Remote opportunity at
SmithRxClinical Review Pharmacist (6-month, full-time contract)
SmithRx is a venture-backed health technology company dedicated to transforming the pharmacy benefit management industry through innovative technology and customer service. The organization seeks a remote…
Career Tools
About This Role
SmithRx is a venture-backed health technology company dedicated to transforming the pharmacy benefit management industry through innovative technology and customer service. The organization seeks a remote Clinical Review Pharmacist for a 6-month full-time contract to join its clinical team. In this position, the professional will evaluate prior authorizations, support clinical programs, and provide guidance to patients, medical providers, and pharmacies. This role suits a licensed pharmacist with a background in…
Job Description
SmithRx is a venture-backed health technology company dedicated to transforming the pharmacy benefit management industry through innovative technology and customer service. The organization seeks a remote Clinical Review Pharmacist for a 6-month full-time contract to join its clinical team. In this position, the professional will evaluate prior authorizations, support clinical programs, and provide guidance to patients, medical providers, and pharmacies.
This role suits a licensed pharmacist with a background in clinical review who thrives in a fast-paced and collaborative setting. The professional will balance clinical knowledge with service excellence to ensure regulatory compliance and timely decision-making while protecting patient data security.
Key duties involve analyzing prior authorizations and appeals using established guidelines, documenting clinical choices accurately, and offering empathetic support to members and prescribers. The successful candidate will remain current on prescribing rules, identify potential fraud or abuse, and assist leadership with process improvements.
Responsibilities
- Review and decide on prior authorizations and appeals using evidence-based clinical guidelines
- Ensure adherence to federal, state, and internal regulations
- Document clinical choices thoroughly to meet regulatory and accreditation standards
- Support members, prescribers, and pharmacies by answering clinical questions professionally
- Stay updated on prescribing guidelines, internal policies, and regulatory adjustments
- Protect patient privacy and data security by following HIPAA rules and internal procedures
- Identify and report potential instances of fraud, waste, and abuse
- Help train and develop new and current team members
- Assist leadership with special projects, operational initiatives, and process improvements
Requirements
- Active, unrestricted pharmacist license in the state of residence
- Minimum of two years of pharmacy practice experience
- Strong communication, writing, and organizational abilities
- Capability to manage multiple priorities in a high-volume, metric-driven environment
- General knowledge of drug information, clinical guidelines, formulary design, and utilization management
- Flexibility and adaptability to changing conditions
- Availability to work after hours, weekends, and holidays on a rotating or fixed schedule
Qualifications
- Doctor of Pharmacy or Bachelor of Science in Pharmacy from an ACPE-accredited school
- One year of prior authorization or utilization management experience
- One year of experience in managed care or pharmacy benefit management
- Direct background conducting prior authorizations, clinical appeals, formulary exceptions, step therapy evaluations, and quantity limit reviews
- Experience using Google Workspace applications such as Gmail, Docs, Sheets, and Drive
Core Skills
Benefits
- Time off programs
- Medical insurance
- Dental insurance
- Vision insurance
- Mental health support
- Paid parental leave
- Life and disability insurance
- 401(k) retirement plan
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
What is the employment type and duration for this role?
This position is a 6-month, full-time contract.
Where is the position located?
The role is remote within the United States, categorized across specific geographic pay zones.
What are the core educational requirements?
Candidates must hold a Doctor of Pharmacy or a Bachelor of Science in Pharmacy from an ACPE-accredited pharmacy school.
What is the pay rate for this position?
Pay rates vary by geographic zone, ranging from $63 to $66 USD per hour based on location and experience.
Sample Interview Questions
AI-generated questions tailored to this specific role — a preview of the full practice set.