Remote Prior Authorization Pharmacist
Virtual Vocations Inc
Offering a full-time remote opportunity, the Remote Prior Authorization Pharmacist will review and process medication requests, apply clinical judgment to determine coverage, and communicate with healthcare providers while working from home. Key responsibilities: Review and process prior authorization requests for medications Apply clinical judgment and pharmaceutical knowledge to determine coverage based on clinical guidelines and plan criteria Ensure compliance with regulatory requirements and maintain accurate documentation of determinations and communications Required qualifications: Active, unrestricted Pharmacist license in any U.S. state (multi-state preferred) Minimum 1 year of prior authorization, managed care, or clinical experience preferred Reliable high-speed internet connection Strong attention to detail and clinical acumen Comfortable working independently in a remote setting
- ...Staff Pharmacist – Independent Pharmacy & Primary Care Services Benson, NC | Full-Time... ...medication affordability programs and prior authorization support. Promote medication... ...Chronic Care Management (CCM) Remote Patient Monitoring (RPM) Medication...Remote workFull timeTemporary workWork at officeMonday to Friday
- ...Remote Case Management Pharmacist - Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients through medication... ...concerns, or potential interactions. Support prior-authorization and appeals processes when needed. Educate...Remote workWork from home
$53 per hour
...Remote Prior Authorization Pharmacist (Pharmacist – Prior Auth) Location: Remote (continental U.S.; not available in New Mexico or Colorado) Schedule: Full-time | Sun–Thurs or Tues–Sat (CST shifts) Shift Options (CST): 10:30am–7:00pm | 11:00am–7:30pm | 11:30am–8:00pm Training...Remote workFull timeWork from homeHome officeShift work- ...Job Title: Prior Authorization Pharmacist Location: New York, NY Duration: 6 months + contract ( Potential of extension) Shift: 9:00 AM... ...Schedule Notes: Days: Monday–Friday ( 2 Days onsite - 3 days remote) Work Schedule: Full-time hours Work Location: Hybrid...Remote workFull timeContract workMonday to FridayShift work
- ...Pharmacist - Remote 11/2 Address: Anywhere in US. Job Description Review and complete criteria based on prior authorization as per policy and procedure. Ensure potential hires understand the requirement to provide own high-speed internet with at least 25 Mb download and...Remote workFull timeCasual workWork at officeLocal areaWork from homeMonday to FridayShift work
$118.4k - $196.8k
...programs including but not limited to: prior authorization, dose and duration edits, quantity... ...degreePreferredNoneLICENSES or CERTIFICATIONSRequiredRegistered Pharmacist (Non-State Specific)PreferredBoard... ...Type Office-Based or Remote PositionPhysical work site...Remote workFull timeFor contractorsWork at officeLocal areaWork from home- ...likely extend *Must be Doctor of Pharmacy *Must have PBM/Prior Authorization experience *Must be willing to work one Saturday or Sunday... ...Requirements • 3+ years of experience as a licensed pharmacist • Active, unrestricted pharmacist license • Doctor of Pharmacy...Remote workHourly payContract workShift workWeekend work
- ...navigating prescription coverage and clinical criteria for cost-effective therapy. The six-month assignment emphasizes review of prior authorizations, eligibility checks, and collaboration with internal teams to ensure timely medication access. The role requires 2–4...Remote workContract work
- ...Actalent is hiring 100% remote pharmacy technicians to review prior authorizations for a department within a large healthcare insurance company. The role involves... ...or denying authorizations and routing to pharmacists for final review, handling all health plans and medications...Remote workContract workHome office
- ...VIVA is seeking a Tech I Prior Auth to handle inbound calls from providers... ...through the criteria-based prior authorization process. The role requires documenting... ...accuracy and coordinating with pharmacists for escalations. Fully remote with training and shift considerations...Remote workTraineeshipShift work
- ...A healthcare services provider is seeking a remote Pharmacy Technician to contribute to pharmacy utilization management. Responsibilities include screening prior authorization requests, collaborating with healthcare professionals, and ensuring compliance with regulatory...Remote work
- ...Remote Prior Authorization Pharmacist Market leading national healthcare organization is hiring prior authorization pharmacists for a remote role! Great opportunity! The basic function of the pharmacist is to review and complete criteria based on prior authorization...Remote work
$35 per hour
...Type: Contract Compensation: $35/hour Location: Remote Commitment: 30–40 hours/week Role Responsibilities... ...experience with medications, prescriptions, pharmacy operations, and prior authorization workflows. Strong understanding of medication safety,...Remote workContract workSummer work- ...Our client, a Retail Pharmacy company, is looking for a Pharmacist for their Remote location. Responsibilities: This... ...responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. This position is responsible...Remote work
$50 - $55 per hour
...Pharmacist The Clinical Pharmacist is responsible for reviewing prior authorization and appeal requests by evaluating clinical documentation and making coverage determinations... ...2026. Workplace Type This is a fully remote position. About Actalent Actalent is a...Remote workContract workTemporary workWork at officeWork from home- ...Pharmacist, Prior Authorization (PA) & Appeals Required Skills & Experience: Bachelors or Doctorate of Pharmacy; Active State Pharmacist License... ...Ability to perform responsibilities and duties remotely with little to no supervision Comfortable in a fast-paced...Remote work
$60 - $66 per hour
...Remote, Clinical Pharmacist - Pennsylvania Looking for a pharmacy career with purpose? Join one of the nation's leading independent rare... ..., and promote adherence and compliance Support prior authorizations, financial assistance programs, documentation, and pharmacy...Remote workHourly payLocal areaImmediate startRotating shift- ...Prior Authorization Pharmacist Duration: 03 months with possible extension Summary: The Prior Authorization Pharmacist reviews pharmaceutical coverage requests and determines medical necessity and benefit eligibility based on clinical guidelines and regulatory requirements...Remote work
- ...We are seeking a licensed Pharmacist with experience in Prior Authorization, PBM, and Medicare Part D . The ideal candidate will have strong clinical review... ...and documentation skills. ~ Ability to work independently in a remote environment. #J-18808-LjbffrRemote work
- ...Job Description The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals... ...environment -Ability to perform responsibilities and duties remotely with little to no supervision -Comfortable in a fast-...Remote work
- ...Remote Prior Authorization Pharmacist Opportunities available for you! These are great Remote Pharmacist roles in which you will get the chance to fully work from home! Don't miss out on these Remote Pharmacist positions! 3 Departments hiring for 3 different October &...Remote workHourly payFull timeLocal areaAll shiftsMonday to FridayShift workRotating shift
- ...AI Pharmacist Opportunity Mercor is hiring on behalf of a leading AI research lab developing... ...to help improve AI-powered prior authorization workflows by answering medication-related... ...independent contractor. This is a fully remote role that can be completed on your own...Remote workContract workFor contractors
$53 per hour
...We are seeking a qualified Pharmacist for a fully remote opportunity supporting a leading healthcare organization. The successful candidate... ...PM 11:30 AM–8:00 PM Job Duties: Evaluate and review all prior authorization requests and render coverage determinations based on clinical...Remote workFull timeHome officeShift work- ...s or Doctorate of Pharmacy ~ Active Pharmacist license in the state of work ~6+ months... ...proficiency ~ Comfortable working remotely and independently in a fast-paced,... ...environment The Role: Review Prior Authorization & Appeals requests, assess clinical information...Remote workContract work
- ...Specialty Pharmacist Navigator Our team members are at the heart of everything we do... ...Location: This hybrid role is largely remote and is intended for an Rph in the Orlando... ...sourcing. Prepare and submit prior authorization paperwork; manage denials. Triage prescriptions...Remote workWork at officeLocal area
- ...Pharmacy - Pharmacist Inpatient Portland, OR, 97213, United States Job Description... ...Required (meaning dealing with Prior Authorizations, Audits, Appeals, ALJ Court hearings,... ...weekends required a few times per year REMOTE - M-F Managed Care Pharmacist The Clinical...Remote workZero hours contractLocal areaWeekend work
$51 - $57 per hour
...Pharmacist Location: 100% Remote across USA Estimated Length of Assignment: 11+ Months (The dates provided are only an estimate and not a... ...responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Experience: 2 years...Remote workHourly payPermanent employmentFull timeApprenticeshipLocal area- ...future role at a glance Location: Remote Department: Ascension Pharmacy Services... ...interprofessional teams to streamline prior authorizations, medication delivery logistics, and... ...Required Credential(s): Pharmacist obtained prior to hire date or job transfer...Remote workFull timeWork experience placementLocal areaMonday to FridayDay shift
- ...TrueScripts Management Service is seeking a detail-oriented Prior Authorization Coordinator for a remote role. You will review and process PA requests for pharmacy claims received electronically, by fax, or from providers or members, verifying documentation and ensuring...Remote work
- ...New Paradigm Staffing is seeking a detail-oriented Remote Pharmacy Prior Authorization Assistant to support the medication prior authorization workflow. You will gather clinical documents, submit requests to insurance payers, and track approvals to ensure timely access...Remote work
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