Clinical Review Pharmacist (REMOTE)

UNITAS

🏠 Remote
📍
Posted May 22, 2026

Job Overview

Position

Clinical Review Pharmacist (REMOTE)

Company

UNITAS

Location

Work Type

Remote

Job ID

li-4417146958

Job Description

UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent recruiting, consulting, and clinical coaching. Our extensive experience includes Pharmacy Benefit Management, Long-Term Care, Retail Pharmacy, Hospital, and Leadership, enabling us to connect the best clinical talent with outstanding companies. We know clinicians because we are clinicians!

**About the role**

  • The Clinical Pharmacist is responsible for the processing and documenting of Utilization Management (UM) requests (e.g. prior authorization, step therapy, formulary exceptions) for delegated products and services. The work is detail-oriented, and candidates will be expected to provide sound clinical judgement and communication.

  • Positions are available in Medicare and Commercial lines of business.

**What you'll do**

  • Responsible for the clinical evaluation and determination of client UM requests, which includes consideration of the denial language, as well as the appropriateness of the decision as it pertains to the clinical intent of the individual program criteria.

  • Accountable for direct consultation with health care providers concerning non-formulary and clinical product coverage issues.

  • Collaborate with team members to promote consistency of clinical decisions across the pharmacist team.

  • Other duties as assigned.

**Qualifications**

  • Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy degree.

  • Current pharmacist license in good standing at local State Board of Pharmacy.

  • Confident in making clinical decisions independently.

  • Ability to prioritize tasks and manage multiple projects simultaneously.

  • Motivated self-starter who does not require constant direction or feedback to drive results.

  • Flexibility to evolve in a dynamic working environment.

  • Proficient with learning new computer systems and using multiple monitors.

The pay range for this role is:
55 - 60 USD per hour(Remote)

Interview Prep

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Key Skills

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Preferred:

Practice Questions

💡Technical Questions (3)
  • 1.Can you walk me through your clinical process for evaluating a prior authorization request that does not meet the standard formulary criteria, but the provider is requesting a formulary exception?
  • 2.How do you approach a direct consultation with a prescribing physician who is frustrated about a non-formulary denial or step therapy requirement for their patient?
  • 3.This role involves both Medicare and Commercial lines of business. How do the clinical review requirements and regulations differ between them, and how do you ensure compliance with both?
🎯Behavioral Questions (3)
  • 1.Tell me about a time you had to make a difficult clinical decision independently without the immediate availability of a supervisor or colleague for guidance.
  • 2.Describe a situation where you had to manage multiple high-priority projects or tasks simultaneously in a fast-paced environment. How did you ensure nothing fell through the cracks?
  • 3.Give me an example of a time you collaborated with team members to promote consistency in clinical decisions or standardize a process.
🧩Situational Questions (2)
  • 1.You are reviewing a prior authorization for a high-cost specialty drug. The request does not meet the program's step therapy criteria, but the provider insists the patient has failed the preferred alternatives verbally, without providing objective chart notes. How do you handle this?
  • 2.You are working remotely and the UM software system you use to process requests suddenly goes down, but you still have access to email and clinical reference tools. What is your approach to this dynamic working environment?

Resume Keywords

Make sure these keywords appear on your resume

Utilization ManagementPrior AuthorizationClinical ReviewFormulary ExceptionStep TherapyPharmacy Benefit ManagementMedicareCommercialProvider ConsultationClinical JudgementRemotePharmD

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