Remote Prior Authorization Pharmacist

A company is looking for a Remote Prior Authorization Pharmacist. Key Responsibilities Receives and interprets prior authorization requests, making coverage determinations based on clinical guidelines Coordinates communication of case decisions to physicians, health plans, and patients Maintains communication among health plan and employer group staff Required Qualifications Pharmacist license from any state in the US, matching the candidate's location Experience in a PBM or managed care environment is required Prior authorization experience is highly preferred Experience in retail or dispensing pharmacy settings will not be accepted

May 31, 2025 - 02:10

A company is looking for a Remote Prior Authorization Pharmacist. Key Responsibilities Receives and interprets prior authorization requests, making coverage determinations based on clinical guidelines Coordinates communication of case decisions to physicians, health plans, and patients Maintains communication among health plan and employer group staff Required Qualifications Pharmacist license from any state in the US, matching the candidate's location Experience in a PBM or managed care environment is required Prior authorization experience is highly preferred Experience in retail or dispensing pharmacy settings will not be accepted