Clinical - Pharmacist (Prior Authorization)
Pyramid Consulting
3 days ago
Contract
Remote
United States
$56 - $59 USD hourly
Immediate need for a talented Clinical - Pharmacist (Prior Authorization). This is a 06+months contract opportunity with long-term potential and is located in U.S (Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:26-32993
Pay Range: $56/hr - $59/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.
#prof
Job ID:26-32993
Pay Range: $56/hr - $59/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Review prior authorization requests based on defined criteria to determine medication approval or denial.
- Meet a production goal of 90% with an average of 40 cases completed per day.
- Maintain a quality goal of 95% for Q1 2026 and 99% for Q2-Q4 2026.
- Collaborate with healthcare providers to ensure compliance and transparency in the authorization process.
- Foster a culture of accountability, courage, curiosity, trust, and service within the team.
- 1+ years of experience in retail, hospital, managed care, or PBM settings, with prior authorization review experience preferred.
- Bachelor’s or Doctorate of Pharmacy degree.
- Current state’s Pharmacist license with no restrictions.
- Preferred: Pharmacist Licenses in NC, CA, NJ, AZ, KS, TX, IN, GA.
- Familiarity with Outlook, Teams, SharePoint, and Excel is a plus.
- Strong clinical decision-making skills, flexibility, and the ability to learn quickly.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.
#prof