Clinical Administrative Pharmacist

Prime Therapeutics

. Partner with internal stakeholders and clients to develop and maintain project and benefit plan testing scenarios, including utilization management and specialty offerings .

Posted 11/3/2026full-timeRemote • Tennessee • United StatesJunior💰 $108,000 - $184,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in clinical pharmacy practices, regulatory compliance, and project management, with a strong focus on data analysis and process improvement. Proficient in conducting testing and ensuring quality assurance in benefit plan implementations.

Highest-signal resume keywords

Doctor Of Pharmacy (PharmD)Current Pharmacist LicenseClinical Pharmacy ExperienceData AnalysisRegulatory Compliance

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

Test Plan CreationTest ExecutionUser Acceptance TestingRoot-Cause AnalysisProcess ImprovementDrug Utilization ReviewClaims AdjudicationProject ManagementAnalytical SkillsAttention To Detail

Soft Skills

CollaborationProblem-SolvingTime Management

Tools & Technologies

AS400Lotus NotesMicrosoft ExcelMicrosoft Word

Certifications & Qualifications

Pharmacist License

Industry Keywords

Utilization ManagementBenefit Plan TestingComplianceEvidence-Based CoverageFormulary Changes

About the role

Key responsibilities & impact

Partner with internal stakeholders and clients to develop and maintain project and benefit plan testing scenarios, including utilization management and specialty offerings
Interpret project requests to determine feasibility, document requirements, and provide technical solutions
Conduct testing, including test plan creation, test execution, and User Acceptance Testing for quality assurance
Identify and resolve system issues, perform root-cause analysis, and escalate problems to avoid service disruption
Ensure benefit plans remain in compliance with all regulatory requirements (federal, CMS, state, local, and pharmacy)
Develop, maintain, and verify data for drug utilization and claims adjudication systems to support evidence-based benefit coverage decisions
Support concurrent Drug Utilization Review service messages, table settings, testing and adjudication workflows to ensure accuracy and compliance with established protocols and implementation decisions
Collaborate with leaders to implement client-requested formulary changes and provide subject-matter expertise to internal and external committees
Perform other duties as assigned

Requirements

What you’ll need

Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree
1 year of work experience in clinical, retail, hospital, or managed care
Current Pharmacist license to practice in the applicable state(s)
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Knowledge of AS400, queries, and Lotus Notes
Strong analytical and problem-solving skills with attention to detail and quality
Ability to manage multiple projects simultaneously under pressure with strict timelines
Skilled in developing and improving process efficiencies
Strong collaboration skills and ability to work in a team-oriented environment
Proficiency with Microsoft Excel and Word

Benefits

Comp & perks

Benefits, incentives, and additional compensation (details provided on the employer's Benefits Page)
Equal opportunity and affirmative action employment
Reasonable accommodations for employees with disabilities
Tobacco-free workplace