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Clinical Review Pharmacy Analyst

Portland, Oregon - Added May 8th, 2026
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Pharmacy Analyst – Clinical Review Specialist (REMOTE)
Motus is partnering with a leading healthcare provider to identify an experienced Pharmacy Analyst – Clinical Review Specialist for a contract opportunity. This is an exciting chance to join a large-scale enterprise environment supporting complex, cross-functional initiatives. The Pharmacy Analyst – Clinical Review Specialist utilizes knowledge of drugs and pharmaceuticals to conduct post service audits to ensure accuracy of billed charges.

Contract Duration: 6 Months
Work Model: 100% Remote (Must reside within TX, OR, WA, ID, or UT)
Pay: $27.25/hr.
Benefit Eligibility: Yes
Schedule:
  • Must be able to work PST hours.
  • May require availability for evenings, weekends, holidays, and overtime as needed
Equipment: Client-provided equipment; internet must be Cable, DSL, or Fiber (no satellite or mobile Wi-Fi)

Responsibilities of a Pharmacy Analyst – Clinical Review Specialist:
  • Prioritizes workload, establishes goals, and coordinates daily activities to ensure timely completion of record reviews and support efficient audit execution aligned with team workflows.
  • Leverages subject matter expertise to analyze billing records, ensuring charges align with medical documentation, pharmaceutical guidelines, and reimbursement policies; identifies gaps and proactively requests additional information as needed.
  • Critic thinking applies to evaluating and interpreting clinical and billing data, including drug administration and treatment-related information, to ensure accuracy and compliance.
  • Adheres to strict regulatory and corporate standards, maintaining accuracy, timeliness, and quality while ensuring compliance with federal, state, BCBSA, and accreditation requirements.
  • Maintains organized and accessible reference materials, including policies, procedures, and regulatory guidelines, to support consistent and compliant work execution.
  • Demonstrates strong accountability and follow-through, consistently meeting or exceeding production and quality benchmarks.
  • Enhances team efficiency through flexibility and cross-functional support, actively participating in cross-training and contributing to broader departmental needs.
  • Supports special projects and initiatives as assigned, contributing to continuous improvement and operational effectiveness.

Qualifications of a Pharmacy Analyst – Clinical Review Specialist:
  • LPN or Licensed Pharmacy Technician required
  • 5+ years of relevant experience, including 2+ years in hospital or residential care and 3+ years in health insurance claims
  • Strong expertise in claims review and billing, with in-depth pharmaceutical knowledge to identify incorrect, investigational, and off-label charges
  • Proficient in healthcare documentation and communication, with strong written and verbal skills
  • Demonstrates initiative and problem-solving, consistently meeting productivity and quality standards with minimal supervision
  • Proficient in MS Office and general computer applications, with experience leveraging AI tools to improve efficiency and decision-making

**We are unable to accommodate corp. to corp. candidates**

About Motus Recruiting and Staffing, Inc:
Founded in 2006, Motus is an award-winning recruiting and staffing firm in the Pacific Northwest, specializing in professional services and technology solutions. We are a group of people who not only recognize the importance of representation, but actively fight for diversity, equity, and inclusion in the recruitment process. Our goal is to educate organizations on the importance of DEI when hiring, promoting, and supporting diverse employees. We are calling organizations to demonstrate their commitment to DEI by being intentional about who they hire. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability or protected veteran status.
PG/BH 13879
Job ID: 14019

Apply for Clinical Review Pharmacy Analyst

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  1. Disabled Veteran A veteran of the U.S military, ground, naval, or air service who is entitled to compensation (or who, but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service- related disability.

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Consistent with the Americans with Disabilities Act (ADA), it is the policy of Motus to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Emma Dougherty, Human Resources, at 971-371-3490 or emma@motusrecruiting.com.

For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at https://www.dol.gov/ofccp.

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Motus Recruiting & Staffing abides by the policies of 41 CFR Part 60-300 as regulated by OFCCP. These regulations prohibit discrimination against qualified individuals on the basis of protected veteran status or disability, and require affirmative action to employ and advance in employment, all persons regardless of their status, and to base all employment decisions only on valid job qualifications.

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  • WHAT WE DO
    • OUR SPECIALTIES
      • EXECUTIVE SEARCH
      • ACCOUNTING & FINANCE
      • PROFESSIONAL SERVICES
      • TECHNOLOGY
      • INTERIM LEADERSHIP
    • ASSOCIATIONS
    • PARTNER
    • DIVERSITY BLOG
  • SEARCH JOBS
  • EMPLOYERS
    • OUR PROCESS
    • OUR SOLUTIONS
  • ABOUT US
    • MISSION
    • OUR STORY
    • MEET THE TEAM
  • RESOURCES
    • BLOG
    • EVENTS
  • CONNECT
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