Remote Pharmacy Operations Analyst
3 weeks ago
Remote Pharmacy Operations Analyst Base pay range: $28.00/hr - $35.00/hr About The Job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position Clinical Pharmacist Type Contract Compensation $28–$35/hour Location Remote Role Responsibilities Annotate and structure healthcare data for AI model training. Curate, label, and clinically validate pharmacy workflows, Prior Authorization criteria, and medical documentation. Collaborate with AI engineers to provide real‑world clinical insights. Guide model design, decision logic, and validation using authentic specialty scenarios. Perform clinical review of AI‑generated outputs for accuracy, safety, and compliance. Define guardrails for high‑risk therapies such as REMS, dose limits, and step therapy. Help define clinical data schemas, SOPs, and evaluation metrics. Mentor pharmacy technicians and reviewers. Work independently and asynchronously to improve AI model performance and streamline pharmacy workflows. Qualifications Must‑Have PharmD (or BS Pharm) and active pharmacist license in good standing. 3+ years as a Clinical Pharmacist in a Specialty Pharmacy, health system, or PBM/managed care setting. Experience with Prior Authorizations, coverage determinations, appeals, and benefits investigations. Fluency with payer systems, medical necessity criteria, step therapy, quantity limits, and formulary management. Familiarity with specialty drugs and REMS programs across oncology, immunology, neurology, and other therapeutic areas. Understanding of HIPAA compliance, PHI handling, and documentation standards. Strong clinical judgment, attention to detail, and documentation skills. Comfort with structured data tools (Excel, EHR/EMR systems, CRMs). Ability to translate policies and guidelines into precise decision logic and annotation instructions. Cross‑functional communication with engineers, data scientists, and operations teams. Preferred Board certification (e.g., BCPS, BCOP, BCACP) or equivalent specialty experience. Experience collaborating with data or engineering teams. Prior exposure to AI/ML evaluation or labeling tools. Familiarity with Medicare/Medicaid and major commercial payer portals and policies. Application Process (Takes 20–30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome/welcome For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity. #J-18808-Ljbffr
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