mpathic2

mpathic2

Pharmaceutical Expert (Contract)

United States

Sponsorship not specifiedDetected 14 days ago

About the role

  • You'll review real-world scenarios, evaluate AI-generated outputs, and provide the feedback that helps make these systems more reliable for patients, providers, and care teams.

Requirements

  • Strong written English and the ability to communicate complex clinical and policy concepts clearly.
  • If you have applied for an expert role within the past 12 months, you do not need to reapply.
  • 5+ years of experience in pharmacy prior authorization, specialty medication access, pharmacy benefit management, or a closely related field.
  • Deep understanding of specialty drug formularies, step therapy requirements, and payer authorization criteria across commercial and government health plans.
  • Experience working with specialty pharmacy platforms, pharmacy benefit management (PBM) systems, or medication access programs.
  • Exceptional attention to detail and strong judgment when reviewing clinical documentation and AI-generated outputs.

Nice to have

  • Certified Pharmacy Technician (CPhT), Certified Prior Authorization Professional (CPAP), or similar credential.
  • Experience supporting specialty pharmacy, infusion services, oncology, rheumatology, or other high-cost therapeutic areas.
  • Experience evaluating clinical documentation for payer compliance and medication access decisions.
  • This is a contract, project-based position.
  • The hourly rate will depend on experience and project parameters.
  • The rate will be disclosed prior to starting the project.
  • We can only accept and review and applications via our direct official recruiting portal: https://mpathic2.bamboohr.com/careers, d ue to the abundance of 3rd party apps and automated agents.
  • Only applications submitted directly by the applicant through our portal will be considered.

Compensation

  • This is a contract, project-based position. The hourly rate will depend on experience and project parameters. The rate will be disclosed prior to starting the project.

Benefits

  • Review specialty medication requests using your expertise in formularies, step therapy protocols, and pharmacy benefit policies.
  • Assess supporting clinical documentation and determine whether AI outputs reflect appropriate medical necessity criteria.
  • Bring real-world knowledge of specialty medication access to help shape safer, more trustworthy healthcare AI.
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This listing is sourced directly from mpathic2's careers page and normalized into a canonical job model.