Job Description

Job Description We are seeking a qualified Pharmacist to review Medicaid members’ Utilization Management requests, including formulary exceptions, prior authorization, step therapy, and quantity limit exceptions. This role requires detailed-oriented work and the ability to provide clinical judgment and effective communication. Regular interaction with healthcare providers is also a key part of this position. Responsibilities Review and evaluate Medicaid members’ Utilization Management requests. Apply clinical judgment to determine the approval or denial of prior authorizations based on client-specific criteria. Communicate regularly with healthcare providers to discuss Utilization Management requests. Participate in monthly video calls with the supervisor and maintain daily communication with coworkers, technicians, and pharmacists. Essential Skills Two years of experience in retail, managed care, or clinical pharmacy. Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree. Current pharmacist license in good standing with the State Board of Pharmacy in the relevant state. Ability to prioritize tasks and manage multiple projects simultaneously. Strong drive to deliver results and work independently. Ability to make clinical decisions independently. Additional Skills & Qualifications Proficient computer systems and basic IT troubleshooting. Experience with Pharmacy Benefits Management or Case/Care Management preferred. Proficient in Microsoft Word and Excel. Ability to type at least 35 words per minute. Job Type & Location This is a Contract position based out of Houston, TX. Pay and Benefits The pay range for this position is $55.00 - $55.00/hr. 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) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jan 29, 2026. 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 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. 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 due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options. #J-18808-Ljbffr Actalent

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