Pharmacist - Lowell, Massachusetts

Job Description

Job Description

A remote pharmacist opportunity is available with a healthcare organization offering a temp-to-hire position. This role focuses on managing Part B drug and biologic prior authorization requests and appeals, supporting clinical teams, and ensuring adherence to Medicare requirements. The position requires a detail-oriented professional capable of working in a fast-paced environment with evolving workflows.

Location: Remote (candidates from any state with active pharmacist licensure are welcome)Schedule:

• Monday–Friday, 12:00 PM–8:30 PM EST
• Mandatory weekend and holiday rotation
• Limited days off except emergencies during contract period

Responsibilities:

• Review and evaluate Part B drug and biologic prior authorization requests and appeals with clinical expertise.
• Apply clinical policies, utilization management criteria, and Medicare regulations to authorization decisions.
• Provide support to internal clinical and non-clinical teams regarding Part B drug policies and workflows.
• Identify and recommend improvements to review quality, accuracy, and operational processes.
• Adapt quickly to changing priorities, volumes, and evolving business requirements while maintaining performance.

Qualifications:

• PharmD degree and an active pharmacist license in at least one state.
• Minimum of 2 years’ experience in utilization management, managed care residency, or relevant specialty pharmacy.
• Strong clinical judgment with proficiency in evaluating complex Part B drug requests independently.
• Experience in Part B drug prior authorization and appeals review is essential.
• Prior utilization management and prior authorization experience preferred.
• Candidates with direct Medicare Part B utilization management or prior authorization background will be prioritized.

Additional Information:

• Equipment and tools required for the role will be provided.
• Contract duration: 6 months, with a temp-to-hire transition.
• Competitive hourly compensation on contract; conversion to perm role also available.

If you meet these qualifications and are ready to contribute your expertise in a challenging, impactful role, apply now to advance your pharmacy career in a remote setting.

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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