Supervisor, Utilization Management Pharmacist

Judi Health•Charlotte, NC

2d•Remote

About The Position

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.

Requirements

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.

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.