Mercor on behalf of an AI Lab is seeking a Clinical Pharmacist experienced in Prior Authorization (PA) and Specialty Pharmacy workflows to contribute to data-driven healthcare this role youll bridge healthcare operations and artificial intelligence helping us train and refine AI models that streamline pharmacy workflows improve clinical accuracy in prescription handling and enhance patient outcomes. Youll collaborate with pharmacy technicians pharmacists data specialists and engineers to make sure our systems understand the complexities of specialty pharmacy from verifying benefits to interpreting medical necessity criteria and payer requirements.
What Youll Do
Annotate and structure healthcare data: Curate label and clinically validate pharmacy workflows PA criteria and medical documentation for use in AI model training.
Collaborate with AI engineers: Provide real-world clinical insights that guide model design decision logic and validation using authentic specialty scenarios.
Quality assurance: Perform clinical review of AI-generated outputs for accuracy safety and compliance with payer policies and pharmacy standards; define guardrails for high-risk therapies (e.g. REMS dose limits step therapy).
Knowledge sharing: Help define clinical data schemas SOPs and evaluation metrics that reflect authentic pharmacy operations; mentor pharmacy technicians and reviewers.
What Were Looking For
Experience:
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
Demonstrated experience with Prior Authorizations coverage determinations appeals and benefits investigations
Knowledge:
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
Skills:
Strong clinical judgment attention to detail and documentation
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
Why Join Us
Be part of a mission-driven effort to modernize pharmacy operations through AI
Work at the intersection of clinical expertise and data intelligence
Collaborate with engineers and data scientists shaping next-gen healthcare systems
Competitive compensation flexible remote work and growth opportunities in a rapidly expanding domain
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