Pharmacist in Quincy, MA

Job Description

Job Description

A remote pharmacist role is available on a temporary-to-permanent basis, supporting Medicare Part B drug prior authorization and appeals reviews. This position offers the opportunity to apply your clinical expertise in utilization management within an evolving, fast-paced environment.

Location:

• Remote (open to pharmacists licensed in any state)

Schedule:

• Monday to Friday, 12:00 PM to 8:30 PM EST
• Mandatory weekend and holiday rotation
• No day off except in emergencies from January 1 to March 31, 2027

Responsibilities:

• Review Part B drug and biologic prior authorization requests and appeals
• Apply clinical policies, utilization management criteria, and Medicare requirements to authorization decisions
• Support internal clinical and non-clinical teams regarding Part B drug policies and workflows
• Identify improvements for review quality, accuracy, and operational processes
• Adapt quickly to changing workflows, processes, and business priorities
• Maintain consistent quality and productivity while managing varying volumes and priorities

Qualifications:

• PharmD degree with active pharmacist licensure in at least one state
• Minimum 2 years’ experience in utilization management, managed care residency, or specialty pharmacy
• Strong clinical judgment with the ability to evaluate complex Part B drug requests independently
• Experience with Part B drug prior authorization and/or appeals review
• Prior utilization management and prior authorization experience preferred
• Medicare Part B, utilization management, and prior authorization expertise highly valued

Additional Information:

• Equipment provided by the client
• Contract duration: October 1, 2026, to March 31, 2027
• Contract is temp-to-hire with potential permanent employment afterward

Qualified pharmacists with expertise in Medicare Part B utilization management are encouraged to apply for this role that blends clinical insight with operational excellence. Please submit your application today to be considered.

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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