Fully-Remote Pharmacist

Remote Pharmacist - Utilization Management Specialist Job Description We are seeking a dedicated Pharmacist to join our team, focused on reviewing Medicaid members' Utilization Management (UM) requests. This role involves making critical clinical evaluations for coverage determination requests, ensuring compliance with client-specific criteria. The position demands a detail-oriented approach, with an emphasis on clinical judgment and effective communication. Responsibilities Conduct clinical evaluations for coverage determination requests for prior authorization or other UM programs, including quantity limits, step therapy, formulary exceptions, and tier exceptions. Ensure the appropriateness of denial language and decision-making as it relates to clinical content and client-specific criteria. Engage in direct consultation with healthcare providers or members regarding non-formulary and clinical product coverage issues. Collaborate with team members to maintain consistency in decision-making across the pharmacist team. Complete other duties as assigned. Essential Skills Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy. Two years of experience in retail, managed care, or clinical pharmacy. Current pharmacist license in good standing with the State Board of Pharmacy. Ability to prioritize tasks and manage multiple projects simultaneously. Proficient in making independent clinical decisions. Strong communication and collaboration skills. Comfortable with multi-monitor setups and adept at navigating multiple platforms, including Microsoft applications and AutoHotkey. Additional Skills & Qualifications Experience in Pharmacy Benefits Management is not preferred. Ability to type 45+ WPM. Proficiency in Word and Excel. Motivated self-starter who can drive results independently. Flexibility and resourcefulness in adapting to change. Work Environment This position is fully remote, allowing you to work from any U.S. state except California, Hawaii, or Alaska. After training, work hours typically start between 9-9:30am CST, with an 8-hour shift that may extend during peak periods. Shifts are determined by seniority-based team bidding. Candidates should expect full-time schedules with potential for overtime during peak seasons, typically November through May. Weekend shifts and holiday work are rotated among team members. Training is a comprehensive 9-week program with a mix of instructor-led sessions, videos, worksheets, and practice cases, scheduled from 8-4:30pm CST. Flexibility with time off is limited during training, with exceptions made for emergencies. Job Type & Location This is a Contract position based out of Charlotte, NC. Pay and Benefits The pay range for this position is $55.00 - $55.00/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 11, 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.