Pharmacist - Prior Authorization (Remote)

Pharmacist – Prior Authorization (Remote)

Location: Remote – U.S.
Job Type: Full-Time Contract

Job Summary

We are seeking an experienced Pharmacist to perform clinical and criteria-based Prior Authorization (PA) reviews for a leading healthcare organization. This is a fully remote position requiring strong clinical judgment, documentation, and provider communication skills.

Key Responsibilities

• Review prior authorization requests and make coverage determinations using clinical criteria and plan guidelines.
• Evaluate clinical documentation, eligibility, and medical/pharmacy information.
• Communicate PA decisions with physicians, healthcare providers, and members.
• Handle approximately 40 PA cases and 50 calls per day.
• Collaborate with pharmacy technicians and clinical teams to resolve cases and obtain required information.
• Support Specialty and Non-Specialty Pharmacy programs.

Requirements

• Active Pharmacist License required
• 2 years of Prior Authorization experience
• Pharmacy experience required; PBM, Managed Care, or Health Plan experience strongly preferred
• Specialty Pharmacy experience is a plus
• Strong communication, clinical documentation, and organizational skills
• Comfortable working in a high-volume environment
• Prior remote-work experience preferred
• Bachelor's degree in Pharmacy required; PharmD preferred

Schedule

Candidates must be comfortable with Sunday–Thursday or Tuesday–Saturday.

Available shifts:

• 10:30 AM–7:00 PM CST
• 11:00 AM–7:30 PM CST
• 11:30 AM–8:00 PM CST

Training: November 9–December 4, 2026, Monday–Friday, 8:00 AM–4:30 PM CST.
Candidates must be available for the entire training period.

Managed Staffing connects qualified professionals with leading employers across healthcare, technology, engineering, and other industries. We provide dedicated recruiter support and career opportunities with established organizations.