Remote opportunity at
SmithRxClinical Review Pharmacist (6-month, full-time contract)
SmithRx is a venture-backed health-technology company focused on transforming the pharmacy benefit management sector through technology and customer service. The organization seeks a Clinical Review Pharmacist…
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About This Role
SmithRx is a venture-backed health-technology company focused on transforming the pharmacy benefit management sector through technology and customer service. The organization seeks a Clinical Review Pharmacist for a full-time, six-month contract position operating remotely. In this capacity, the professional joins the clinical department to elevate clinical offerings and client outcomes. Responsibilities center on evaluating prior authorization requests, supporting clinical programs, and providing guidance to healthcare providers, pharmacies, and members within…
Job Description
SmithRx is a venture-backed health-technology company focused on transforming the pharmacy benefit management sector through technology and customer service. The organization seeks a Clinical Review Pharmacist for a full-time, six-month contract position operating remotely.
In this capacity, the professional joins the clinical department to elevate clinical offerings and client outcomes. Responsibilities center on evaluating prior authorization requests, supporting clinical programs, and providing guidance to healthcare providers, pharmacies, and members within a fast-paced setting.
This opportunity fits candidates with a background in pharmacy practice who can manage multiple priorities in a metric-driven environment and adhere to regulatory standards such as URAC and NCQA. Compensation varies by geographic zone, with base hourly rates ranging from $63 to $66 depending on location.
Responsibilities
- Evaluate and decide on prior authorizations and appeals based on clinical guidelines and benefit criteria
- Comply with federal, state, and internal regulations
- Record clinical decisions accurately in compliance with utilization review accreditation standards
- Communicate with members, prescribers, and pharmacies to answer clinical inquiries
- Keep up-to-date with prescribing guidelines, internal policies, and regulatory adjustments
- Adhere to HIPAA rules and internal procedures to safeguard patient privacy
- Detect and report potential fraud, waste, and abuse
- Aid in training new and current team members
- Help leadership with special assignments and process enhancements
Requirements
- Possess a Doctor of Pharmacy or Bachelor of Science in Pharmacy from an ACPE-accredited institution
- Hold an active, unrestricted pharmacist license in the state of residence
- Bring a minimum of two years of pharmacy practice experience
- Demonstrate strong communication, writing, and organizational abilities
- Maintain availability to work after hours, weekends, and holidays on a rotating or fixed schedule
Qualifications
- One year of prior authorization or utilization management background
- One year of experience working in managed care or pharmacy benefit management
- Direct history with prior authorization reviews, clinical appeals, formulary exceptions, step therapy evaluations, and quantity limit reviews
- Proficiency with Google Workspace tools including Gmail, Docs, Sheets, and Drive
Core Skills
Benefits
- Time off programs
- Medical coverage
- Dental coverage
- Vision coverage
- Mental health support
- Paid parental leave
- Life and disability insurance
- 401(k)
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, this role is remote, though pay rates are categorized into specific geographic zones based on the candidate's location.
What is the employment type and duration?
This is a full-time contract position scheduled for a duration of six months.
What are the core license and education requirements?
Candidates must hold a Doctor of Pharmacy or a Bachelor of Science in Pharmacy from an ACPE-accredited school, along with an active, unrestricted pharmacist license in their state of residence and at least two years of pharmacy practice experience.
What is the salary for this role?
Base pay varies by location, ranging from $64 to $66 per hour for Zone A, and $63 to $65 per hour for Zones B and C. Additional bonuses, commissions, or equity may also apply.
Sample Interview Questions
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