Pharmacist

PharmacistPhiladelphia PA Remote - ESTpROJECT TILL: 01/30/2027Candidates must hold an active pharmacist license in good standing in any of the 50 U.S. states.
Duties:
As a licensed healthcare professional employed in the Prior Authorization Department the primary responsibility of Pharmacist (R) is to make determinations on prior authorization requests for coverage of pharmaceutical products. Determinations include medical necessity and benefit decisions. Decisions are made in accordance with established pharmacy guidelines, prior authorization criteria, industry regulations and sound clinical judgment.


Prior Authorization Pharmacist (R) works independently with respect to reviews and decision making, with the support of Pharmacist II (R)s and supervisors. Pharmacist (R) works as a member of a team of peers committed to meeting or exceeding quality standards and customer performance guarantees. This position includes a rotating weekend schedule if business needs dictate.


Additional responsibilities include:
Provide clinical support to the PerformRx Customer Care Center


Engage providers in discussions to support determinations


Support Fraud and Abuse program oversight


Keep abreast of industry trends and regulatory changes


Keep abreast of operational directives and customer reference materials

Skills:
No experience required, Prior Authorization or Coverage Determination experience preferred


Proficient PC skills in a Windows based environment



Bachelor's Degree, PharmD preferred

Current Pharmacist license


#AlliedTech1

Why TalentBurst?
At TalentBurst, we deliver more than talent, we deliver outcomes. We partner with you to move quickly and connect you to opportunities aligned with your skills and long term growth.

Backed by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships.

We offer competitive compensation and comprehensive benefits, including medical, dental, vision, and retirement options.

TalentBurst is an equal opportunity employer committed to an inclusive and diverse workforce.