Work From Home PharmD Utilization Management Pharmacist

Sagility

6d•$52•Remote

About The Position

Elevate Your Career with Sagility Sagility, a global leader in business process management, is dedicated to enhancing the member and patient experience. By combining cutting-edge technology with decades of healthcare expertise, we deliver exceptional results for our clients. Become Part of a Team That S.O.A.R,s! S Spark Curiosity O One Team, One Direction A Action for Results R Right by Right Purpose Use your clinical expertise without the retail environment Looking to apply your PharmD in a role that values your clinical judgment, analytical thinking, and attention to detail? Join Sagility and be part of a team that supports critical healthcare decisions behind the scenes. In this full-time, non-patient-facing role, you’ll review medication requests and apply clinical guidelines to ensure members receive appropriate, evidence-based care. If you enjoy solving complex clinical scenarios, working independently, and contributing to meaningful healthcare outcomes, this opportunity is for you.

Requirements

Doctor of Pharmacy (PharmD) degree
Active pharmacist license in good standing
Strong clinical judgment and problem-solving skills
Comfortable working independently in a structured environment
Strong written communication and documentation skills
Ability to learn new systems quickly and manage multiple applications simultaneously
Detail-oriented with strong focus on accuracy and quality
Hardwired internet connection with minimum speeds of 25 Mbps download and 10 Mbps upload
Secure, private workspace free from distractions
As a work-from-home team member, you are required to participate in active camera sessions for your role. You will be expected to remain on camera throughout onboarding and training and be available on camera as needed once in production. This is a standard requirement for the position; failure to meet this expectation will result in separation from employment.

Nice To Haves

2–3 years of experience supporting U.S. healthcare pharmacy or utilization management processes preferred

Responsibilities

Evaluate clinical requests such as: Prior Authorizations (PA), Formulary Exceptions (FE), Step Therapy (ST) requests, Quantity Limit (QL) exceptions
Apply clinical guidelines and client criteria to determine coverage decisions
Interpret complex clinical scenarios and provide clear documentation supporting decisions
Collaborate with pharmacists and team members to ensure consistency and accuracy
Consult with healthcare providers when clarification is needed regarding clinical requests
Meet productivity and quality benchmarks while maintaining strong attention to detail
Support a culture focused on accuracy, accountability, and continuous learning