About Careertakes

👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, Scientific & QA.

Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.

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What You’ll Do

This Prior Authorization Pharmacist role focuses on utilization management for commercial pharmacy members. You will make clinical coverage determinations, communicate with providers and members, and help maintain consistent, high-quality decision-making across the pharmacist team.

• Conduct clinical evaluations for coverage determination requests (prior authorizations, step therapy, quantity limits, formulary and tier exceptions).
• Apply client-specific UM criteria to approve or deny requests using clinical judgment.
• Communicate directly with healthcare providers and members regarding non-formulary or coverage issues.
• Collaborate with pharmacist colleagues to ensure consistent decisions and adherence to quality standards.
• Participate in scheduled team and management touchpoints.
• Complete cases efficiently while meeting quality targets (target quality score: 95%+).
• Maintain strong attendance and clear, professional communication.

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What We’re Looking For

• Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy.
• Current Tennessee pharmacist license in good standing with the State Board of Pharmacy.
• Ability to prioritize tasks, manage multiple projects, and make independent clinical decisions.
• Strong verbal and written communication skills.

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Additional Skills & Qualifications

• Comfortable learning new clinical and benefits systems; basic IT troubleshooting.
• Experience using multiple monitors.
• Proficient with Microsoft Word and Excel.
• Typing speed of 45+ WPM preferred.
• Experience with Pharmacy Benefits Management (PBM) or utilization management is a plus but not required.

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Compensation & Benefits

• Pay range: $55.00 per hour (contract). Individual pay within this range will depend on qualifications, experience, and other job-related factors.
• If eligible, temporary-role benefits may include:
  • Medical, dental & vision
  • Critical illness, accident, and hospital plans
  • 401(k) retirement plan (pre-tax and Roth options)
  • Voluntary life and AD&D insurance
  • Short- and long-term disability
  • Health Savings Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time off / leave (PTO, vacation, sick leave)
• Benefits and eligibility are subject to plan terms and may change.

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Job Type & Location

• Employment type: Contract (remote).
• This position is based out of Nashville, TN; the role is 100% remote (telecommute). Applicants must hold and maintain a Tennessee pharmacist license.

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Workplace & Schedule

• Fully remote; candidates must be able to work during assigned schedule and maintain reliable attendance.
• Typical duties performed using employer-provided or approved systems; competency with multiple-monitor setups expected.

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Application Timeline

• Posted: 2026-08-28
• Anticipated application close: Sep 10, 2026 (subject to change)

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About the Confidential Client

Confidential Client is seeking clinical pharmacy professionals to support utilization management and prior authorization workflows in the Scientific & QA space. The client partners with healthcare stakeholders to deliver clinically sound, timely pharmacy benefit decisions.

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Equal Opportunity & Hiring Transparency

Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind. To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.

If you have questions about how your data is used, please contact us directly.