Prior Authorization Pharmacist
$55 per hourA-Line Staffing Solutions
NOW HIRING: Remote Pharmacist – Prior Authorization OVERVIEW: A-Line Staffing is hiring 50 Licensed/Registered Pharmacist to support a high-volume, remote Prior Authorization and Coverage Determination team. This role is responsible for reviewing pharmacy benefit requests, interpreting clinical criteria, evaluating Medicare Part D coverage determinations, and ensuring accurate, timely decisions while maintaining compliance with regulatory requirements. The ideal candidate has experience in Pharmacy Benefit Management (PBM), prior authorizations, retail, hospital or managed care operations and thrives in a productivity-driven remote environment with strict turnaround times. Prior authorization experience in a PBM/specialty pharmacy or health plan is preferred. HIGHLIGHTS: 100% Remote Opportunity Compensation: $55/hour Medical, Dental, Vision 401(k) with company match Career advancement opportunities based on performance. Apply TODAY or Contact Recruiter below: Alliston Brown |View phone number on clickmatrix.dev | View email address on clickmatrix.dev
$111.78k - $146.71k
...Start at Oscar pharmacy. Score 25% off your first online Rx order. Hi, we're Oscar. We're hiring a Prior Authorization Pharmacist to join our Pharmacy Team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus...SuggestedFull timeRemote workWork from homeHome office- Remote Prior Authorization Pharmacist Location: Remote (U.S.-based) Type: Contract (with potential contract-to-hire, not guaranteed) Schedule: Full-time, 40 hours/week Pay Rate: $53.00/hour Openings: 25 Position Summary We’re hiring a Remote Prior Authorization Pharmacist...SuggestedHourly payFull timeContract workRemote work
$53 per hour
A-Line Staffing is now hiring a Remote Pharmacist (Work from Home)! This Remote Pharmacist will be working for a respected healthcare... ...Review and complete clinical criteria for prescriptions / prior authorizations according to policy and procedure. Review patient profiles...SuggestedHourly payFull timeContract workTemporary workLocal areaImmediate startRemote workWork from home$60 - $70 per hour
...is actively recruiting several clinical Pharmacists to support a leading national health... ...decision-making process for pharmacy drug authorizations and appeals . This fully remote... ...and render clinical determinations for prior authorization and appeal requests. Conduct...SuggestedContract workTemporary workRemote workFlexible hoursShift workWeekend work$53 per hour
...Remote Clinical Pharmacist – Prior Authorizations Pay: $53.00 per hour Job Type: Remote Contract Opportunity Schedule: Flexible 8-hour shifts between 7:00 AM – 10:00 PM CST Training Schedule: Monday-Friday, 8:00 AM – 4:30 PM CST for approximately 6 weeks Location: Fully...SuggestedHourly payContract workRemote workMonday to FridayFlexible hoursShift workWeekend work$51 - $57 per hour
...Job Title: Pharmacist Location: 100% Remote across USA Estimated Length of Assignment: 11+ Months (The dates provided are only an... ...responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Experience 2 years of previous...Hourly payPermanent employmentApprenticeshipLocal areaRemote work- ...operating in the EST timezone. The position focuses on reviewing Prior Authorizations for coverage determinations within a Pharmacy Services... ...major health insurer, with approvals or denials routed to pharmacists for final review. Responsibilities include tracking requests...Remote job
$35 per hour
...equivalent pharmacy technician experience. Hands-on experience with medications, prescriptions, pharmacy operations, and prior authorization workflows. Strong understanding of medication safety, drug interactions, and pharmacy best practices. Excellent written...Contract workSummer workRemote work$130k
..., visit Position Summary: The Utilization Management Pharmacist plays a vital role in promoting safe, effective, and appropriate... ...medication use. This position is responsible for reviewing prior authorization requests, supporting clinical programs, and providing...Temporary workLocal areaRemote workFlexible hoursShift workWeekend work$120k - $135k
...providers. Provide detailed and thorough documentation in prior authorization cases, appeals cases, and overrides. Make clinical prior authorization... ...frames. Minimum Qualifications: Active, unrestricted, pharmacist license required 1+ years prior authorization review or...Temporary workWork at officeLocal areaRemote workFlexible hoursShift work- ...classes of drugs contraindicated in specific disease states. 5. Performs and trouble shoots order entry, claim adjudication, prior authorizations, PA appeal process, and Patient Assistance Programs. 6. Reviews patient charts and nursing medication-charting documents for...Hourly pay
- ...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
$122k - $128k
...care note/assessments for supportive clinical data needed for prior authorization approvals and development of care plan recommendations.... ...interventions including but are not limited to comprehensive pharmacist consultation, motivational interviewing/coaching, drug...Work at officeLocal areaRemote work$50 - $55 per hour
Actively Screening for multiple Remote - Pharmacists to join leading pharmacy benefits optimizer based out of Birmingham, AL! Job... ...Description The Clinical Pharmacist supports the review of prior authorization and appeal requests by evaluating clinical documentation and...Contract workTemporary workRemote workWork from home$100k - $120k
...Description Job description Pharmko Staff Pharmacist Job Description Description of Job... ...before dispensing. Assures presence of authorization to dispense. Manages the use,... ...become proficient based on training § Prior authorizations, eligibilities, precise...Full timeWork from homeMonday to FridayWeekend work$52 - $66 per hour
...This is a flexible opportunity for a pharmacist interested in working 1–2 days per week... ...needs and complex medication regimens, so prior behavioral health pharmacy experience... ...Assist with medication access and prior authorizations when needed. Maintain accurate records...ReliefFlexible hours2 days per week1 day per week- The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy policies, and health plan benefits. In this fast-paced, high-volume environment...Remote work
$135k - $145k
...Utilization Management Pharmacist Trainer Charlotte, North Carolina, United States; Denver, Colorado, United States; New York... ...provide comprehensive training sessions for pharmacists on prior authorization systems, processes, and procedures utilizing a variety of training...Work at officeLocal areaRemote workFlexible hours$128k - $160k
...Supervisor, Appeals Pharmacist Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York,... ...visit Position Summary: Acts as subject matter expert on prior authorization and appeals operations that are compliant to federal, state...Contract workWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift workWeekend work$112.7k - $193.2k
...proficiency, and industry knowledge. We have a strong team of pharmacists and pharmacy service specialists, and we are looking for a... ...specific polices Serves as the SME SPOC for formulary, prior authorization and benefit coding requirements and execution and responsible...Remote jobMinimum wageFull timeContract workWork experience placementWork at officeLocal area$22 - $25 per hour
...with physician offices regarding prescription clarifications, prior authorizations, and required documentation. Schedule patient onboarding... ...patients, providers, and internal team members. Collaborate with pharmacists, billing specialists, and other departments to ensure...Hourly payRemote work$55k - $60k
...daily rejected claim report. Contact providers/pharmacies informing formulary alternatives when available and/or how to submit Prior Authorization requests and follow up on the cases when necessary. Assist dispensing pharmacies with claim issues. Analysis and identify...- Judi Health seeks an experienced subject matter expert in prior authorization and appeals, ensuring compliance with federal and state standards... .... You will oversee PA processes, supervision of appeal pharmacists, and staff scheduling, with a focus on performance,...
- Oscar is hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. This role oversees a team of pharmacists performing clinical reviews for prior authorizations and appeals, driving operational excellence, and ensuring...Remote job
- ...Overview We are seeking a dedicated and detail-oriented Staff Pharmacist to join our growing independent pharmacy. The ideal... ...service and operational efficiency. Able to assist DR'S with prior authorizations Document and resolve DUR alerts through prescriber...
$45 - $55 per hour
Bring your expertise as a Clinical Pharmacist to an organization where your work makes a direct impact on patient care. In this role... ...and appropriate access to their medications by reviewing prior authorizations and supporting coverage determinations. Every decision you...Remote workWeekend work- ...Hi, we're Oscar. We're hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members...Full timeRemote workWork from homeHome office
- ...- UVM Medical Center is seeking an experienced ambulatory pharmacist clinician to optimize drug use in high-risk populations and... ...development, and supporting pharmacy operations including prior authorization and medication therapy outcomes. #J-18808-Ljbffr UVM Health...
- Mercor, on behalf of a leading AI research lab, seeks experienced US pharmacists to enhance AI-powered prior authorization workflows by answering medication-related questions and reviewing AI-generated responses for clinical accuracy and safety. You will annotate, provide...
- ...safe, cost-effective, and medically necessary medication use. This role combines traditional dispensing responsibilities with prior authorization review and managed care coordination. Primary Responsibilities Process and dispense prescriptions accurately in...Contract workRemote work
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