Work From Home PharmD Utilization Management Pharmacist

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.Job title:Work From Home PharmD Utilization Management PharmacistJob Description:Elevate Your Career with SagilitySagility, 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 CuriosityO One Team, One DirectionA Action for ResultsR Right by Right PurposeUse your clinical expertise without the retail environmentLooking 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.Benefits You Will EnjoyCompetitive pay: $52.00/hourPerformance-based incentivesPaid training in a cutting-edge virtual training environmentComprehensive health coverageEmployee wellness and engagement programs.What You Will DoEvaluate clinical requests such as: Prior Authorizations (PA), Formulary Exceptions (FE), Step Therapy (ST) requests, Quantity Limit (QL) exceptionsApply clinical guidelines and client criteria to determine coverage decisionsInterpret complex clinical scenarios and provide clear documentation supporting decisionsCollaborate with pharmacists and team members to ensure consistency and accuracyConsult with healthcare providers when clarification is needed regarding clinical requestsMeet productivity and quality benchmarks while maintaining strong attention to detailSupport a culture focused on accuracy, accountability, and continuous learningWhat Makes You a Great FitDoctor of Pharmacy (PharmD) degreeActive pharmacist license in good standing2–3 years of experience supporting U.S. healthcare pharmacy or utilization management processes preferredStrong clinical judgment and problem-solving skillsComfortable working independently in a structured environmentStrong written communication and documentation skillsAbility to learn new systems quickly and manage multiple applications simultaneouslyDetail-oriented with strong focus on accuracy and qualityHardwired internet connection with minimum speeds of 25 Mbps download and 10 Mbps upload Secure, private workspace free from distractions Work Environment & ScheduleWork from HomeFull-time position supporting a volume-driven healthcare environmentCore business hours: 8:00 AM – 6:00 PM Central TimeSchedules may vary based on business needsFlexibility required for:• Occasional overtime• Weekend rotation (typically every 4–6 weeks)• Select holidays (2–3 annually)Structured training program (approximately 5 weeks) to ensure confidence and success in the roleWhat Success Looks LikeHigh-quality clinical decision-makingConsistent productivity aligned with team benchmarksStrong attention to detail and documentation accuracyReliability, accountability, and professionalismCollaborative mindset and willingness to learnBenefits & Perks• Daily Pay options available• Medical, Dental, and Vision coverage• Life Insurance• Short-Term and Long-Term Disability options• Flexible Spending Account (FSA)• Employee Assistance Program• 401(k) with employer contribution• Paid Time Off (PTO)• Tuition ReimbursementSagility is an Equal Opportunity Employer/Veteran/Disability.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.Alert: Please beware of fraudulent communications from profiles impersonating Sagility or its employees. All official communication from Sagility will come from our verified email domains: “@sagility.com” or “@sagilityhealth.com”. Sagility will never ask for payments for job offers, interviews, or otherwise. Do not respond to suspicious communications, whether via email, WhatsApp, or any social platform. For any concerns, contact us directly through our official website.Location:United States of America