Staff Pharmacist

Duties:
Utilization management pharmacists are responsible for reviewing each plans policy to determine if coverage can be granted for a medication. Provide clinical support and oversight for all utilization management (UM) activities. Responsible for finalizing all denials of clinical prior authorization requests.

Education:
Licensed Pharmacist required
Bachelors Degree in Pharmacy required; PharmD preferred
Proficient technical skills utilizing Microsoft Office applications required
Utilization Management Experience Preferred, but not required
Experience with Specialty Pharmacy/Pharmaceuticals preferred
2 years lead/supervisor or retail pharmacy experience preferred
3 Non-Negotiable Skills:
- Utilization Management Experience (recent experience)
- Strong clinical knowledge
- Able to make decisions

Certifications & Licenses:
Licensed Pharmacist

Skills:
.
Supports the Coverage Review Department (CRD) as a clinical resource for drug therapy questions
Applies critical thinking to achieve proper clinical decisions when performing clinical reviews
Utilizes multiple systems and other clinical resources to achieve proper decisions in Utilization Management reviews
Works and maneuvers within a queue system that prioritizes clinical reviews
Makes clinical decisions quickly and at times decides and acts with limited information
Works and collaborates with a multi-disciplinary clinical team to provide a customer centric experience
Conducts accurate review of chart notes and applies critical thinking to achieve proper clinical decisions

City: St Louis

Schedule:
Start Date: 02/23/2026
End Date: 07/31/2026
Schedule Notes: Monday - Friday 9am - 5:30pm EST including every 4th Saturday (day off during the week when working Saturday) Training Schedule will be the same 100% Remote
Hours Per Week: 40.00
Hours Per Day: 8.00
Days Per Week: 5.00