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Clinical Pharmacist 1

Spectraforce Technologies
United States, North Carolina, Raleigh
500 West Peace Street (Show on map)
Sep 04, 2026
Position Title: Clinical Pharmacist 1

Assignment Duration: 3 Months

Location: Remote


Work Arrangement: 9 AM - 6 PM local time, no OT requirements

Job Description:


* Reviews a completed prior authorization request received from the provider and/or reviews the pharmacy technician's recommended denial, suggested formulary alternatives, comments and attachments for appropriateness.

* Verifies member's ID number and date of birth.

* Verifies member's eligibility in the appropriate health plan eligibility system.



Candidate Requirements
Education/Certification Required: Pharm D. Preferred: n/a
Licensure Required: Any US state Preferred: n/a


  • Years of experience required
  • Disqualifiers
  • Best vs. average
  • Performance indicators


Ideal candidates are:

Self-motivated

Metric driven (retail experience can be an indicator of this but not always)

---what are the metric goals in their current role? How many cases per day do they complete?

---this is crucial information if they are working in a prior auth role or have worked prior auth before

Easily adaptable to frequent change

Any previous Centene experience or experience with our systems (MHK, ESI, Micromedex, AHFS to name a few)

Minimal gaps in employment history

Licensure in the following states COULD be a plus - NC, IN, WA, NH, GA

Must haves: At least one year of professional RPh experience

Nice to haves: Some experience working in managed care, understanding of Medicare/Medicaid law

Disqualifiers: n/a

Performance indicators: * Sign 85 - 100 cases daily


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