Remote Pharmaceuticals Jobs • PBM

The Clinical Care Pharmacist plays a vital role in promoting safe, effective, and appropriate medication use and is responsible for reviewing prior authorization requests, supporting clinical programs, and providing expert guidance to members, providers, and pharmacies. The role combines clinical decision-making with a strong focus on service excellence in a fast-paced, collaborative environment.

Prepare prior authorization requests by validating prescriber and member information. Make outbound calls to providers to obtain clinical information for pharmacist review. Proactively obtain clinical information from prescribers. Triage phone calls from members, pharmacy personnel, and providers by asking clinical questions. Effectively communicate issues and resolutions to stakeholders and follow HIPAA guidelines.