Title: Clinical Pharmacist - NC

Location: NC United States

Job Id:
161896

Job Category:

Job Location:
 NC, North Carolina

Security Clearance:
No Clearance

Business Unit:
Piper Companies

Division:
Piper Clinical Solutions

Job Description:

Piper Companies is seeking a Clinical Pharmacist to join a leading organization in the healthcare insurance industry for a fully remote contract position based out of NC. The Clinical Pharmacist will support Medicare Case Management operations and perform comprehensive clinical reviews for a major healthcare payer.

Responsibilities of the Clinical Pharmacist include:

• Conduct comprehensive case reviews, including evaluation of member medications and prior authorization requests
• Make determinations for drug products based on benefits, clinical criteria, and regulatory guidelines
• Track and report utilization review statistics, compliance metrics, and daily review numbers
• Provide clinical support and guidance to pharmacy technicians
• Research drug information and maintain up‑to‑date knowledge of drug coding and NCPDP claims adjudication systems

Qualifications for the Clinical Pharmacist include:

• Bachelor's degree or advanced degree
• At least 3 years of relevant clinical pharmacy experience
• Current and active pharmacy license in an approved state
• Previous remote/work‑from‑home experience
• Knowledge of NDC, GCN, GPI, USC, and prior authorization guidelines

Compensation for the Clinical Pharmacist:

• Salary Range: $114,000-$124,000/year (USD)
• Comprehensive Benefits: Medical, Dental, Vision, sick leave if required by law, and 401K

 

Keywords: pharmacy, clinical pharmacist, Medicare case management, prior authorization, drug review, NCPDP, NDC, GPI, utilization management, clinical criteria, pharmacy benefit, medication review, remote pharmacist, healthcare insurance, compliance, drug coding

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