Clinical Pharmacist (Remote)

Position: Clinical Pharmacist I (Remote) Location : Fully Remote Schedule : Monday through Friday, 10:00 AM - 6:30 PM EST Additional Requirements : Overtime may be available as business needs dictate. Candidates must be flexible to participate in a rotating weekend schedule. Position Overview: We are seeking a licensed Clinical Pharmacist to join a growing pharmacy operations team responsible for reviewing medication prior authorizations and coverage determinations across government-sponsored and commercial health plans. This fully remote opportunity is ideal for pharmacists who enjoy clinical decision-making, working in a fast-paced environment, and making a direct impact on patient access to medications. In this role, you will review and evaluate prior authorization requests, apply clinical criteria and evidence-based guidelines, and collaborate with internal teams to support quality patient care. Successful candidates will be highly adaptable, quick learners, and comfortable managing a high-volume workload. Key Responsibilities Review and evaluate medication prior authorization requests and coverage determinations. Make clinically sound coverage decisions based on plan guidelines and established criteria. Develop and recommend clinical criteria for medications and pharmacy programs. Support formulary management initiatives and recommend plan design enhancements. Provide clinical consultation and support to internal departments. Monitor pharmacy quality metrics and identify opportunities for process improvement. Assist in the development and implementation of drug utilization review (DUR) programs. Participate in medication therapy management (MTM) initiatives. Develop, implement, and maintain pharmacy department policies and procedures. Typical Day A typical day consists of reviewing approximately 140-160 prior authorization requests and coverage determinations. Pharmacists are expected to independently assess clinical information, apply coverage criteria, and make timely decisions while maintaining high levels of accuracy and quality. Required Qualifications Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD). Current Pharmacist License in good standing with no restrictions. 3 years of pharmacist experience Prior authorization or coverage determination experience. Experience within managed care or health plan environments. Familiarity with Medicare, Medicaid, and Exchange pharmacy benefits. Experience with formulary management, MTM programs, or DUR initiatives. Job Type & Location This is a Contract position based out of Austin, TX. Pay and Benefits The pay range for this position is $62.00 - $65.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. 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 Sep 12, 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 [email protected] 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.