Clinical Pharmacist -Appeals and Operations Support- Growing Healthcare Organization

Fallon Health

2 months ago

United States$135k–145kPharmacy

✓ No Call✓ No Weekends

Is $135k–145k competitive?

See how this position compares to Pharmacy market data — salary percentile, benefits comparison, and hiring trends.

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Job Description

About the Role

Join Fallon Health as a Clinical Pharmacist -Appeals and Operations Support- Growing Healthcare Organization in United States. Overview About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve.

Key Responsibilities

specific criteria, MassHealth

Requirements

$145,000 annually which reflects what we reasonably and in good faith expect to pay at the time of posting. Final

Benefits & Compensation

Salary range: $135,000 to $145,000 annually.

Work Schedule

Full-time position.

No explicit call, weekend, or night shift information provided.

Apply to join Fallon Health as a Clinical Pharmacist -Appeals and Operations Support- Growing Healthcare Organization.

Key Skills

Clinical DecisionsAppeals ReviewGrievances ReviewMedically Administered MedicationsPharmacy OperationsData AnalysisFormulary DevelopmentPrior Authorization CriteriaRegulatory ComplianceClinical ConsultationEMRExcelWordPowerPointCommunicationCoordination

HealthcareScience & ResearchAdministrativevia Icims

Position Insights

Work-Life Balance Overview

This Clinical Pharmacist -Appeals and Operations Support- Growing Healthcare Organization position at Fallon Health includes the following lifestyle factors: no on-call duties, no weekend requirements. Candidates should review the full job details to assess overall work-life fit.

Pharmacy — Pharmacist Career Context

This Pharmacy position at Fallon Health is open to pharmacist candidates.

Pharmacists are expanding beyond traditional dispensing roles into clinical consulting, medication management, and remote pharmacy services.

Compensation Analysis

Fallon Health lists compensation for this pharmacist position at $135k to $145k annually.

Location & Logistics

This position is based in United States.

Why This Position Stands Out

No on-call requirements — clinicians are completely off-duty after hours
No weekend shifts — preserving personal and family time
Transparent compensation ($135k–$145k)

Skills, Responsibilities & Benefits

Key skills and qualifications: Clinical Decisions, Appeals Review, Grievances Review, Medically Administered Medications, Pharmacy Operations, Data Analysis, Formulary Development, Prior Authorization Criteria. Candidates with experience in these areas may be especially well-suited for this Pharmacy role.

Core responsibilities: The primary responsibility involves reviewing and providing clinical decisions and recommendations for provider/member submitted appeals and grievances concerning medically administered and pharmacy-related medications across all lines of business. This role also requires analyzing pharmacy data to ...

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