Remote Clinical Pharmacist Jobs

Title of Job: Remote Clinical Pharmacist

Location: REMOTE (anywhere in the US)

The CSI Companies is hiring a Pharmacist for our Fortune 100 healthcare client. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area.

Job Summary

The responsibilities include performing clinical outreach, case review, and recommending clinical decisions for our Medical Directors. We requires more staff during our peak season to help review time sensitive cases.

Pay: $55-58 an hour (overtime will be paid at 1.5 times the normal hourly pay rate).

Hours: Mon-Fri – 8-5 or 9-6 local time with rotational weekend hours and some holiday coverage.

Why this Opportunity?

• Services and global competitiveness.
• This healthcare client is ranked number one in key attributes of reputation:
• Long-term investment value
• Top ranked company in Fortune’s 2022 “World’s Most Admired Companies” for over a decade consecutively.
• Quality of Management
• Financial soundness
• Innovation
• People management
• Social responsibility
• Quality of product

Status: Consultant: Starting off as a consultant/contractor there is always potential for long term / conversion for the right employee upon business needs. Almost all of the positions within this client start off as a contractor due to being a Fortune 100 company.

Effective Date / Tentative Start Date: Interviewing Immediately

Job Duties:

• Provide explanations and interpretations within area of expertise
• Research, evaluate, and make determinations on member and provider appeals of pharmacy coverage decisions
• Position requires excellent record keeping skills, thorough documentation, clear and concise written/verbal communications skills.
• Review formulary and utilization management guidelines to determine if the drug should be a covered benefit for the beneficiary based on their medical history
• Interpret physicians' prescriptions and clinical documentation, accesses clinical criteria and compendia support
• Gather complex clinical information, consider approved compendia, medical literature, coverage policy, and criteria information and work within regulatory guidelines to render decisions. Decision may require consulting with Plan Medical Directors and the beneficiaries treating physician.
• Answer questions from support personnel regarding prescription drugs
• Conduct Quality Assurance and verify the accuracy of all prescriptions to render appeal decision
• Consult with customers, patients and/or physicians regarding use of medications, potential drug interactions, and clinical status for appeals requests

Requirements

• Excellent written and verbal communication skills
• Experience using online clinical references and accessing professional (clinical and regulatory) internet sites
• Intermediate computer proficiency with MS Office and must have the ability to navigate a Windows based environment
• Active, unrestricted Pharmacist license
• Experience working with onscreen document images

About Us

The CSI Companies is a recruiting firm established in 1994 that has been awarded “Best of Staffing” for 8 years in a row. We provide outstanding services to the world’s leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration. Only those candidates identified for an interview will be contacted.

Benefits Offered:

• Voluntary Life and AD&D coverage
• Paid Training
• Weekly pay
• Opportunity for advancement upon performance and availability
• Medical, dental, and vision coverage