Remote Utilization Management Pharmacist Job Description

Join a Mission-Driven Team Focused on Empowerment and Impact

Imagine a position where your clinical knowledge isn't just respected—it’s foundational. A place where thoughtful care, strategic review, and collaboration go hand-in-hand. As a Remote Utilization Management Pharmacist, you'll contribute to shaping a more accessible and compassionate healthcare system while earning an annual salary of $130,403.

Our team’s foundation is built on more than just prescriptions—we advocate, innovate, and uplift one another. We're looking for individuals who find purpose in precision and fulfillment through impactful work.

About the Role

The Utilization Management (UM) Pharmacist plays a crucial role in upholding high standards of care, evaluating treatment requests, and ensuring that therapies align with both clinical effectiveness and patient-centered principles. This remote role is ideal for a pharmacist who values autonomy, collaboration, and making informed decisions that prioritize people's needs.

Key Responsibilities

Medication Evaluation & Clinical Review

• Review and assess medication authorization requests by current therapeutic guidelines and policies.
• Maintain balanced decision-making rooted in both medical necessity and individual patient contexts.
• Document findings accurately within electronic platforms.

Team-Based Coordination

• Collaborate with physicians, care coordinators, and nursing teams to gather detailed information and optimize treatment strategies.
• Share clinical insights to support health outcomes and explain formulary decisions to providers when needed.

Regulatory Adherence

• Follow national and regional compliance standards.
• Assist with performance tracking, quality reporting, and process improvements.

Lifelong Learning & Professional Engagement

• Stay informed about advancements in medication, healthcare regulations, and best practices.
• Actively share learning and contribute to continuous improvement.

Tools and Technology

To support you in delivering efficient and thoughtful care, we provide robust remote systems and tools:

• Evidence-based decision support tools to streamline reviews
• Secure platforms compliant with healthcare privacy standards
• Integrated EHR systems for patient context and treatment history
• Collaboration suites like Teams, Zoom, and Slack to foster real-time connections

Inclusive Work Environment

We’re proud to cultivate an inclusive workplace where respect, fairness, and diverse perspectives are at the core of our identity. Our team thrives on shared goals and values, drawing strength from varied backgrounds, life experiences, and cultures.

Here, your background is your strength. Whether you're transitioning into remote work, reentering the workforce, or expanding your clinical path, we offer a place where you can grow without barriers.

Qualifications & Experience

We are seeking individuals who possess technical expertise combined with a human touch—those who can assess medication appropriateness and present recommendations with clarity and care.

Required:

• A valid, unrestricted Pharmacist license in at least one U.S. state
• A PharmD or equivalent degree
• Minimum 3 years of clinical or UM-related experience
• Comfort with clinical software and remote work tools

Preferred:

• Experience in Managed Care, Pharmacy Benefit Management, or Medicare Part D
• Recognized certifications such as BCPS or MTM Specialist
• Additional state licenses are a bonus

What Makes This Role Special

Blending Empathy and Expertise

You’ll be recognized not only for your clinical skill, but for your ability to balance objective guidelines with human understanding.

True Work-Life Harmony

This is a 100% remote, full-time opportunity designed to provide structure without rigidity, and flexibility without detachment.

Inclusive Hiring Commitment

We embrace a philosophy of equity and inclusion. We invite people of all gender identities, cultural backgrounds, ages, and abilities to apply.

No matter your journey, you belong here.

A Culture That Supports You

You won’t be navigating solo. Our team works together with intention, checking in, lending support, and celebrating wins as a collective.

We’ve helped colleagues adapt work schedules around family, navigate health-related transitions, and relocate without missing a beat. We understand life doesn’t pause—and neither does our support.

Opportunities for Growth

We offer more than a role—we offer a pathway. Our support for your growth includes:

• Deepening knowledge in clinical pharmacology
• Stepping into training or leadership roles
• Exploring policy, formulary development, or research initiatives

Professional development workshops, goal planning, and CE reimbursements are part of our commitment to helping you flourish.

Ready to Join Us?

If you're looking for a career where your knowledge shapes better outcomes, where inclusion is a daily practice, and where every review you make contributes to a fairer system of care, then you're in the right place.

🖐️ Apply now to start a fulfilling chapter in remote pharmacy with a team that sees the person behind the professional.