Prior Authorization Pharmacist - Remote

ActalentOrlando, FloridaRemoteContractListed 58 minutes ago

Apply now

About this role

Urgent Hiring for "PHARMACIST"

Job Description The Pharmacy Formulary Developer is responsible for defining and developing both standard and custom formularies for assigned plans. This role requires expertise in pharmacy practice to ensure quality control and performance improvement within the department.

- Develop clinical criteria for medications and recommend plan design changes.
- Monitor prior authorization requests.
- Provide clinical support to internal departments and address clinical-related questions.
- Ensure appropriate quality controls and initiate opportunities for performance improvement in pharmacy practice.
- Develop and implement programs designed to impact Drug Utilization Review (DUR) for both Medicaid and Medicare.
- Develop, implement, and maintain policies and procedures for the pharmacy department.
- Participate in the coordination of the Medicare Medication Therapy Management (MTM) program.
- Assist case management team with member-related clinical rounds presentations.

Qualification

- Bachelor's degree or advanced degree (Pharm.D., M.S.) in pharmacy.
- 2+ years of experience in mail order, retail, hospital, or managed care pharmacy, or 1+ year of pharmacy residency program experience.
- Current state Pharmacist license with no restrictions.

If you are Interested, Kindly give a call :  407 547 1330 Job Type & Location This is a Contract position based out of Orlando, FL.
Pay and Benefits
The pay range for this position is $60.00 - $65.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. 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)
Job Type & Location
This is a Contract position based out of Orlando, FL.
Application Deadline
This position is anticipated to close on Oct 26, 2026.
Workplace Type
This is a fully remote position. 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 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

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 process due to a disability,
please email [email protected] for other accommodation options.

San Francisco Fair Chance Ordinance:
Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the
city and county of San Francisco, we will consider for employment qualified applicants
with arrest and conviction records.

Massachusetts Lie Detector:
It is unlawful in Massachusetts to require or administer a lie detector test as a
condition of employment or continued employment. An employer who violates this law
shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI):
We may use Artificial Intelligence (AI) to support parts of our hiring process,
including sourcing, screening, and evaluating candidates. AI helps assess applications
and qualifications, but final decisions are made by our hiring team. By applying, you
acknowledge and agree that your application may be reviewed using AI tools.