Pharmacist | Cambridge, Massachusetts

Job Description

Job Description

A remote pharmacist role is available for a dedicated professional with a PharmD degree and active licensure in at least one state. This contract-to-hire position focuses on Part B drug and biologic prior authorization requests and appeals, supporting Medicare requirements and clinical policy implementation. The schedule is Monday through Friday, from 12:00 PM to 8:30 PM EST, including mandatory weekend and holiday rotations during the contract period from October 1, 2026, to March 31, 2027.

Key Responsibilities:

• Review and evaluate Part B drug and biologic prior authorization requests and appeals according to clinical policies and Medicare guidelines
• Collaborate with clinical and non-clinical teams to clarify drug policies and workflows
• Identify and recommend improvements to review quality, accuracy, and operational processes
• Adapt and maintain productivity in a fast-paced environment with changing workflows and volume demands

Desired Experience and Qualifications:

• Doctor of Pharmacy (PharmD) degree with an active pharmacist license in at least one state
• Minimum of 2 years’ experience in utilization management, managed care residency, or specialty pharmacy
• Strong clinical judgment with the ability to independently assess complex Part B drug requests
• Experience with Part B drug prior authorization and appeals is highly preferred
• Prior utilization management experience is strongly valued, especially with Medicare Part B

Additional Information:

• Remote position open to licensed pharmacists nationwide
• Client provides all necessary equipment
• Temporary-to-permanent opportunity with ongoing professional growth

This role demands commitment and adaptability in a dynamic healthcare environment serving Medicare populations. If you meet the qualifications and seek to advance your career in utilization management with a focus on Part B drugs, apply now to be considered for this impactful position.

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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