Verification Pharmacist

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CORE JOB SUMMARY

The Remote Verification Pharmacist provides centralized pharmacist support to UHealth retail, direct, and specialty pharmacy operations. The pharmacist remotely reviews and verifies prescription orders, oversees data entry, and resolves prescription processing and third-party billing issues across multiple pharmacy locations and service lines. Work is performed remotely or on site as approved by the department, using secure UHealth systems and in accordance with University of Miami policies.The pharmacist evaluates orders for accuracy, completeness, and clinical appropriateness in compliance with federal and state law and UHealth policy, and works with pharmacists, technicians, prescribers, medication access staff, and operations leadership to keep prescription workflow timely, safe, and consistent.

CORE JOB FUNCTIONS 

• Performs remote first-level pharmacist verification (PV1) of prescriptions entered by pharmacy staff, confirming drug, strength, dosage form, directions, quantity, refills, and other required information.
• Screens orders for drug interactions, therapeutic duplications, allergies, contraindications, and dosing concerns, and resolves or escalates clinical issues before release.
• Supports data entry by clarifying and interpreting prescriptions and identifying discrepancies requiring correction.
• Monitors verification and processing queues, prioritizes work to service expectations, and provides remote coverage to retail and specialty locations to meet turnaround goals.
• Troubleshoots third-party adjudication issues, including rejections, refill-too-soon, quantity limits, and coverage restrictions, and coordinates resubmission with technicians and dispensing pharmacists.
• Identifies claims needing prior authorization, benefits investigation, or additional documentation and refers them to the medication access team.
• Supports specialty pharmacy workflows, including referral processing, verification, and resolution of issues that delay therapy initiation or continuation.
• Communicates with prescribers, pharmacy staff, and payers to clarify prescriptions and resolve processing or billing concerns within the pharmacist's scope of practice.
• Documents interventions, clarifications, claim troubleshooting, and verification outcomes in designated systems.
• Complies with federal and state pharmacy law, controlled substance requirements, Florida Board of Pharmacy rules for remote prescription processing, payer policies, and HIPAA and information security requirements.
• Participates in quality assurance, identifies recurring processing and adjudication issues, and recommends workflow improvements.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

Education:

• Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy (BS Pharmacy) degree from an accredited college or school of pharmacy required.

Certification and Licensing:

• Active, unrestricted Florida pharmacist license in good standing required.
• Must meet Florida Board of Pharmacy requirements for remote prescription processing and maintain a secure, approved remote work environment.
• Certified Specialty Pharmacist (CSP) preferred.

Experience:

Minimum of 1 year of pharmacist experience in retail, specialty, hospital, or centralized pharmacy operations preferred, including prescription verification and third-party billing troubleshooting.

Knowledge, Skills and Abilities:

• Clinical knowledge to screen prescriptions for safety and appropriateness, with sound judgment on when to intervene or escalate.
• Knowledge of retail and specialty prescription processing, third-party adjudication, prior authorization, and medication access workflows.
• Knowledge of federal and Florida pharmacy law, controlled substance regulations, and remote prescription processing requirements.
• Proficiency with pharmacy management systems, electronic health records, e-prescribing platforms, and remote pharmacy technology.
• Strong attention to detail and ability to manage high-volume queues while meeting turnaround expectations.
• Clear written and verbal communication with prescribers, pharmacy teams, and payers.
• Ability to work independently in a remote setting and collaborate across locations.

This is a core job profile description and is not reflective of all duties that may be assigned to a specific position in each individual department. The above statements are intended to describe the general nature and primary responsibilities of this core job profile. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status:

Full time

Employee Type:

Staff