Remote Pharmacist

Remote Prior Authorization Pharmacist

Contract | Remote | $50-$55/hr

We're seeking a licensed Pharmacist to support prior authorization and appeals reviews in a fully remote setting. This role focuses on evaluating clinical documentation, making coverage determinations, and ensuring accurate, timely decision-making.

Responsibilities

• Review prior authorization and appeal requests.

• Evaluate clinical documentation against established criteria.

• Make and document coverage determinations.

• Collaborate with providers, pharmacies, and internal teams.

• Ensure compliance with regulatory and quality standards.

• Maintain productivity and accuracy in a fast-paced environment.

Required Qualifications

• Active Pharmacist license (RPh or PharmD) in state of residence.

• Strong clinical judgment and attention to detail.

• Excellent verbal and written communication skills.

• Ability to manage multiple priorities and meet deadlines.

• Proficiency with Microsoft Office and other technology platforms.

Preferred Qualifications

• Managed care or utilization management experience.

• Appeals review experience.

• Knowledge of CMS and prior authorization regulations.

• Specialty medication review experience.

• Experience with payer workflows and case management systems.

Work Environment

• 100% remote opportunity

• Focus on clinical review and decision-making

• Collaborative team environment

• Opportunity to leverage your clinical expertise outside of retail or dispensing settings

Job Type & Location

This is a Contract position based out of San Antonio, TX.

Pay and Benefits

The pay range for this position is $50.00 - $55.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Oct 14, 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® 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 View email address on click.appcast.io 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.