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 click.appcast.io | View email address on click.appcast.io
- ...Job Description Job Title: Prior Authorization Pharmacist \n \n Location: New York, NY \n \n Duration: 6 months + contract ( Potential of extension) \n \n Shift: 9:00 AM – 5:00 PM | 7 Hours/Day | 35 Hours/Week \n \n Schedule Notes: \n \n Days...SuggestedFull timeContract workRemote workMonday to FridayShift work
- ...VIVA is seeking a Tech I Prior Auth to handle inbound calls from providers, members... ...them through the criteria-based prior authorization process. The role requires documenting... ...reviews with accuracy and coordinating with pharmacists for escalations. Fully remote with...SuggestedTraineeshipRemote workShift work
$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...SuggestedContract workSummer workRemote work- ...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 standards. Ideal candidates will...SuggestedRemote work
$90 - $95 per hour
...ProKatchers is seeking a local contract Pharmacist for a local contract job in New York City, New York. Job Description & Requirements... ...pharmacist experience within the last 3 years. Prior Authorization Pharmacist Pharmacy dispensing system experience....SuggestedHourly payLong term contractContract workTemporary workWork experience placementLocal areaShift work- 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
$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$50 - $55 per hour
...corporate and facility standard operating procedures, policies, guidelines, and work instructions. JOB RESPONSIBILITIES Provides prior authorization services for formulary drugs, develops programs to provide optimal pharmacy care to patients, participates in drug...Contract workRemote 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...Contract workTemporary workRemote workFlexible hoursShift workWeekend work$53 per hour
...Full job description A-Line Staffing is now hiring a Remote Prior Authorization Pharmacist. This would be full time / 40+ hours per week. Remote Prior Authorization Pharmacist Hours Monday-Friday 9:30am-6pm local time zone + occasional weekends Training schedule – 5 weeks...Hourly payFull timeLocal areaImmediate startRemote workMonday to Friday$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- ...Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist in Saint Louis, MO, to handle insurance pre-authorizations, resolve claim denials, and coordinate with providers and patients. This full-time role may allow remote work with Missouri licensure. The...Full timeRemote workRelocation package
$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Full-Time | Starting at $23.00/hr and up Shift times currently available: 9:00... ...appeals with insurance carriers. Collaborate with physicians, pharmacists, and other departments. Ensure HIPAA compliance while...Full timeTemporary workRemote workRelocation packageShift work- ...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
- ...Duties: Reviews Medical drug prior authorization and appeal requests for all LOBs then renders coverage determinations based on MetroPlus... ...: Required Skills & Experience: One (1) year of Pharmacist experience. Preferred Skills & Experience: Pharmacy dispensing...
$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$60 per hour
Review and make determinations on prior authorization requests for medications under the pharmacy benefit Conduct peer-to-peer calls with... ...Pharmacy (PharmD) 3+ years of experience working as a licensed pharmacist Willingness to obtain additional state licenses and/or...Contract workRemote workShift workWeekend work$130k
...more, 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- MedOp Solutions is seeking a remote Pharmacist to perform complex prior authorization reviews and clinical determinations. You will collaborate with prescribers, conduct peer-to-peer calls, and contribute to quality audits while ensuring safe medication use. The role requires...Remote job
$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... ...timely and appropriate access to their medications by reviewing prior authorizations and supporting coverage determinations. Every decision you...Remote workWeekend work$135.79k - $178.23k
...Job Description Job Description 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...Full timeRemote workWork from homeHome office- Judi Health, LLC is seeking a licensed pharmacist leader to manage a team responsible for PA criteria, system configuration, and communications. You will shape utilization management policies and ensure clinical accuracy across configurations. The role requires a strategic...
$22 - $25 per hour
...with physician offices regarding prescription clarifications, prior authorizations, and required documentation. Schedule patient onboarding... ..., providers, and internal team members. Collaborate with pharmacists, billing specialists, and other departments to ensure efficient...Hourly payRemote work$155k - $180k
...Charlotte NC) Position Summary: We are seeking a licensed pharmacist with leadership experience to manage a team responsible for... ..., implementation, and maintenance of clinical criteria and prior authorization (PA) system configurations. This role will oversee the creation...Work at officeLocal areaMonday to FridayFlexible hours- 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
$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...- LanceSoft is seeking a Pharmacist for a remote assignment across the United States. The role centers on reviewing and completing criteria for prior authorization in line with policy and procedures. The ideal candidate has at least two years of pharmacy experience in PBM...Remote jobFull time
- Position: Licensed Vocational Nurse Prior Authorization Location: Fully Remote Duration: 12 Months (Higher extension possibilities) Position... ...Communicate clearly and professionally with team members, pharmacists, providers, and leadership Ask questions and seek...Work at officeRemote workShift work
- Dragonfly Health is seeking a Clinical Consulting Pharmacist to join our after-hours team in Pennsylvania. This role supports medication reviews, prior authorizations, and cost-effective therapies for hospice and post-acute care patients. Qualified candidates hold an active...Remote jobHourly payRelocation packageNight shift
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