Per Diem Pharmacist

EmpiRx Health

. Act as a clinical expert on prior authorization review and evaluation according to clinical criteria and covered plan design .

Posted 10/22/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical evaluation and prior authorization processes, with a strong foundation in pharmacy practice and clinical judgment. Proficient in utilizing pharmacy management software and Microsoft Office tools to support clinical decision-making and documentation.

Highest-signal resume keywords

Pharm.D. DegreeActive Pharmacist LicenseClinical JudgmentPrior Authorization ExperienceMicrosoft Office Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Clinical EvaluationPrior Authorization ReviewUtilization ManagementCase DocumentationAnalytical Thinking

Soft Skills

Exceptional CommunicationAttention to DetailOrganizational SkillsMultitasking AbilitiesCollaborative Work

Tools & Technologies

Pharmacy Management SoftwareMicrosoft Office SuiteIPDPolicy ReporterUpToDateMediSpan

Certifications & Qualifications

Pharmacist License

Industry Keywords

Clinical PharmacyPBMManaged CareHealth Plan OperationsClinical Interventions

About the role

Key responsibilities & impact

Act as a clinical expert on prior authorization review and evaluation according to clinical criteria and covered plan design
Review, evaluate, and resolve assigned clinical reviews through comprehensive case review and direct physician engagement
Perform peer-to-peer reviews with providers as needed
Convey clinical determinations promptly to prescribers, members, and healthcare professionals following approval and denial protocols
Monitor and identify clinical interventions to ensure clinical savings guarantees are met
Review current clinical literature to support recommendations and decision-making
Participate in continuous quality improvement initiatives
Stay informed on formulary updates, clinical programs, and internal policies
Provide guidance and support regarding clinical inquiries
Collaborate with clinical technicians and prior authorization team members to resolve escalations and answer inquiries
Support staff training and development as needed
Document cases and communications using pharmacy management software
Use Microsoft Office tools for analysis and reporting
Use external clinical and drug information resources such as IPD, Policy Reporter, UpToDate, and MediSpan
Collaborate cross-functionally on claim/data review, clinical interventions, and provider/member/client support

Requirements

What you’ll need

Pharm.D. degree from an accredited college of pharmacy (Required)
Minimum of 3 years of pharmacy experience in clinical, PBM, or managed care settings
Prior experience with prior authorization, utilization management, or health plan operations preferred
Active Pharmacist License in good standing (Required)
Strong clinical judgment and analytical thinking skills
Exceptional written and verbal communication
High attention to detail and accuracy in documentation
Excellent organizational and multitasking abilities
Proficient in Microsoft Office Suite and pharmacy systems
Ability to work independently and collaboratively in a fast-paced environment
Ability to work up to 25 hours a week from the hours of 8am-8pm EST

Benefits

Comp & perks

Paid Time Off
401(k) program
Health Insurance including Dental & Vision coverage
Health Savings Account
Employee Assistance Program