Remote Pharmacist (Temporary)
$60 - $70 per hourActalent
- Remote job
Remote Mtm Pharmacist
This MTM Pharmacist role focuses on defining and developing standard and custom formularies while providing comprehensive medication therapy management support for health plan members. You will use your clinical expertise to design and implement pharmacy programs, evaluate drug utilization, and support internal teams with evidence-based recommendations. The position offers the opportunity to influence plan design, improve quality of care for Medicaid and Medicare populations, and ensure safe, effective, and cost-conscious medication use.
Develop clinical criteria for medications and recommend plan design changes that align with best practices and regulatory requirements.
Design, implement, and support clinical programs that enhance medication therapy management and overall pharmacy performance.
Monitor and review prior authorization requests to ensure appropriate medication use and adherence to formulary and clinical criteria.
Ensure appropriate quality controls within pharmacy operations and identify opportunities for performance improvement in pharmacy practice.
Develop, implement, and maintain policies and procedures for the pharmacy department to support consistent, compliant, and efficient workflows.
Review patients' medical information and pharmacy claims to identify gaps in care, drug therapy problems, and opportunities for therapy optimization.
Maintain a high level of productivity, meeting an expectation of approximately 90% daily productivity while sustaining clinical quality.
Perform accurate and timely data entry and documentation related to pharmacy claims, prior authorizations, and MTM activities.
Use computer systems and pharmacy software to support clinical decision-making, documentation, and reporting.
Bachelor's degree in Pharmacy or an advanced degree such as Pharm.S. in Pharmacy.
- 2+ years of experience in mail order, retail, hospital, or managed care pharmacy, or at least 1+ year of pharmacy residency program experience.
- Experience working with Medicaid and Medicare pharmacy benefits and regulations.
- Proficiency in reviewing medical information and pharmacy claims to identify gaps in care and drug therapy problems.
- Solid computer skills and comfort working with pharmacy and clinical information systems.
Experience in managed care pharmacy, including formulary management and benefit design support.
Strong attention to detail in data entry and documentation.
Ability to develop and maintain pharmacy policies and procedures.
Capability to identify and implement performance improvement opportunities in pharmacy practice.
This is a Contract to Hire position based out of Houston, TX.
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)
- Employee Assistance Program
- This is a fully remote position.
Application Deadline
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.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 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.
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