Pharmacist in Framingham, MA
$55 - $65 per hourRPh on the Go
Job Description
Job Description
A remote Pharmacist opportunity is available with a leading healthcare organization seeking a dedicated professional to support Part B drug and biologic prior authorization requests and appeals. This temp-to-hire role offers a dynamic work environment requiring strong clinical expertise and the ability to navigate evolving workflows efficiently.
Location: Remote (Pharmacists licensed in any state are encouraged to apply)
Schedule:
- Monday–Friday, 12:00 PM–8:30 PM EST
- Mandatory weekend and holiday rotation
- No days off except for emergencies from 01/01/2027 to 03/31/2027
Contract Duration: 10/01/2026 to 03/31/2027 (6 months)
Job Type: Contract to Hire
- Review Part B drug and biologic prior authorization requests and appeals in compliance with Medicare requirements
- Apply clinical policies and utilization management criteria to authorization decisions
- Support internal clinical and non-clinical teams with questions related to Part B drug policies and workflows
- Identify opportunities to enhance review quality, accuracy, and operational efficiency
- Adapt to a fast-paced environment with changing priorities and business demands
- Maintain consistent quality and productivity under evolving workflows
- PharmD degree and an active pharmacist license in at least one U.S. state
- Minimum of 2 years’ experience in utilization management, managed care residency, or specialty pharmacy
- Strong clinical judgment with demonstrated ability to evaluate complex Part B drug requests independently
- Experience handling Part B drug prior authorization and appeals is highly preferred
- Prior utilization management and prior authorization experience is a significant advantage
This is a demanding yet rewarding role for pharmacists seeking to apply their expertise in a remote, fast-paced setting. Qualified candidates are encouraged to apply promptly to be considered for this unique opportunity.
Compensation for this position ranges from $55.00 to $65.00. 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.
#p35
Vacancy posted 3 days ago
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