Role: Clinical Pharmacist Utilization Management (Remote)
- Primary Responsibilities:
- Review prior authorization and medical exception requests.
- Perform utilization review for medical necessity.
- Evaluate medical records and apply PA criteria.
- Handle 20 30 cases per day.
- Required Experience:
- Prior Authorization (PA) / Utilization Management experience.
- Knowledge of prescription drug formularies and pharmacy workflow.
- Strong computer skills (Microsoft Office and multiple systems).
- Ability to work independently.
- Comfortable communicating with providers, patients, and healthcare staff.
- Required Qualifications:
- BS Pharmacy or PharmD.
- Active New York Pharmacist License (mandatory).
- Work Schedule:
- Remote, Monday Friday, 8:30 AM 5:00 PM ET.
- Occasional weekend/holiday coverage may be required.
- Location:
- Candidates located in New York State.
- Contract Duration:
- Through the end of the year, with possible extension.
- Interview Process:
EEO:
Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.