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 Pharmacist

Job Description:

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.

Benefits You Will Enjoy

• Competitive pay: $52.00/hour
• Performance-based incentives
• Paid training in a cutting-edge virtual training environment
• Comprehensive health coverage
• Employee wellness and engagement programs.

What You Will Do

• 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

What Makes You a Great Fit

• Doctor of Pharmacy (PharmD) degree
• Active pharmacist license in good standing
• 2–3 years of experience supporting U.S. healthcare pharmacy or utilization management processes preferred
• 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
   

Work Environment & Schedule

• Work from Home
• Full-time position supporting a volume-driven healthcare environment
• Core business hours: 8:00 AM – 6:00 PM Central Time
  Schedules may vary based on business needs
• Flexibility 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 role

What Success Looks Like

• High-quality clinical decision-making
• Consistent productivity aligned with team benchmarks
• Strong attention to detail and documentation accuracy
• Reliability, accountability, and professionalism
• Collaborative mindset and willingness to learn

Benefits & 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 Reimbursement

Sagility 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