Pharmacist - Prior Authorization - Remote

Orlando, FL | Fully Remote

Posted: 09/19/2024 Category: Pharmacy Job Number: 506000

Job Description

Remote Pharmacist openings with a Major Corporation! Don't miss out on these great opportunities to work from home. FULLY REMOTE - Must have Prior Authorization experience! (Looking for it outside of Retail Setting)

We have Different openings with different shifts: WE ARE LOOKING FOR FLEXIBILITY!

  • 1 Position has Shifts available for SUNDAY-THURSDAY or TUESDAY-SATURDAY - will work one weekend day per week basically and the 3 shifts are: 10:30am-7pm CST 11am-7:30pm CST or 11:30am-8pm CST
  • 1 Position is MONDAY - FRIDAY - 930am - 6pm Local time
  • Start Dates in September, October, November and more! 

Title - Pharmacist- Prior Authorization

Pay - 53.00 per hour pending experience

Description - The position will perform clinical review of prior authorization requests, coordinate the distribution of clinical drug information, and educate providers and staff regarding the appropriate use of pharmaceutical treatment regimens. In addition, the position will support the clinical pharmacy team, supporting quality initiatives as well as other projects as needed by the line of business.

Performs clinical review of prior authorization requests. Utilizes clinical experience and skills in a collaborative process to apply the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render appropriate coverage determination. Monitors prescribing habits of participating physicians. Makes recommendations to physicians to improve medication regimens as appropriate.

- Improves quality of service to members by developing programs to provide optimal pharmacy care to patients, participating in dispute resolution of drug utilization review, measuring and documenting improvements in patient care, and/or improving claim adjudication for proper provider reimbursement.

- Acts as "subject matter expert" for clinical pharmacy issues (i.e., appeal, fraud, cognitive services, drug reviews, and education). Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Educates providers and staff regarding the appropriate use of pharmaceutical treatment regimens. May develop and maintain training documents for staff development.

- Performs other duties as required

  • This is a WFH position for candidates with a strong clinical/technical knowledge base and independent problem-solving skills. Pharmacist can have an RPh or Pharm.D degree
  • Must have active license in state you reside in!

Jared Petrill /Please apply now! - We will have openings for September, October and November start dates!

Apply Online
Apply with LinkedIn Apply with Facebook Apply with X

Send an email reminder to:

Share This Job:

Related Jobs:

Login to save this search and get notified of similar positions.

About Orlando, FL

Explore exciting job opportunities in the vibrant city of Orlando, Florida! Known for its endless sunshine, world-famous theme parks including Walt Disney World and Universal Studios, a thriving arts scene with galleries like the Orlando Museum of Art, and a variety of recreational activities such as Lake Eola Park and the iconic Lake Eola swan boats, Orlando is a hub of innovation and creativity. With a booming economy and diverse job market, this city offers growth potential and a unique lifestyle that blends southern charm with modern amenities. Discover your next career move in Orlando and be part of a dynamic community that celebrates diversity and opportunity. Dive into our job listings today and kickstart your professional journey in the heart of the Sunshine State!