<p>Piper Companies is seeking a Pharmacist to join a growing healthcare team supporting North Carolina Medicaid beneficiaries located in Raleigh, NC. The Pharmacist will serve as a key clinical reviewer for pharmacy prior authorizations and ensure high-quality, policy-aligned determinations that directly support the mission of delivering exceptional service and care.</p> <p>Responsibilities of the Pharmacist Include:</p> <ul> <li>Providing clinical expertise in reviewing and adjudicating pharmacy prior approval requests under North Carolina's approved criteria, policies, and guidelines. </li><li>Performing comprehensive clinical evaluations to assess appropriateness, safety, and compliance with NC DHB Outpatient Pharmacy criteria. </li><li>Collaborating with a team of pharmacists and pharmacy technicians to ensure accuracy and timely prior approval determinations. </li><li>Utilizing strong analytical and problem-solving skills to interpret clinical information and facilitate clinical agreement when decisions require resolution. </li><li>Working efficiently across multiple computer systems and digital workflows. </li></ul> <p>Qualifications for the Pharmacist Include:</p> <ul> <li>Registered Pharmacist (RPh/PharmD) licensed with the State of North Carolina (required). </li><li>Education: PharmD, MD, or DDS. </li><li>Experience: 8+ years of clinical pharmacy or prior authorization experience. </li><li>Technical Skills: Proficiency with computer systems, multi-screen use, and clinical information systems. </li></ul> <p>Compensation for the Pharmacist includes:</p> <ul> <li>Hourly Pay/Salary Range: $90,000 - $110,000 depending on experience </li><li>Comprehensive Benefits: Medical, Dental, Vision, 401(k), PTO, and sick leave as required by law. </li></ul> <p>This job opens for applications on 2/20/2026 - Applications for this job will be accepted for at least 30 days from the posting date.</p> <p>Keywords: #LI-CR2 #LI-Hybrid Pharmacist, Pharmacy Prior Authorization, Clinical Reviewer, Medicaid, NC DHB, Outpatient Pharmacy, PharmD, Clinical Pharmacy Operations, Prior Approval, Drug Utilization Review, Healthcare, Hybrid Role, Pharmacy Technician Collaboration, Pharmacy Policy, Medicaid Services</p>