Remote PBM Pharmacy Tech - Prior Authorization Specialist
Actalent
- Remote job
Actalent is seeking a Pharmacy Technician for a contract role based in Dallas, TX, with fully remote work options. You will track and triage coverage determination requests for prior authorizations and Medicare Part D recipients, review requests, gather clinical information, and document decisions in the PBM system while communicating clearly with providers and members. The role requires at least 1 year of pharmacy experience, a current state Pharmacy Technician license, and familiarity with PBM #J-18808-Ljbffr Actalent
- About this job Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months... ...bound calls from providers, pharmacies, members, etc providing... ...calls/day. Six months of PBM/pharmaceutical related... ...School diploma or GED US Tech Solutions is a global staff...Remote workContract work
$64 - $66 per hour
SmithRx is a rapidly growing Health-Tech company disrupting the PBM sector with a next-generation drug acquisition platform. We seek a pharmacist... ...license, and at least 2 years of practice to review prior authorization requests and ensure regulatory compliance. Base salary...SuggestedHourly pay- ...Authorization Specialist OneOncology is positioning community oncologists to drive the future of... ...with cancer. Lab Information System, Pharmacy Information System, Entire Chart/Electronic... ...guidelines including frequency and prior testing requirements. Required...Remote workWork at office
$53 per hour
...A-Line Staffing Solutions is seeking a Pharmacist – Remote (Prior Authorization). The role pays $53 per hour and offers full-time, temporary-to-permanent... .... A qualified candidate holds an active pharmacist license and PBM/Prior Authorization experience. #J-18808-Ljbffr...Remote workHourly payPermanent employmentFull timeTemporary work- ...Medication Access Specialist We are relentless... ...pharmacydesigning pharmacy footprints that... ...providing integrated remote support to... ...handling medication authorizations, managing insurance... ...documentation for prior authorization submissions... ...retail pharmacy PBM adjudication,...Remote workFull timeWork at office
- ...intelligent data management, pharmacy optimization, and value-... ...Job Overview The Intake Specialist is responsible for... ...required elements are obtained prior to benefits investigation and authorization Patient & Provider... ...Time Off. Location Remote with limited travel to client...Remote workWork at office
$22 per hour
About the job JX22004069329 - Pharmacy Technician I - Remote 2 Years Contract (3... ...Responsibilities: The Tech I Prior Auth takes in-bound calls... ...the criteria based prior authorization process. Maintains complete... ...managed care, physician office, PBM etc). Proficient in...Remote workHourly payContract workWork at office$20 per hour
...- Putting People First in Pharmacy - Navitus was founded as an... ...pharmacy benefit manager (PBM) models. We are committed to... ....g. M-F 8am to 5pm) Varies Remote Work Notification ATTENTION... ...Health Solutions is seeking a Specialist I, Prior Authorization to join our team! The...Remote workFlexible hours$53 per hour
...Remote Pharmacist (Work From Home) – Prior Authorization / Coverage Determination We’re hiring experienced Remote Pharmacists to complete clinical prior authorization... ...Prior authorization experience strongly preferred (PBM/managed care a plus). MTM, DUR, or clinical...Remote workWork from home- ...A-Line Staffing Solutions is hiring a Remote Pharmacist to perform criteria-based prior authorization reviews and issue coverage determinations for specialty and non... ...programs. The role suits pharmacists with PBM/managed care experience who can handle high volumes...Remote workFull timeWork from homeHome officeShift work
$20 - $21.96 per hour
...Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health... ...6am CST to 7pm, CDT Remote Work Notification ATTENTION... ...we are adding an Intake Specialist to our team! Under... ...insurance companies in triaging prior authorizations for patients of the specialty...Remote workFlexible hoursShift work$19 - $20 per hour
...Job Title: Pharmacy Tech Job Duration: 11 Months (Possibilities of... ...through the criteria based prior authorization process. Maintains complete,... ...experience Healthcare, insurance, PBM, pharmacy, medical office,... ...the top of the resume*** Remote Work Requirements...Remote workTraineeshipWork from homeMonday to FridayShift work$53 per hour
...Job Description Job Description FULLY REMOTE - WORK FROM HOME, 40 hours per week. Job Highlights ~100%... ...license in state of residence, active and in good standing Prior authorization experience in PBM or managed care environment Experience in PBM,...Remote workHourly payPermanent employmentContract workWork from homeMonday to Friday$80k
Location: This is a remote position, but... ...recruiting for two Access Specialist's to join our growing... ...insurance coverage, obtain prior authorizations and support appeals... ...4 & Sunday Times 100 Tech 2025). If you want to... ...orders to Specialty Pharmacies including follow-up...Remote work- ...Actalent is actively screening for multiple remote Pharmacists to join a leading pharmacy benefits optimizer based out of Birmingham, AL. The Clinical Pharmacist reviews prior authorization and appeals, collaborates with prescribers and pharmacies, and ensures regulatory...Remote work
- ...- We use a harmonious blend of data, tech, and a human-centric approach. Compassion... ...work. Job Summary: The Revenue Specialist will demonstrate behavior that supports... ...payor policies, and obtaining prior authorization. Coordinating with insurance providers...Remote workFull timeWork at office
$100k - $135k
...care. Overview Job Summary Patient Blood Management (PBM) Specialists are responsible for Rotem and VerifyNow instrument and P&E... ...billion and more than 7000 employees around the world comprise our Werfen team. #LI-Remote Required Experience: IC...Remote workFull timeWork experience placementWorldwide$22 - $31 per hour
...doctors nurses business people tech experts researchers and... ...oriented organized and motivated Prior Authorization Specialist II to join our Department... ...companies specialty pharmacies providers and clinical teams... ...meaningful impact every day! Remote Type Hybrid Work...Remote workHourly payFull timeMonday to FridayShift work- Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy and work remotely in the USA. The role focuses on maintaining prior authorizations, copay assistance, and verifying ongoing insurance coverage for services. You will have...Remote jobMonday to Friday
- ...A-Line Staffing Solutions is seeking a remote Pharmacist to perform prior authorization reviews and determine coverage using plan criteria. You will collaborate with the team to gather clinical data, communicate decisions to providers, and ensure PHI/privacy standards...Remote work
$23.49 - $30.53 per hour
...Pharmacy Technician Location: UCHealth Admin 2450 Peoria, Aurora, CO Work Schedule... ...role and does not offer a hybrid or remote option Summary: Provides access to medications for patients by completing Prior Authorization Requests (PAR), Co-pay Assistance Programs...Remote workTemporary workReliefLocal areaFlexible hoursShift work$90k - $120k
...Customer Experience Location: Remote/Hybrid with 10% travel nationwide... ...Position Summary The PAHub & Prior Authorization Specialist serves as a trusted consultant... ..., utilization management, PBM, health plan operations, specialty pharmacy, or healthcare technology. Hands...Remote workFull timeLocal area- ...Pharmacy Technician Assists in most aspects of drug distribution that do not require the professional judgment of a pharmacist. Technicians... ...or Trainee License through West Virginia Board of Pharmacy Remote Workers Only: Must additionally hold Pharmacy Technician...Remote workTraineeshipLocal areaShift workNight shift
$40 per hour
Job Title: Intake Authorization Specialist Job Type: Full-time Pay: up to $40... ...home infusion and specialty pharmacy services. We are accredited... ...Qualifications Required: Prior experience in home infusion... ...holidays. Opportunity for remote work based on qualifications...Remote workHourly payFull time- ...est, Monday‑Friday. This position is remote. Candidates must reside in one of the... ...providers, insurance companies, and pharmacy staff to ensure accurate prescriptions... ...regulations Determine the need for Prior Authorizations and process as required Troubleshoot...Remote workFull timeWork experience placementWork at officeWork from homeMonday to Friday
$220k - $245k
.... Our new clinical model is tech-enabled, backed by the best... ...clinical team as an Obesity Specialist. In this role, you will be at... ...Collaborate with nursing staff on prior authorizations and care coordination.... ...-time (30+ hours) Location: Remote Compensation and Benefits: Pay...Remote workFull timeMonday to FridayFlexible hours$19 - $20 per hour
...if any) At Amber Specialty Pharmacy, our commitment to patient... ...Pharmacy Job Title: Authorization Management Specialist Department: Operations FLSA... ...preparing appeal summaries and prior authorizations,... ...conferences, meetings, and remote events Constantly operates...Remote workHourly payWork experience placementWork at officeLocal areaMonday to Friday$14k
Influencer Partnerships Specialist (Contract) Remote | Part-Time Contract (20 hrs/week) | U.S., Canada,... ...driven programs. Our portfolio includes Tech Bootcamps (Software Engineering, Data... ...(Certified Medical Assistant, Pharmacy Technician, Sterile Technician) — all...Remote workContract workPart time$22.05 - $28.3 per hour
...including doctors, nurses, business people, tech experts, researchers, and systems... ...Brigham. Job Summary Reviews and processes prior authorization and referral requests for medical... ...:30 AM- 5 PM EST schedule required for remote role A quiet, secure, stable, HIPAA-compliant...Remote workHourly payShift work$17 - $34.15 per hour
...CVS Health is seeking a Pharmacy Technician for Prior Authorization to work from home in Hawaii. This role involves processing and communicating prior authorization referrals for specialty medications while collaborating with customer service and pharmacy operations. Candidates...Remote workHourly payFull timeWork from home
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