Supervisor, Utilization Management Pharmacist

Position Summary:  
Join a mission-driven team where your leadership directly enhances patient care. In this role, you'll oversee a group of clinical pharmacists, support key clinical programs, and stay engaged in hands-on clinical work like prior authorizations and provider outreach. You'll also play a vital role in mentoring staff, optimizing workflows, and collaborating across teams. This is a great opportunity for pharmacists looking to grow their careers while making a meaningful impact—all in a fully remote, high-performing, and collaborative environment. 

Position Responsibilities:  

• Responsible for the supervision of a group of clinical pharmacists handling phone escalations from members, prescribers, and pharmacists, prior authorization reviews, and clinical programs outreach.  
• Participate in the goal setting process and regularly review performance of direct reports, providing coaching when needed. 
• Support on-going training of current staff and onboarding new clinical pharmacists, including developing and maintaining job aids and/or policies and procedures. 
• Work in conjunction with other leadership in analyzing available data and provide staffing, workflow and system enhancement recommendations. 
• Identify and apply career development opportunities for employees. 
• Perform day to day clinical pharmacy functions including prior authorization and appeal reviews, override requests, and inbound and outbound member and provider education or peer-to-peer calls. 
• Meet or exceed performance metrics while maintaining quality and providing superior customer service to all stakeholders.
• Provide support for clinical programs as needed, including triaging incoming clinical calls and conducting outreach calls to prescribers, pharmacies, and members.
• Provide on call support as needed for after-hours pharmacist/clinical programs/emergent calls on rotating schedule that includes nights, weekends and holidays. 
• Work collaboratively with internal business and clinical partners to support initiatives including clinical interventions, clinical programs, data and claims review, and on-boarding of new clients, as required.
• Support Manager, Utilization Management with additional duties as assigned. 

Required Qualifications:  

• Active, unrestricted pharmacist license 
• Bachelor's or Doctor of Pharmacy Degree with 2+ years of pharmacy practice experience 
• Experience in customer service, call center and prior authorization required 
• Excellent communication, writing, and organizational skills
• Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric driven call center environment 
• Self-motivated and detail-oriented problem solver 
• Ability to handle multiple competing priorities in a dynamic environment and collaborate in a team
• Have a designated workspace (an office, spare bedroom, etc) that is visibly secure from others during work hours (closed door) and is protected from noise that could disrupt conversations
• Have the following internet connectivity: DSL, cable modem or fiber with a wired connection to device (wi-fi not allowed). Internet speed of one gigabyte (940bps) is required
• Working knowledge of MS Office
•  2+ years of experience as a clinical pharmacist in a Pharmacy Benefit Management (PBM) setting.