Pharmacist (100% Remote, PBM)

Pharmacist (100% Remote, PBM)

Description

Candidates will be reviewing members’ Utilization Management (UM) requests (i.e., formulary exceptions, prior authorization, step therapy, quantity limit exceptions). Client-specific criteria are referenced to determine if a prior authorization can be approved or denied. The work is detail-oriented, and candidates will be expected to provide clinical judgement and communication.

• Responsible for the clinical evaluation for coverage determination requests for PA or other UM programs, including quantity limits, step therapy, formulary exception and tier exception, and includes consideration of the denial language and appropriateness of the decision as it pertains to the clinical content of the case and the intent of the individual client’s pre-approved criteria

• Accountable for direct consultation with health care providers or members concerning non-formulary and clinical product coverage issues

• Collaborate with team members to promote consistency of decisions across the pharmacist team

• Other duties as assigned

Interaction level with Management/Team Members:

• Role is primarily independent with routine structured touchpoints.

• Regular communication with supervisors, senior pharmacists, technicians, and other team members via Teams messaging platforms, phone and video calls.

o Cameras/video calls used for: Training sessions, Team meetings, routine 1:1s with supervisors.

• senior Pharmacists are available throughout the day to support clinical questions and provide guidance.

Success Metrics

• Productivity: Complete cases in an efficient manner consistent with the team average.

• Accuracy: Achieve and maintain a quality score (error-free rate) of 95%.

• Accountability: Demonstrate a strong attendance record and excellent communication skills.

• Team/culture fit: receptive to feedback, focus, problem-solving, accuracy, learning agility, sound clinical judgement, ability to work independently while still finding ways to collaborate with team-player attitude.

• Computer Skills: Quickly learn new systems; comfortable with multi monitor setups; adept at navigating multiple platforms, using available resources, Microsoft applications, and AutoHotkey.

Additional Skills & Qualifications

Qualifications/years of experience:

• Doctor of Pharmacy (PharmD) or equivalent

• 6mo+ experience working in a retail environment

• Current pharmacist license in good standing with the State Board of Pharmacy in the State where the candidate is licensed.

Experience Level

Entry Level

Job Type & Location

This is a Contract position based out of Las Vegas, NV.

Pay and Benefits

The pay range for this position is $55.00 - $55.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jul 21, 2026.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email View email address on click.appcast.io for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.