Job Description
Looking for a clinical role where your expertise directly impacts patient care and pharmacy operations? This opportunity allows you to leverage your clinical judgment and analytics skills to support prior authorization decisions and optimize pharmacy benefit outcomes in a collaborative, high-impact environment.
**Location** : Remote (NC residency required)
**Pay Rate** : $70/hour
**Employment Type:** Contingent
**Start Date:** Immediate
**Why This Role Matters**
In this role, you’ll play a critical part in ensuring patients receive appropriate, evidence-based medication therapy while maintaining compliance with benefit design and regulatory standards. Your work supports quality, safety, and cost-effective care delivery.
**What You'll Do**
+ Review prior authorization requests and make coverage determinations in accordance with member benefits and clinical criteria
+ Analyze and report utilization review statistics to corporate compli...
**Location** : Remote (NC residency required)
**Pay Rate** : $70/hour
**Employment Type:** Contingent
**Start Date:** Immediate
**Why This Role Matters**
In this role, you’ll play a critical part in ensuring patients receive appropriate, evidence-based medication therapy while maintaining compliance with benefit design and regulatory standards. Your work supports quality, safety, and cost-effective care delivery.
**What You'll Do**
+ Review prior authorization requests and make coverage determinations in accordance with member benefits and clinical criteria
+ Analyze and report utilization review statistics to corporate compli...