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Clinical Pharmacist 1

Spectraforce Technologies

United States, Florida, Jacksonville

13141 City Station Drive (Show on map)

Mar 11, 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.