**Details** + **Location:** Remote + **Facility:** St. Charles + **Department:** Pharmacy Services + **Schedule:** Monday - Friday from 8:00 AM - 5:00 PM + **Rate:** $58.95 - $86.21/hr. **Benefits** + **Comprehensive health coverage:** medical, dental, vision, prescription coverage and HSA/FSA options + **Financial security & retirement:** employer-matched 403(b), planning and hardship resources, disability and life insurance + **Time to recharge:** pro-rated paid time off (PTO) and holidays + **Career growth:** Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning + **Emotional well-being:** Employee Assistance Program, counseling and peer support, spiritual care and stress management resources + **Family support:** parental leave, adoption assistance and family benefits + **Other benefits:** optional legal and pet insurance, transportation savings and more _Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process._ **Responsibilities** **Pharmacist may be licensed in any state.** Assures the clinical integrity of the infusion intake process by conducting Medical Necessity Validation (MNV), managing complex payer escalations, and contributes to the development of the National Infusion Playbook. Serves as the primary clinical liaison between the centralized intake team and ordering physicians to resolve authorization barriers before treatment. + **Medical Necessity Validation (MNV):** Evaluates medication orders against NCCN guidelines, FDA labeling, and payer-specific medical policies to prevent denials before submission. + **Clinical Evidence Synthesis:** Collaborates with ordering physicians to support and organize robust clinical substantiation, including Letters of Medical Necessity (LMN) and peer-reviewed literature for off-label use. + **Peer-to-Peer (P2P) Strategy:** Prepares clinical dossiers for P2P reviews and, where permitted, facilitates or participates in discussions with payer medical directors to advocate for patient access to therapy. + **National Playbook Stewardship:** Develops and maintains the National Infusion Playbook, serving as the central repository for standardized SOPs, clinical protocols, drug-specific payer rules, and automated workflows. + **Payer Intelligence:** Monitors and catalogs shifting guidelines for high-dollar biologics, biosimilars (e.g., IVIG, Oncology), and immunology agents to ensure the intake team is operating with the most current medical necessity, step-therapy, and product-preference criteria. + **Operational Integration:** Partners with technical personnel (Program Coordinators/Techs) to ensure clinical accuracy in the preparation of authorization requests and Good Faith Estimates. + **Cross-Functional Communication:** Communicates with physicians, 340B directors, and revenue cycle leadership to facilitate care and resolve financial clearance bottlenecks. Requires advanced critical thinking and decisive judgment in interpreting complex clinical data and payer policies. Must be able to navigate a high-volume, centralized environment with minimal supervision and act as a clinical “gatekeeper” for high-cost drug spend. **Requirements** Licensure / Certification / Registration: + Pharmacist obtained prior to hire date or job transfer date required. Must be willing to initiate the process to obtain one or more Pharmacist licenses within 90 days of hire/transfer for the following states: AL, AR, IA, ID, KS, KY, LA, MD, MI, MS, NE, OK, OR, TN, TX, VA & WV. Education: + Bachelor's or advanced degree in Pharmacy required. **Why Join Our Team** Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter. **Equal Employment Opportunity Employer** Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRightsSp6.12.pdf) poster. **_Fraud prevention notice_** Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. **_E-Verify statement_** Employer participates in the Electronic Employment Verification Program. Please click here (https://www.e-verify.gov/about-e-verify) for more information.