Job Description

Job Description

Job Description

Pay: $50.00 - $53.00 per hour

Job description:

Pharmacist – Remote (Prior Authorization Review)
Pay Rate: $53.00/hr

MUST HAVE EXPERIENCE IN PRIOR AUTHORIZATION DECISION MAKING - TYPICALLY OBTAINED THROUGH PBM COMPANIES

Position Summary

Remote Pharmacist to support Prior Authorization (PA) reviews. This role is fully remote, safety-sensitive, and requires strong clinical knowledge, attention to detail, and the ability to work in a high-volume production environment.

The pharmacist will be responsible for reviewing and completing criteria-based prior authorizations.

Schedule

• Work Hours: Monday – Friday, 9:30 AM – 6:00 PM (local time zone)
• Training Hours: Monday – Friday, 8:00 AM – 4:30 PM CT
• Type of Start: Class with set start date

Key Responsibilities

• Review and process criteria-based prior authorization requests per policy and procedure.
• Document all case activities accurately and within required timelines to meet service level agreements (SLAs).
• Collaborate with cross-functional teams including providers, patients, and non-clinical staff.
• Manage multiple technology platforms, including Microsoft Office and internal systems, while maintaining productivity and accuracy standards.

Required Qualifications

• Bachelor’s degree in Pharmacy or PharmD.
• Active, unrestricted pharmacist license in state of residence (must include license number and expiration date on resume).
• Minimum 2 years’ pharmacist experience.
• Prior experience in prior authorization (PA) reviews or clinical case review in a high-volume/production setting.
• Strong multitasking ability across multiple systems and platforms.
• Excellent written and verbal communication skills.
• Demonstrated ability to meet production targets and service level agreements.

Technology & Work-from-Home Requirements

• High-speed internet required (minimum: 25 Mbps download, 3 Mbps upload).
• Candidates must provide internet provider information and a Speedtest.net screenshot with resume submission.
• Smartphone required (for VPN token access).
• Private, secure workspace that ensures confidentiality and prevents unauthorized access to equipment and patient data.
• Must be on camera during training and team meetings.

Additional Information

• This is a fully remote role (no onsite requirement).
• Candidates must explain any large employment gaps on their resume.

ESJJP2

Job Types: Full-time, Contract

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Work Location: Remote

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