Pharmacist
Job Description
A-Line Staffing is now hiring Pharmacist/Clinicians – Prior Authorization!
We are seeking experienced Pharmacists with strong, sustained PBM and Prior Authorization experience for a fully remote opportunity. This role is ideal for pharmacists who have demonstrated long-term success in high-volume PBM, managed care, health plan, or comparable environments.
Location: Fully Remote – Continental U.S.
States Excluded: New Mexico and Colorado
Position: Pharmacist/Clinician – Prior Authorization
Type: Safety Sensitive
Compensation & Highlights
$53 per hour
Fully remote position
Work from anywhere in the continental U.S., excluding New Mexico and Colorado
Clinical Prior Authorization review
High-volume provider/member interaction
Opportunity to utilize clinical pharmacy knowledge in a managed-care/PBM environment
Active Pharmacist license required
Strong preference for candidates with 2+ years of Prior Authorization experience
Sustained PBM, Managed Care, or Health Plan experience strongly preferred
Specialty Pharmacy experience is a plus
Schedule
Candidates will work one of the following schedules:
Sunday–Thursday or Tuesday–Saturday
10:30 AM–7:00 PM CST
11:00 AM–7:30 PM CST
11:30 AM–8:00 PM CST
Training
November 9, 2026 – December 4, 2026
Monday–Friday
8:00 AM–4:30 PM CST
Candidates must be available for the entire training period and able to work their assigned schedule following training.
Job Requirements
Pharmacist Requirements
- Active Pharmacist license in the state of practice/residence
- Bachelor's Degree in Pharmacy (BS Pharmacy)
- Prior pharmacy experience
- Basic computer skills
- Strong organizational and documentation skills
- Excellent communication and interpersonal skills
- Strong attention to detail
- Ability to manage a high-volume workload
Strongly Preferred
- 2+ years of Prior Authorization review experience
- Sustained PBM experience
- Managed Care or Health Plan experience
- Specialty Pharmacy experience
- Experience handling approximately 40 PA cases per day
- Experience handling approximately 50 calls per day
- Experience communicating PA determinations directly with physicians, providers, and/or members
- Proven success working in a high-volume environment with competing priorities
- Previous remote work experience
Additional Information
Pharmacist Responsibilities
- Evaluate and review Prior Authorization requests and render coverage determinations based on clinical criteria and plan design.
- Verify insurance coverage and eligibility.
- Interpret clinical guidelines and apply appropriate clinical knowledge.
- Consult with physicians and other healthcare providers regarding PA requests.
- Communicate approval and denial determinations promptly to providers, health plans, members, and other healthcare professionals.
- Collaborate with technicians and Prior Authorization team members to process referrals.
- Collect appropriate clinical and medical information required for PA reviews.
- Handle high-volume inbound and outbound calls with physicians, providers, members, technicians, and internal teams.
- Answer inquiries and resolve escalations related to Prior Authorization requests.
- Support Specialty and Non-Specialty Pharmacy programs.
- Maintain current knowledge of drug and disease states.
- Document clinical decisions and communications accurately.
- Participate in training, development meetings, projects, and other assigned duties.
- Provide on-call/after-hours pharmacist availability for urgent PA requests as needed.