Position Title: Clinical Pharmacist 1

Work Location: Remote

Assignment Duration: 6 Months with a potential of Extension

Work Schedule: 10am – 6:30pm EST, OT possible

Work Arrangement: Remote

Position Summary: Define and develop standard and custom formularies for assigned plan.

Background & Context: This team reviews medication prior authorization requests and coverage determinations for the Medicaid, Medicare and Health Exchange lines of business.

Key Responsibilities:

• Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated
• Monitor prior authorization requests
• Provide clinical support to internal departments and address clinical related questions
• Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice
• Develop and implement programs designed to impact DUR for both Medicaid and Medicare
• Develop, implement, and maintain policies and procedures for the pharmacy department
• Participate in the coordination of the Medicare MTM program
• Assist case management team with members including clinical rounds presentations

Qualification & Experience:

• Candidate Requirements
  Education/Certification	Required: Bachelors / PharmD			Preferred:
  Licensure	Required: Current states pharmacist license			Preferred:
  Years of experience required: 1 to 3 years experience   Disqualifiers: None   Additional qualities to look for: Flexibility to work a weekend rotation
  Top 3 must-have hard skills stack-ranked by importance		1	Clinical decision making
  		2	Ability to learn new skills quickly
  		3	Adaptability

Working Conditions & Physical Demands (If Applicable): This is a remote position. It is not a field worker role and does not involve working within a partnered clinical facility. Daily schedule is 10am – 6:30pm EST with OT possible.

Additional Information (If Applicable): A typical day consists of reviewing 140 to 160 clinical prior authorizations or coverage determinations. This is a new contingent/temp worker request with possibility to extend. Projected start date is 13 July 2026. Interviews are conducted via Teams with camera on.

 

Position is offered by a no fee agency. 
Location : Florida 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $57.00/hr.