Pharmacist I, Clinical Prior Authorization
Navitus Health Solutions · United States · US
Utilization Review
Remote
physician
Pharmacist
Dentist
Demand76
Career growth62
Healthcare fit82
Remote potential85
Salary band
USD 101k – 127k
5-year outlook
Posted salary range is approximately $101K-$127K, consistent with licensed pharmacist utilization-management roles. Outlook is stable with modest growth potential into senior clinical review, formulary, or utilization-management leadership, though exact future pay will vary by market and experience.
Clinical license
Required
Applicant reach
moderate
Seniority
junior
Employment type
full-time
Date found
2026-11-08
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Pharmacist, Dentist
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying for licensed pharmacists seeking a remote, non-bedside PBM role with clinical decision-making and prior authorization exposure. Less suitable for pharmacists who want direct patient care or cannot work rotating weekends/holidays or reside outside eligible states.
Who should apply
Licensed pharmacists with clinical medication-management experience, strong guideline/algorithm application, and interest in PBM operations, prior authorization, drug utilization review, formulary, and coverage determination work.
CV angle
Reframe real pharmacy experience toward utilization management: highlight medication therapy review, application of clinical criteria/guidelines, formulary or drug-policy exposure, prescriber communication, documentation, and quality/compliance. Emphasize ability to make consistent coverage determinations and handle high-volume clinical reviews without overstating prior PBM experience.
Skills to highlight
- Prior authorization review
- Drug utilization review
- Clinical criteria and coverage determination
- Formulary and medication policy knowledge
- Prescriber and interdisciplinary communication
- Clinical documentation and compliance
- URAC/quality standards awareness
- High-volume clinical decision-making
Role summary
A remote PBM pharmacist role focused on reviewing prior authorizations, applying coverage criteria, performing drug utilization review, supporting formulary and clinical programs, and communicating with prescribers and customer-care teams about medication coverage and therapeutic interventions.
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