Prior Authorization Pharmacist (CST) - Remote

We are seeking an experienced Remote Pharmacist to join a clinical team focused on improving healthcare access and outcomes through effective utilization management.

• Review and evaluate prior authorization requests for medications and equipment under the Medicare Part B benefit
• Review appeals for previously denied requests
• Assist members and providers in understanding their drug coverage and how to navigate the benefits system
• Provide guidance to internal teams—both clinical and non-clinical—on benefit policies and procedures

• 2+ years of Utilization Management experience
• or completion of a Managed Care Residency
• In-depth knowledge of Medicare Part B drug policies and prior authorization processes
• Clear understanding of the healthcare ecosystem, including payers, providers, and pharmaceutical manufacturers
• Strong communication skills, especially with culturally diverse populations
• Experience with pharmacy-related Quality Assurance (QA) or transitions of care is a strong plus
• Previous work in multidisciplinary care teams preferred
• Comfortable working independently in a remote environment and meeting deadlines
• Must be based in CST and available for the schedule noted

• Weekly Paycheck
• Matching 401(k) Plan
• Extensive Medical Coverage
• Licensing Assistance
• Custom Housing
• Travel Assistance
• Professional Development Reimbursement

Soliant has achieved The Gold Seal of Approval from The Joint Commission