What you will do- Provide clinical review and consultation on medication requests, prior authorizations, and benefit determinations.
- Evaluate therapy appropriateness, dosing, and safety based on evidence-based guidelines.
- Collaborate with providers to clarify prescriptions and recommend alternatives when appropriate.
- Support complex case reviews and appeals with accurate clinical documentation.
- Identify opportunities to improve medication adherence, safety, and cost-effectiveness.
- Educate internal teams on formulary management, utilization review, and pharmacy policy updates.
What we look for- R.Ph required; PharmD preferred
- Full, current, and unrestricted pharmacist license in PA, TN, and/or OH
- Ability to obtain additional state licensure based on business needs
- 1+ year of pharmacy experience preferred (retail, hospital, or managed care)
- Working knowledge of formulary management, clinical guidelines, and pharmacy benefit structures
- Strong communication, analytical, and consultative skills
- Ability to exercise sound clinical judgment and work independently
- Commitment to evidence-based practice and continuous learning
Why Consultative Pharmacists are importantEvery medication decision we make affects someone's health, safety, and quality of life. As a Consultative Pharmacist, you ensure our members receive clinically appropriate, cost-effective therapies - helping balance patient care with responsible resource management. Your expertise directly advances our mission of improving health outcomes through compassionate, evidence-based pharmacy care.
Let's soar together 
