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Clinical Pharmacist 1

Spectraforce Technologies

United States, Florida, Jacksonville

13141 City Station Drive (Show on map)

Feb 25, 2026

Title: Clinical Pharmacist 1

Location: Remote

Duration: 6 Months - Possible extension

10am - 6:30pm EST, OT possible

Responsibilities

This team reviews medication prior authorization requests and coverage determinations for the Medicaid, Medicare and Health Exchange lines of business.

?A typical day consists of reviewing 140 to 160 clinical prior authorizations or coverage determiantions* Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated

* Monitor prior authorization requests

* Provide clinical support to internal departments and address clinical related questions

* Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice

* Develop and implement programs designed to impact DUR for both Medicaid and Medicare

* Develop, implement, and maintain policies and procedures for the pharmacy department

* Participate in the coordination of the Medicare MTM program

* Assist case management team with members including clinical rounds presentations

Candidate Requirements
Education/Certification	Required: Bachelors / PharmD	Preferred:
Licensure	Required: Current states pharmacist license	Preferred:
Years of experience required: 1 to 3 years experience Disqualifiers: None Additional qualities to look for: Flexibility to work a weekend rotation
Top 3 must-have hard skills stack-ranked by importance	1	Clinical decision making
2	Ability to learn new skills quickly
3	Adaptability

Position is offered by a no fee agency.