Prior Authorization Clinical Pharmacist

A Prior Authorization Clinical Pharmacist evaluates and manages pharmaceutical selection to ensure safe, effective, and cost-efficient medication use within a managed care environment. The role involves conducting Drug Utilization Reviews, preparing therapeutic class reviews for the Pharmacy and Therapeutics Committee, and coordinating with medical directors to approve or deny coverage based on medical necessity. This position serves as a clinical resource for dosage conversions and evidence-based medication guidance while supporting key pharmacy programs.