Remote Clinical Prior Authorization Pharmacist

Clinical Pharmacist

UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent recruiting, consulting, and clinical coaching. Our extensive experience includes Pharmacy Benefit Management, Long-Term Care, Retail Pharmacy, Hospital, and Leadership, enabling us to connect the best clinical talent with outstanding companies. The Clinical Pharmacist is responsible for the processing and documenting of Utilization Management (UM) requests (e.g. prior authorization, step therapy, formulary exceptions) for delegated products and services. Positions are available in Medicare, Medicaid, and Commercial lines of business.

Responsible for the clinical evaluation and determination of client UM requests, which includes consideration of the denial language, as well as the appropriateness of the decision as it pertains to the clinical intent of the individual program criteria.

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

Active Tennessee pharmacist license in good standing at TN Board of Pharmacy.

Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy degree.

Ability to prioritize tasks and manage multiple projects simultaneously.

Proficient with learning new computer systems and using multiple monitors.