Prior Authorization Pharmacist - Remote
Posted 09/15/2026
Job ID:
SHlaing1
Job Description
Title: Remote Pharmacist (Prior Authorization / Clinical Review)
Pay rate: $53 an hr
Location: Fully Remote (U.S.) — must hold an active Pharmacist license in your state of residence
Type: Contract to hire
Start date: 10/18/26
Schedule Options (local time):
- Mon–Fri 9:30 AM–6:00 PM, or
- Sun–Thu 8:00 AM–4:30 PM
Training: Mon–Fri 8:00 AM–4:30 PM CT for ~5 weeks (camera-on)
What you’ll do
- Review and apply clinical criteria to complete prior authorization decisions per policy/procedure.
- Review patient profiles for interactions, sensitivities, and appropriate medication use.
- Communicate with patients and prescribers by phone/mail to resolve clinical questions.
- Enter/verify prescriptions and perform final accuracy checks as needed.
- Maintain quality/security standards (including controlled substances and hazardous waste processes).
- Work in a fast-paced, high-volume environment with competing priorities.
Required
- Active Pharmacist license in good standing in your state of residence (include license # + expiration date).
- High School Diploma/GED (verifiable).
- Ability to meet remote work requirements:
-
- High-speed internet minimum 25 Mbps download / 3 Mbps upload
- Dedicated private workspace (no screen visibility / conversations overheard)
- Smartphone required (VPN token)
- Camera-on participation for trainings/team meetings
- Reliable work history (avoid unexplained gaps / frequent short tenures)
Preferred (not required)
- Strong retail pharmacy background (especially Pharmacy Manager experience or 2+ years as Staff Pharmacist with the same employer)
- PBM / Prior Auth experience (if you have it: 1+ year in a PBM setting handling Prior Auth — not MTM)
- Residency/fellowship, leadership projects, or comparable initiatives
- New grads considered if leadership/residency/fellowship experience is strong
About Miami, FL
Ready to take your career to the next level? Explore job opportunities in the vibrant Miami, Florida area! Known for its endless sunshine, gorgeous beaches, and lively atmosphere, Miami is more than just a city - it's a lifestyle. With a rich multicultural scene, world-class art galleries like the Perez Art Museum Miami, phenomenal theater productions at the Adrienne Arsht Center, and professional sports teams like the Miami Heat, this area offers a diverse range of cultural experiences. Indulge in delicious cuisine from Little Havana or take a stroll in the iconic South Beach. Join us in Miami and immerse yourself in an exciting, dynamic community while advancing your career!