*Pharmacist
Posted 10/06/2026
Job ID:
176011
Job Description
We are seeking a qualified Pharmacist for a fully remote opportunity supporting a leading healthcare organization. The successful candidate must be comfortable working independently in a secure home-office environment while maintaining strict standards for patient privacy, confidentiality, and information security.
Location: Remote
Pay: $53.00/hour
Schedule: Full-Time
Shifts Available:
Sunday–Thursday
Tuesday–Saturday
Available Shifts (CST)
10:30 AM–7:00 PM
11:00 AM–7:30 PM
11:30 AM–8:00 PM
Job Duties:
- Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols.
- One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes.
- Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed criteria within the designated service level agreements.
- Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve escalations.
Requirements:
- Hold an active Pharmacist license applicable to the position.
- Have strong clinical knowledge and attention to detail.
- Demonstrate excellent communication and customer-service skills.
- Be comfortable working independently in a remote environment.
- Have reliable technology and internet connectivity that meet the requirements above.
- Be available to work one of the designated Sunday–Thursday or Tuesday–Saturday schedules.
- Maintain strict confidentiality and comply with all applicable privacy and information-security requirements
This is an excellent opportunity for an experienced Pharmacist seeking a remote position with consistent scheduling and comprehensive training.
Meet Your Recruiter
Seth Klein
Account Manager
About Woonsocket, RI
Explore exciting job opportunities near Woonsocket, Rhode Island! Nestled in the picturesque New England region, Woonsocket offers a charming blend of historic charm and modern opportunities. With landmarks like the stunning Museum of Work & Culture, vibrant arts scene at the Stadium Theatre Performing Arts Centre, and delectable cuisine options ranging from classic clam bakes to trendy food trucks, this area promises a fulfilling career and a quality lifestyle. Join the proud community supporting local teams like the Pawtucket Red Sox at McCoy Stadium and savor outdoor adventures at the scenic World War II Veterans Memorial Park. Start your professional journey in Woonsocket, where every day offers a new chapter of growth and success.