Remote Prior Authorization Pharmacist (Remote – U.S.-based)

Pay: $53.00/hour (W2)
Type: Long-term contract (full-time, ~40 hours/week)
Openings: 60
Location: Remote (U.S.-based)

Overview

We’re hiring Remote Prior Authorization Pharmacists to support Medicare Part D members and providers with pharmacy benefit requests. In this role, you’ll ensure cases are accurately set up, perform clinical review/decisioning, complete thorough documentation, and outreach to providers when additional clinical information is needed—while meeting quality, productivity, and CMS timeline requirements.

What You’ll Do

• Set up and review pharmacy benefit / Medicare-related cases for accuracy and completeness
• Apply clinical judgment and utilize drug compendia/resources to support decisioning
• Document clearly and concisely within internal systems
• Contact providers to request/clarify clinical information when needed
• Follow work instructions and Medicare/CMS guidance to ensure compliance and timeliness
• Participate in feedback/coaching and continuous improvement efforts

Schedule

• Business hours coverage window:
  • Mon–Fri: 7:00 AM – 8:00 PM ET
  • Sat–Sun: 7:00 AM – 4:30 PM ET
• Training (first ~8 weeks): Monday–Friday, 9:00 AM – 5:30 PM ET
• After training, shifts are assigned based on business needs and may include weekend rotation / at least 1 weekend day

Required Qualifications

• Active Pharmacist license in good standing in your state of residence
• Bachelor’s in Pharmacy or PharmD (required)
• Comfort with a productivity-driven, computer-based environment (data entry + multiple applications)
• High-speed wired internet meeting 25 Mbps download / 5 Mbps upload (speed test screenshot required)
• Dedicated, quiet, separate work-from-home workspace
• Ability to be on camera for training and meetings as part of the hiring/ongoing work process

Nice to Have

• Experience in a Managed Care / PBM environment
• Working knowledge of Excel and Word
• Familiarity with tools like Access, PowerPoint, Visio

Benefits (Contract)

• Benefits available to eligible full-time employees after 90 days
• 401(k) eligibility with company match after 1 year of service (per program rules)

Interested? Apply / Reach Out

Contact Austin Faris

• Phone: 586-710-7941
• Email: afaris@alinestaffing.com