Remote PBM Prior Authorization Pharmacist
$53 per hourA-Line Staffing Solutions
Role:Clinical Pharmacist Advisor (Medicare) Location:Remote (Work From Home) — anywhere in the U.S.(must hold an active pharmacist license in your state of residence) Pay Rate:$53/hr Start date: Sep 7th and Sep 28th About the Role A-Line Staffing is hiringClinical Pharmacist Advisors (Medicare)for a high-volume, remote clinical review environment. You’ll conductvirtual consultations, supportmedication adherence, and completeaccurate documentation/data entrywhile working across multiple systems. Important:New hires must beon camera during training and meetings. What You’ll Do Conductvirtual patient consultationsand provideMedication Therapy Management (MTM) Providemedication educationand adherence support Collaborate with healthcare teams to support patient care planning Maintainaudit-ready documentationof patient interactions and outcomes Navigatemultiple applicationsand complete detaileddata entry(dual-screen workflow) Schedule / Training Business hours:7:00 AM – 8:00 PM ET (Mon–Fri) and 7:00 AM – 4:30 PM ET (Sat–Sun) Shift assignment:Set rotation based on business needs (may include weekends / weekend rotation) Training:Mandatory attendance for the first 8 weeks Monday–Friday, 9:00 AM – 5:30 PM ET No planned vacation/time off during initial training Required Qualifications Active Registered Pharmacist (RPh) license in good standingin yourstate of residence Comfort in aproductivity-driven, remote clinical review environment Strong computer skills (high documentation workload; multiple systems) Dedicated, quiet, separate workspaceat home Wired internetmeeting25 Mbps download / 5 Mbps upload minimum Ability to stay focused for the full shift with minimal interruption Preferred Skills Experience inPBM / Medicare Part D / prior authorization / coverage determinations Strong documentation and compliance mindset Working knowledge ofExcel and Word Familiarity withAccess, PowerPoint, and Visio(nice to have) Interview Process Virtual interview (Microsoft Teams) Benefits (A-Line Staffing) Medical benefits available to eligible employees after90 days 401(k) with company match available after1 year(per plan eligibility) How to Apply Apply today through our website and a recruiter will reach out to confirm details and next steps.
$55 per hour
...Pharmacist (100% Remote, PBM) Candidates will be reviewing members' Utilization Management (UM) requests (i.e., formulary exceptions, prior authorization, step therapy, quantity limit exceptions). Client-specific criteria are referenced to determine if a prior authorization...Remote jobContract workTemporary work- ...Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start Dates... ...Description: Evaluate and review all prior authorization requests and render coverage... ...with Prior Authorization Experience - PBM! (Not retail experience) Must have home...Remote workHourly payFull timeWork at officeWork from homeHome officeMonday to Friday
$50 - $55 per hour
...0/hr - $55.00/hr Our client is a major PBM (Pharmacy Benefit Services) entity owned... ...Location: Work from home (100% remote) - refer list of states below. Duration... ...instructions. JOB RESPONSIBILITIES Provides prior authorization services for formulary drugs, develops...Remote workContract workWork from home- ...reviewing and completing criteria based on prior authorization as per policy and procedure.... ...Must Have Pharmacy Benefit Management (PBM) experience. Education Pharm... ...with at least two years experience as a pharmacist in Managed care environment. Must have...Remote work
- ...clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved... ...required. Skills Prior authorization PBM Education Bachelor's degree in pharmacy or...Remote work
- ...Staffing, Inc. Looking for Pharmacist with 2 years’ recent experience... ...reviewing and processing prior authorizations against health plan criteria... ...Pharmacy Benefits Manager (PBM) experience. Job Summary: Evaluate... ...: This position is a 100% remote, work from home opportunity...Remote workContract workWork from home
$125k - $130k
...pharmacy benefit management (PBM) solutions to self-insured... ...The Utilization Management Pharmacist plays a vital role in promoting... ...responsible for reviewing prior authorization requests, supporting clinical... ...and location of the job. Remote, US Salary Range $125,000—$1...Remote workTemporary workLocal areaFlexible hoursWeekend work- ...reviewing and completing criteria based on prior authorization as per policy and procedure.... ...Must Have Pharmacy Benefit Management (PBM) experience. Education: Pharm D.... ...with at least two years experience as a pharmacist in Managed care environment. Must have...Remote workContract work
$120k - $125k
...Overview The Clinical Care Pharmacist plays a vital role in ensuring... ...responsible for reviewing prior authorization requests, supporting clinical... ...Location & Schedule Location: Remote Shifts 7a-4p EST 9a-6p EST 1... ...benefit management (PBM). Strong communication, writing...Remote workFull timeContract workShift workWeekend work- ...at end-of-life. Consultative Pharmacists work collaboratively with... ...and interpersonal skills in a remote or hybrid work environment.... ...pharmacy benefit management (PBM) services preferred Specialized... ..., formulary management and prior authorization procedures Demonstrates...Remote workWork experience placementImmediate startHome officeWeekend work
- ...You Will Have The clinical pharmacist is responsible for supporting... ...the pharmacy benefit manager (PBM), to coordinate activities... ...pharmacy meetings for drug prior authorizations and other drug management strategies... ...you are empowered to work remote. Equal Employment...Remote workFor contractorsWork at officeLocal area2 days per week
$118.06k - $168.66k
...join our team. The Clinical Review Pharmacist works to ensure that ChenMed members... ..., safe manner. The incumbent completes prior authorizations for internal expert peer discussions (EPD... ...Experience in a managed care setting (HMO, MSO, PBM) is a plus Medicare Part D or...Remote workHourly payFull timeFor contractorsWork at officeLocal areaFlexible hoursWeekend workAfternoon shift- ...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
$75 per hour
...Jack Dorsey . Position: Pharmacy Prior Authorization & Specialty-Medication Access Specialist... ...Compensation: $75/hour Location: Remote Role Responsibilities Process and... ...and pharmacy benefit management ( PBM ) systems. ~ Familiarity with Medicare...Remote workContract workSummer work- ...Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access...Remote workWork from homeFlexible hours
- ...Medication Access Pharmacist Help patients overcome the cost barrier—become their healthcare... ...Key Responsibilities: Manage prior authorizations and appeal processes. Coordinate... ...patient lives directly Hybrid or remote options Fast-growing access-focused...Remote work
- ...An established industry player is seeking a dedicated Pharmacist to join their remote team. This role involves evaluating prior authorization requests, collaborating with healthcare professionals, and ensuring timely communication of coverage determinations. The ideal...Remote workWork from home
$55 - $57.75 per hour
...Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside within Utah. This role is work from home... ...a clinical resource working from a computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy...Remote workHourly payWeekly payFull timeContract workTemporary workWork at officeLocal areaWork from homeMonday to FridayFlexible hoursShift workNight shift- ...Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes A... ...potential drug interactions. Support prior authorization and appeals processes when needed.... ...Many organizations offer hybrid or fully remote work options. Rewards: Competitive...Remote work
- ...Provide clinical review and consultation on medication requests, prior authorizations, and benefit determinations. Evaluate therapy... ...required; PharmD preferred ~ Full, current, and unrestricted pharmacist license in PA, TN, and/or OH ~ Ability to obtain additional...Remote work
- ...CVS Health Corporation is seeking a Pharmacy Technician for Prior Authorizations working from home. You will process prior authorization requests via phone, fax, or electronic channels, using medication guidelines and NCQA requirements to support approvals and denials...Remote workWork from home
- ...Clinical Pharmacist The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria...Remote workWork experience placement
- A healthcare management company is seeking a Remote Coverage Review Pharmacist located in Tennessee. This role requires a Doctor of Pharmacy... ...will be responsible for reviewing medication-related prior authorizations, appeals, and grievances, working independently or in...Remote work
- ...Duration: 6 months contract Job Description: ~ The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge...Remote workContract work
- ...Job Title: Pharmacist Location: Remote Duration: 12+ months contract Job Description: ~ As an RPh Advisor you will be directly... ...progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests (50%)...Remote workContract work
- ...Provide clinical review and consultation on medication requests, prior authorizations, and benefit determinations. Evaluate therapy... ...and pharmacy policy updates. What we look for ~ Active Pharmacist license in good standing (PharmD or BS Pharmacy). ~3–5 years...Remote workRelocation package
- ...Looking for Pharmacist who have Remote Prior Authorization Experience & Must be licensed in the state of North Carolina. (Can reside in any state.) This position is for a Clinical Pharmacist working in the Prior Authorization team. This Pharmacist will: Evaluate and review...Remote work
- ...Non-Billable Orientation (NBO) Job - Remote Managed Care Pharmacist Pharmacist License Required for WA, OR, or CA. 3+ Years in a Managed Care Environment Required (meaning dealing with Prior Authorizations, Audits, Appeals, ALJ Court hearings, etc). Rare weekends required...Remote workLocal areaWeekend work
$57 per hour
ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts...Remote workHourly payWork from homeFlexible hours- ...About the job Remote Coverage Review Pharmacist Remote Coverage Review Pharmacist needs 3 years and Doctor of Pharmacy (PharmD) Degree... ...and appeals including the review of medication related prior authorizations, pharmacy appeals, and member grievances focused on medications...Remote workWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote PBM Prior Authorization Pharmacist. Be the first to apply!
- veterinary pharmacist Irvine, CA
- ambulatory pharmacist Irvine, CA
- pharmacist long term care Irvine, CA
- cardiology pharmacist Irvine, CA
- work from home pharmacist part time Irvine, CA
- prior authorization pharmacist Irvine, CA
- oncology pharmacist Irvine, CA
- pharmacist Irvine, CA
- emergency pharmacist Irvine, CA
- infectious disease pharmacist Irvine, CA



