Clinical Pharmacist Reviewer- (Remote)

Prime Therapeutics

1 month ago

United Statesfrom $51Full TimePharmacy

Is from $51 competitive?

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Job Description

About the Role

Join Prime Therapeutics as a Clinical Pharmacist Reviewer- (Remote) in United States. At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career?

Key Responsibilities

approved criteria Consult directly with healthcare providers to address non

formulary and clinical product coverage issues Collaborate with team members to ensure consistent decision

making across the pharmacist team Respond to medication

related inquiries via phone, providing accurate information to patients, providers, and clinics regarding medications, formulary options, and coverage questions Other duties as assigned

Requirements

$88.46 based on experience and skills. To review our

92 - $88.46 based on experience and skills. To review our

Benefits & Compensation

-, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.

Prime Therapeutics LLC is proud to be an.

Work Schedule

Full-time position.

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

Apply to join Prime Therapeutics as a Clinical Pharmacist Reviewer- (Remote).

Key Skills

Utilization ManagementFormulary ExceptionsPrior AuthorizationStep TherapyQuantity Limit ExceptionsClinical EvaluationCoverage DeterminationDenial LanguageHealthcare Provider ConsultationMedication Inquiry ResponseVerbal CommunicationWritten CommunicationComputer Proficiency

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Position Insights

Pharmacy — Pharmacist Career Context

This Pharmacy position at Prime Therapeutics is open to pharmacist candidates.

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

Compensation Analysis

Prime Therapeutics lists compensation for this pharmacist position at $108k to $184k annually.

Location & Logistics

This position is based in United States.

Skills, Responsibilities & Benefits

Key skills and qualifications: Utilization Management, Formulary Exceptions, Prior Authorization, Step Therapy, Quantity Limit Exceptions, Clinical Evaluation, Coverage Determination, Denial Language. Candidates with experience in these areas may be especially well-suited for this Pharmacy role.

Core responsibilities: The Clinical Staff Pharmacist processes and documents Utilization Management requests, such as prior authorization and formulary exceptions, ensuring decisions align with client criteria. This role also involves direct consultation with healthcare providers regarding coverage issues and responding t...

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