Prior Authorization Pharmacist

A-Line Staffing is now hiring a Pharmacist (Remote/Work From Home)! This Pharmacist will be working for a respected healthcare organization and has career growth potential. See additional details below. Pharmacist Highlights The pay for this position is $53.00 per hour. Full-time (40 hours/week) Fully remote (work from anywhere in the continental U.S.; excluding New Mexico and Colorado) Temporary assignment (currently set through Oct 9, 2027) Schedule Shifts available (choose one): Sunday–Thursday or Tuesday–Saturday Shift options (CST):10:30 AM – 7:00 PM 11:00 AM – 7:30 PM 11:30 AM – 8:00 PM Training (required): Nov 9 – Dec 4 (Mon–Fri), 8:00 AM – 4:30 PM CST Responsibilities Review prior authorization requests and make coverage determinations based on clinical criteria and plan design. Verify coverage/eligibility; interpret clinical guidelines; consult with providers as needed. Communicate approvals/denials promptly to providers, members, and other stakeholders per process/SLA. Collaborate with technicians and prior authorization team to gather clinical/medical documentation and resolve escalations. Handle inbound/outbound calls with providers, members, and internal teams to support the PA process. Maintain knowledge of drug/disease states for specialty and non-specialty pharmacy programs. Complete other duties as assigned, including trainings/meetings and potential after-hours on-call support for urgent requests. Requirements Active Pharmacist license (applicable to the role) — must be included at the top of the resume. Prior authorization experience strongly preferred (ideal: 2+ years). PBM / Managed Care / Health Plan experience strongly preferred; Specialty Pharmacy experience is a plus. Comfortable with high volume: approx. 50 calls/day and ~40 PA cases/day. Strong documentation, communication, and organization skills. High school diploma/GED verifiable. Remote work setup + compliance:Private, secure workspace (conversations cannot be overheard; screens/docs not visible to others) Must protect confidential information and CVS property Must shut down/lock workstation when away Technology requirementsBroadband internet required (minimum 25 Mbps download / 3 Mbps upload) Smartphone required (VPN token app) “Must Include” at Top of Resume (per client) Active Pharmacist License Internet speed test screenshot (speedtest.net) Completed candidate questionnaire (state(s) licensed, years pharmacist exp, years PA exp, PBM/managed care experience, systems used, volumes, provider/member communication, private workspace confirmation, ability to attend training + assigned schedule) Benefits Available Benefits are available to full-time employees after 90 days of employment. A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates. Apply / Contact If you are interested in this Pharmacist position, APPLY, or contact View email address on click.appcast.io.