Qureos Mentor

Actalent

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 Description
 
 
 
 Candidates will be reviewing members&rsquo; Utilization Management (UM) requests (i.e., formulary exceptions, prior authorization, step therapy, quantity limit exceptions). Client-specific criteria are referenced to determine if a prior authorization can be approved or denied. The work is detail-oriented, and candidates will be expected to provide clinical judgement and communication.
 
 
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 Responsible for the clinical evaluation for coverage determination requests for PA or other UM programs, including quantity limits, step therapy, formulary exception and tier exception, and includes consideration of the denial language and appropriateness of the decision as it pertains to the clinical content of the case and the intent of the individual client&rsquo;s pre-approved criteria
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 Accountable for direct consultation with health care providers or members concerning non-formulary and clinical product coverage issues
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 Collaborate with team members to promote consistency of decisions across the pharmacist team
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 Other duties as assigned
 
 
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 Interaction Level With Management/Team Members
 
 
 
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 Role is primarily independent with routine structured touchpoints.
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 Regular communication with supervisors, senior pharmacists, technicians, and other team members via Teams messaging platforms, phone and video calls.
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 Cameras/video calls used for: Training sessions, Team meetings, routine 1:1s with supervisors.
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 senior Pharmacists are available throughout the day to support clinical questions and provide guidance.
 
 
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 Success Metrics
 
 
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 Productivity: Complete cases in an efficient manner consistent with the team average.
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 Accuracy: Achieve and maintain a quality score (error-free rate) of 95%.
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 Accountability: Demonstrate a strong attendance record and excellent communication skills.
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 Team/culture fit: receptive to feedback, focus, problem-solving, accuracy, learning agility, sound clinical judgement, ability to work independently while still finding ways to collaborate with team-player attitude.
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 Computer Skills: Quickly learn new systems; comfortable with multi monitor setups; adept at navigating multiple platforms, using available resources, Microsoft applications, and AutoHotkey.
 
 
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 *All new pharmacists are considered as potential long-term employees with a hope to hire on as permanent employees in the future, but cannot guarantee a timeline on conversion and contracts are evaluated every 6 months for extension.*
 
 
 
 Skills
 
 
 
 Pharmacist, Retail, Clinical, Pharmacy Benefits Management, Pharmacy, Prior authorization, Pharmd, Compounding
 
 
 
 Top Skills Details
 
 
 
 Pharmacist,Retail,Clinical
 
 
 
 Additional Skills &amp; Qualifications
 
 
 
 Qualifications/years of experience:
 
 
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 Doctor of Pharmacy (PharmD) or equivalent
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 6mo+ experience working in a retail environment
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 Current pharmacist license in good standing with the State Board of Pharmacy in the State where the candidate is licensed. *Verify by searching (State) State Board of Pharmacy, ex: Oklahoma State Board of Pharmacy (will need license number from pharmacist). Also provide transparency on any disciplinary action taken on license which is provided in the search.
 
 
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 Must Haves
 
 
 
 Prior PBM experience is NOT preferred.
 
 
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 Ability to prioritize tasks and manage multiple projects simultaneously.
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 Drive to deliver results orientation.
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 A motivated self-starter who does not need constant direction or feedback to drive results.
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 Ability to make clinical decisions independently
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 Flexibility to change and resourceful
 
 
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 Technology Requirements
 
 
 
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 Proficient with learning new computer systems, basic IT trouble shooting and using multiple monitors
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 Word and Excel
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 Ability to type 45+ WPM
 
 
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 Job Type &amp; Location
 
 
 
 This is a Contract to Hire position based out of Eagan, MN.
 
 
 
 Pay And Benefits
 
 
 
 The pay range for this position is $55.00 - $55.00/hr.
 
 
 
 Requirements
 
 
 
 Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
 
 
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 Medical, dental &amp; vision
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 Critical Illness, Accident, and Hospital
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 401(k) Retirement Plan &ndash; Pre-tax and Roth post-tax contributions available
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 Life Insurance (Voluntary Life &amp; AD&amp;D for the employee and dependents)
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 Short and long-term disability
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 Health Spending Account (HSA)
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 Transportation benefits
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 Employee Assistance Program
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 Time Off/Leave (PTO, Vacation or Sick Leave)
 
 
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 Workplace Type
 
 
 
 This is a fully remote position.
 
 
 
 Application Deadline
 
 
 
 This position is anticipated to close on Jul 22, 2026.
 
 
 
 About Actalent
 
 
 
 Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing&reg; winner for both client and talent service.
 
 
 The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
 
 
 If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
 
 
 
 San Francisco Fair Chance Ordinance:
 
 Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
 
 
 
 Massachusetts Lie Detector:
 
 It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
 
 
 
 Use of Artificial Intelligence (AI):
 
 We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
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Pharmacist

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 Job Title: Staff Pharmacist &ndash; Remote Mail-Order Specialty Pharmacy
 
 
 
 
 Job Description
 
 
 
 This role offers the opportunity to work as a Staff Pharmacist in a remote, closed-door mail-order specialty pharmacy, ensuring that patients receive the correct medications safely and accurately. You will review and verify prescriptions, oversee pharmacy technician work, provide clinical guidance, and support patients and providers through phone-based counseling and communication. This is a 12‑month contract position with the possibility of becoming permanent based on business needs and performance.
 
 
 
 Responsibilities
 
 
 
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 Review and approve incoming and outgoing medication orders by interpreting physician prescriptions to ensure the right drug, dose, strength, directions, quantity, and patient information are correct.
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 Conduct detailed prescription review and data quality checks to verify clinical accuracy, quality, and drug utilization review compliance for all prescriptions processed by the pharmacy.
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 Identify orders that fall outside FDA-approved labeling and program guidelines and ensure appropriate documentation and justification are present.
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 Review and approve orders that exceed FDA-approved dose maximums when supported by appropriate clinical documentation and established guidelines.
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 Oversee and guide pharmacy technicians in the preparation, processing, and dispensing of medications to ensure accuracy, safety, and regulatory compliance.
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 Communicate with prescribers and provider offices via inbound and outbound calls to clarify orders, confirm dosing and administration, and resolve prescription-related questions.
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 Handle outbound calls to pharmacies and members as needed to address prescription issues, refills, and medication-related inquiries.
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 Provide patient and family education over the phone, counseling on how and when to take medications, potential side effects, and strategies to minimize adverse events.
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 Answer patient questions about side effects, dosage, storage, and safe use of pharmaceuticals, ensuring clear and empathetic communication.
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 Monitor drug therapies to ensure appropriate use, identify potential drug interactions, and support optimal therapeutic outcomes.
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 Identify and report adverse events and product complaints in accordance with pharmacy regulations and client requirements.
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 Conduct additional outreach, follow-up, and counseling to patients as required by regulatory programs, including Risk Evaluation and Mitigation Strategy (REMS) requirements.
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 Ensure compliance with all applicable pharmacy laws, regulations, and program guidelines, staying current with changes in pharmacy practice and FDA regulations.
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 Maintain pharmacological knowledge by attending educational workshops, reviewing professional publications, participating in professional societies, and completing continuing education to maintain and renew licenses.
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 Ensure the program delivers correct, high-quality products to customers in a timely and professional manner, with a strong focus on quality and attention to detail.
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 Collaborate effectively with call center and other program staff to support smooth operational workflows and a positive patient experience.
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 Interact with clients as appropriate to support operational process reviews and provide clinical and operational insight.
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 Provide subject matter expertise to program staff and clients on pharmacy operations, medication safety, and specialty drug handling.
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 Ensure adherence to established procedures for quality assurance, security of controlled substances, and proper disposal of hazardous waste drugs.
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 Report prescription errors immediately and follow company policies and procedures regarding medication incidents and quality events.
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 Maintain confidentiality of patient and program information at all times in accordance with legal and regulatory requirements.
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 Supervise and guide staff by providing coaching, feedback, and day-to-day direction to support high performance and compliance.
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 Contribute to staff development by conducting detailed performance reviews, helping set goals and objectives, and offering ongoing mentoring.
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 Use computer systems and data entry tools efficiently to process high volumes of prescriptions, document activities, and manage multiple requests simultaneously.
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 Support prior authorization processes, pharmacy benefits management activities, and managed care requirements related to prescription coverage and approvals.
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 Assist with prescription refills and ensure continuity of therapy for patients receiving specialty medications.
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 Contribute to overall team efforts by performing related duties as needed to support the pharmacy&rsquo;s operations and patient care.
 
 
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 Essential Skills
 
 
 
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 Minimum of 1&ndash;2 years of professional experience as a Pharmacist in a retail or specialty pharmacy setting.
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 B.S. in Pharmacy (B.S. Pharm degree) required.
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 PharmD degree preferred.
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 Current and valid Pharmacist state license in good standing in the state of residence.
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 Experience in retail pharmacy, specialty pharmacy, or mail-order pharmacy environments.
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 Demonstrated ability to perform accurate prescription review and data quality checks in a high-volume setting.
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 Experience with call center or phone-based customer service in a pharmacy or healthcare environment.
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 Proficiency in administering and managing medication therapies, including dosing and dosage verification.
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 Strong knowledge of pharmacology, including drug interactions and appropriate drug utilization.
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 Knowledge of FDA health regulations and familiarity with FDA-approved labeling and dose limits.
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 Experience with pharmacy benefits management (PBM), prior authorization processes, and managed care concepts.
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 Strong verbal and written communication skills for interacting with patients, providers, and internal teams.
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 Demonstrated sound judgment and decision-making skills in clinical and operational situations.
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 Ability to analyze information and manage complex medication regimens, especially high-cost specialty drugs.
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 Proficiency with basic computer programs and pharmacy systems, including data entry and multitasking across multiple requests.
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 Strong focus on quality, accuracy, and attention to detail in all aspects of pharmacy practice.
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 Ability to handle multiple requests at one time while ensuring timely review and fulfillment of medication orders.
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 Understanding of legal compliance requirements related to pharmacy practice, controlled substances, and hazardous drug handling.
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 Customer service skills with the ability to support patients and providers professionally and empathetically.
 
 
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 Additional Skills &amp; Qualifications
 
 
 
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 Experience working in a mail-order or closed-door pharmacy environment is beneficial.
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 Experience in specialty pharmacy, including handling high-cost and complex medications, is preferred.
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 Experience with pharmacy management or supervisory responsibilities, including coaching and mentoring staff.
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 Familiarity with prescription refill workflows and continuity-of-care processes.
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 Experience in healthcare or medical environments with a focus on patient safety and quality.
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 Comfort working in a high-volume prescription processing environment with strict quality standards.
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 Participation in professional societies and ongoing professional development activities.
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 Strong organizational skills and the ability to contribute to process improvements and operational reviews.
 
 
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 Work Environment
 
 
 
 This position is based in a remote, closed-door mail-order specialty pharmacy that ships medications directly to patients&rsquo; homes. The pharmacy focuses on specialty drugs that are high cost and often clinically complex, requiring careful handling, detailed verification, and close patient support. Pharmacy hours are Monday through Friday from 8:00 a.m. to 10:00 p.m. Eastern Time, and individual shifts typically fall between 8:00 a.m. and 8:00 p.m., with a later shift example of 11:30 a.m. to 8:00 p.m. There is potential for earlier start times (such as 6:00 a.m.) and possible weekend work in the future based on business needs. The role involves extensive computer use, data entry, and phone-based communication with patients, providers, and internal teams, similar to a call center environment but focused on pharmacy operations. The position is offered as a 12‑month contract with the potential to convert to a permanent role depending on performance and business requirements. Training includes an initial onboarding period of up to two and a half days, typically from 8:30 a.m. to 5:00 p.m. Eastern Time, followed by approximately four weeks of program-specific training during the same hours. Candidates must be available for the full training period and should not schedule time off during training. The work environment emphasizes accuracy, regulatory compliance, patient confidentiality, and collaboration with call center and program staff to ensure timely and professional delivery of medications.
 
 
 
 Job Type &amp; Location
 
 
 
 This is a Contract position based out of Lake Mary, FL.
 
 
 
 Pay And Benefits
 
 
 
 The pay range for this position is $55.00 - $65.00/hr.
 
 
 
 Requirements
 
 
 
 Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
 
 
 <ul>
 <li>
 Medical, dental &amp; vision
 </li>
 <li>
 Critical Illness, Accident, and Hospital
 </li>
 <li>
 401(k) Retirement Plan &ndash; Pre-tax and Roth post-tax contributions available
 </li>
 <li>
 Life Insurance (Voluntary Life &amp; AD&amp;D for the employee and dependents)
 </li>
 <li>
 Short and long-term disability
 </li>
 <li>
 Health Spending Account (HSA)
 </li>
 <li>
 Transportation benefits
 </li>
 <li>
 Employee Assistance Program
 </li>
 <li>
 Time Off/Leave (PTO, Vacation or Sick Leave)
 
 
 </li>
 </ul>
 
 Workplace Type
 
 
 
 This is a fully remote position.
 
 
 
 Application Deadline
 
 
 
 This position is anticipated to close on Jun 22, 2026.
 
 
 
 About Actalent
 
 
 
 Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
 
 
 The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
 
 
 If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
 
 
 
 San Francisco Fair Chance Ordinance:
 
 Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
 
 
 
 Massachusetts Lie Detector:
 
 It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
 
 
 
 Use of Artificial Intelligence (AI):
 
 We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
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Pharmacist

Pharmacist