewing Part B drug and biologic prior authorization requests and appeals, applying clinical policies and utilization management criteria to authorization decisions, and providing support to both clinical and non-clinical internal teams on drug policies and workflows. The role also involves identifying process improvements to enhance review accuracy and operational quality while maintaining high productivity in a fast-paced, evolving environment. Adaptability to changing volumes and priorities is essential for success in this position.

Key qualifications for this role:

• PharmD degree with active pharmacist licensure in at least one state.
• Minimum of 2 years of experience in utilization management, managed care residency, or relevant specialty pharmacy.
• Strong clinical judgment with the ability to independently assess complex Part B drug requests.
• Proven experience with Part B drug prior authorization and appeals review.

Schedule & Hours:

• Monday through Friday, 12:00 PM – 8:30 PM EST
• Mandatory weekend and holiday rotation
• No days off except emergencies during the contract period from January 1, 2027, to March 31, 2027

This six-month contract spans from October 1, 2026, through March 31, 2027, with potential for permanent placement. If you have the clinical expertise and desire to work in a remote, fast-paced environment dedicated to improving patient care through meticulous drug authorization review, consider applying today to advance your pharmacy career.

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.

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