Clinical Review Pharmacist

Job overview

The Clinical Review Pharmacist role is remote across the United States. Compensation is listed as $63–$66 per hour, depending on the applicable pay zone and work location. SmithRx’s clinical team supports its mission to improve pharmacy benefit management through technology, cost-saving tools, and customer service. The pharmacist reviews prior authorization requests and appeals, applying clinical guidelines and benefit criteria to make timely, evidence-based decisions. The role supports clinical programs and member outcomes through compliant documentation and clear guidance to members, prescribers, and pharmacies.

What you'll do

• Review prior authorizations and appeals and make timely, evidence-based decisions using clinical guidelines and benefit criteria
• comply with applicable regulations
• document decisions according to utilization review standards
• respond to clinical inquiries from members, prescribers, and pharmacies
• stay current on prescribing guidelines, policies, and regulatory changes
• follow HIPAA procedures
• identify and report potential fraud, waste, and abuse
• support team training and special projects as needed.

What we're looking for

Skills & competencies

clinical review pharmacist

remote us

smithrx

prior authorization

clinical appeals

utilization management

pharmacy benefit management

pharmd

active pharmacist license

hipaa

$63–$66/hour

Work arrangement

• Weekend coverage required

Benefits & perks

• Time off programs
• medical, dental, and vision coverage
• mental health support
• paid parental leave
• life and disability insurance
• 401(k).

Why this role

Requires a PharmD or Bachelor of Science in Pharmacy from an ACPE-accredited school, an active unrestricted pharmacist license in the state of residence, and at least two years of pharmacy practice experience. Availability for after-hours, weekend, and holiday work on a rotating or fixed schedule is required. The listing identifies a six-month, full-time contract.

About the employer

SmithRx is hiring for this role. Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Sector: 52.