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Entry Level Utilization Management Pharmacist Jobs

Pharmacy Careers

Appeals Pharmacist (Remote)

Las Vegas, NV · On-site

$55 - $67/hr

Prior managed care or utilization management experience preferred -- retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Excellent clinical ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Pasadena, MD · On-site

$58.25 - $70.75/hr

Prior managed care or utilization management experience preferred -- retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Excellent clinical ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Bakersfield, CA · On-site

$59.25 - $72.25/hr

Prior managed care or utilization management experience preferred -- retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills: Excellent ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Simpsonville, SC · On-site

$51.25 - $62.25/hr

Prior managed care or utilization management experience preferred -- retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills: Excellent ...

Lthc

Utilization Management Services Rep I

Buffalo, NY

$15.50 - $21/hr

... pharmacists, and support staff. * Provide one-on-one support, coaching, and training to UM Services Reps. * Collaborates with other key departments (Claims, Customer Service, related care management ...

Lthc

Utilization Management Services Rep I

Utica, NY · On-site

$16.25 - $22.25/hr

... pharmacists, and support staff. * Provide one-on-one support, coaching, and training to UM Services Reps. * Collaborates with other key departments (Claims, Customer Service, related care management ...

Lthc

Utilization Management Services Rep I

Utica, NY

$16.25 - $22.25/hr

... pharmacists, and support staff. * Provide one-on-one support, coaching, and training to UM Services Reps. * Collaborates with other key departments (Claims, Customer Service, related care management ...

Lthc

Utilization Management Services Rep I

Rochester, NY

$15.75 - $21.50/hr

... pharmacists, and support staff. * Provide one-on-one support, coaching, and training to UM Services Reps. * Collaborates with other key departments (Claims, Customer Service, related care management ...

Lthc

Utilization Management Services Rep I

Buffalo, NY · On-site

$15.50 - $21/hr

... pharmacists, and support staff. * Provide one-on-one support, coaching, and training to UM Services Reps. * Collaborates with other key departments (Claims, Customer Service, related care management ...

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Entry Level Utilization Management Pharmacist information

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How much do entry level utilization management pharmacist jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for entry level utilization management pharmacist in the United States is $58.10, according to ZipRecruiter salary data. Most workers in this role earn between $46.63 and $68.75 per hour, depending on experience, location, and employer.

What are the main challenges an Entry Level Utilization Management Pharmacist may face during the initial months on the job?

As an Entry Level Utilization Management Pharmacist, you may encounter challenges such as quickly learning to navigate complex insurance policies, understanding various formulary restrictions, and effectively interpreting clinical guidelines to make coverage determinations. Balancing the need for timely decisions with the responsibility to ensure appropriate patient care can also be demanding. Additionally, collaborating smoothly with physicians, nurses, and case managers requires strong communication skills, especially when discussing medication approvals or denials.

What is an Entry Level Utilization Management Pharmacist?

An Entry Level Utilization Management Pharmacist is a licensed pharmacist who works within healthcare organizations, insurance companies, or pharmacy benefit managers to ensure that medications prescribed to patients are appropriate, medically necessary, and cost-effective. Their role involves reviewing drug utilization, assessing prior authorization requests, and collaborating with healthcare providers to optimize medication therapy according to established guidelines. Entry level positions are designed for pharmacists who are new to the field and may include training and mentorship opportunities. They help balance patient care with healthcare cost management, making sure patients receive safe and effective treatments.

What is the difference between Entry Level Utilization Management Pharmacist vs Utilization Management Pharmacist?

AspectEntry Level Utilization Management PharmacistUtilization Management Pharmacist
CredentialsDoctor of Pharmacy (PharmD), licensure, possibly some certificationsDoctor of Pharmacy (PharmD), licensure, certifications often preferred
Work EnvironmentEntry-level, supervised, healthcare or insurance settingTypically more experienced, independent work in healthcare or insurance companies
Job ResponsibilitiesAssist in review processes, learn utilization review protocols, support teamConduct utilization reviews, make coverage decisions, analyze medical necessity

In summary, Entry Level Utilization Management Pharmacists are just starting their careers and focus on learning review processes under supervision, while Utilization Management Pharmacists have more experience and handle independent review decisions. Both roles require PharmD and licensure, but the level of responsibility and independence differs.

What are the key skills and qualifications needed to thrive as an Entry Level Utilization Management Pharmacist, and why are they important?

To thrive as an Entry Level Utilization Management Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, active pharmacist licensure, and a solid understanding of drug therapies and healthcare regulations. Familiarity with pharmacy benefit management (PBM) systems, electronic health records (EHRs), and prior authorization platforms is typically required. Strong analytical thinking, attention to detail, and effective communication with healthcare providers are essential soft skills. These abilities ensure safe, cost-effective medication use and support collaborative, compliant patient care decisions.
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Entry Level Utilization Management Pharmacist jobs near you

Appeals Pharmacist (Remote)

Pharmacy Careers

Las Vegas, NV • On-site

$55 - $67/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Appeals Pharmacist – Ensure Fair Medication Access for Patients

A confidential managed care organization is seeking an experienced Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role is ideal for pharmacists who want to leverage their clinical knowledge and critical thinking skills to advocate for patients and ensure fair, evidence-based decisions.

Key Responsibilities

  • Review clinical documentation for medication coverage appeals and grievances.
  • Apply evidence-based guidelines, plan policies, and regulatory requirements to determine outcomes.
  • Prepare written clinical rationales to support appeal determinations.
  • Collaborate with physicians, nurses, and medical directors during case reviews.
  • Track, document, and report appeal outcomes in compliance with state and federal regulations.
  • Support process improvements to enhance timeliness and quality of appeal decisions.

What You'll Bring

  • Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Active and unrestricted pharmacist license in the U.S.
  • Prior managed care or utilization management experience preferred — retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply.
  • Excellent clinical judgment, written communication, and attention to regulatory detail.

Why This Role?

  • Impact: Play a critical role in ensuring patients get fair access to necessary medications.
  • Growth: Gain expertise in appeals, utilization management, and managed care pharmacy.
  • Flexibility: Many roles offer hybrid or fully remote options.
  • Rewards: Competitive salary, comprehensive benefits, and opportunities for advancement.

About Us

We are a confidential healthcare partner working with health plans and managed care organizations nationwide. Our appeals pharmacists safeguard patient access while ensuring compliance with all regulatory standards.

Apply Today

Join our team as an Appeals Pharmacist and help ensure every patient receives a fair review of their medication needs.

Apply