Job Title: Pharmacist
Job Description
We are seeking a qualified Pharmacist to review Medicaid members' Utilization Management requests, including formulary exceptions, prior authorization, step therapy, and quantity limit exceptions. This role requires detailed-oriented work and the ability to provide clinical judgment and effective communication. Regular interaction with healthcare providers is also a key part of this position.
Responsibilities
Review and evaluate Medicaid members' Utilization Management requests.
Apply clinical judgment to determine the approval or denial of prior authorizations based on client-specific criteria.
Communicate regularly with healthcare providers to discuss Utilization Management requests.
Participate in monthly video calls with the supervisor and maintain daily communication with coworkers, technicians, and pharmacists.
Essential Skills
Two years of experience in retail, managed care, or clinical pharmacy.
Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree.
Current pharmacist license in good standing with the State Board of Pharmacy in the relevant state.
Ability to prioritize tasks and manage multiple projects simultaneously.
Strong drive to deliver results and work independently.
Ability to make clinical decisions independently.
Additional Skills & Qualifications
Proficient in learning new computer systems and basic IT troubleshooting.
Experience with Pharmacy Benefits Management or Case/Care Management preferred.
Proficient in Microsoft Word and Excel.
Ability to type at least 35 words per minute.
Work Environment
This is a fully remote position, available to candidates residing in the United States except in California, Hawaii, and Virginia. Core business hours are Monday through Friday, 7 am to 11 pm ET, and Saturday-Sunday, 7 am to 6 pm ET. Weekend shifts rotate approximately every fourth weekend, and schedules are subject to change based on business needs. During peak seasons, weekend rotations may occur every other weekend. Candidates will not work holidays in 2025, and future holidays are determined by a team bid. Training is conducted Monday through Friday, approximately 8 am to 4:30 pm EST for the first two weeks, with subsequent training matched to a current SME's schedule. Training includes a mix of instructor-led sessions, videos, worksheets, and practice cases.
Job Type & Location
This is a Contract position based out of Eagan, MN.
Pay and Benefits
The pay range for this position is $55.00 - $55.00/hr.
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 Jan 29, 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 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
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 due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
...is located in Westchester County. DOROT's Westchester Academic Intern can provide support in the following program areas :... ...included as part of this internship include : Data Entry in Salesforce Database Entering feedback forms Creating new constituent...
...Dairy Farm Feeder (6205) Location: Tennessee JobNumber: 6205 Dairy Farm Feeder Position immediately available on a modern family owned 700 cow dairy in central Tennessee. Must have experience running or able to learn how to run a tractor, total mixed ration,...
...compassionate care to patients and their families during the final stages of life. Description Enhabit is looking for a bedside musician to provide music and companionship to patients during their final months and weeks of life. Volunteers provide non-medical...
...Work from Home Data Entry & Office Administration Flexible Online Role About the Job We are seeking organized and motivated... ...research. We help clients maintain accurate records, streamline operations, and gather actionable insights while offering entry-level...
...stage biopharmaceutical company focused on Transthyretin Amyloid Cardiomyopathy (ATTR?CM). What Youll Do The Manager, Computer System Validation (CSV), QA will report to the Associate Director, Quality Assurance (QA). This position will provide quality oversight of...