Clinical Pharmacist - Prior Authorization/PBM {168157}

A-Line Staffing is now hiring a Clinical Pharmacist - Prior Authorization/PBM (Remote)!
The Clinical Pharmacist - Prior Authorization/PBM will be working for a respected healthcare organization and has career growth potential. See additional details below.

• The pay for this position is $53.00 per hour.
• Training schedule: Monday–Friday, 9:00 AM – 5:30 PM EST (first 8 weeks, no time off permitted)
• Post-training schedule: 8-hour shifts between 7:00 AM – 8:00 PM EST (Monday–Friday) and 7:00 AM – 4:30 PM EST (weekends, rotation required)
• Fully Remote (WFH) position
• This position is a 6 month contract role with potential for extension or conversion to FTE.
• Targeted Start Date: 5/18 | Offer by: 4/20 | Clearance Deadline: 5/8
• Opportunity for full-time employment contingent on performance

• Review Medicare Part D appeals cases for accuracy, completeness, and clinical appropriateness
• Evaluate internal notes and fax requests to extract and document pertinent clinical information
• Conduct outreach to providers to obtain additional clinical details when necessary
• Ensure compliance with CMS guidelines, Medicare timelines, and internal work instructions
• Apply clinical judgment using drug compendia and Medicare guidance to support case decisions
• Maintain productivity and quality standards while documenting all actions clearly and concisely
• Participate in feedback sessions and development discussions with leadership

• Active Registered Pharmacist license in good standing in state of residence (screenshot required with resume)
• Bachelor’s degree in Pharmacy or PharmD required
• Previous experience in Managed Care or PBM environment preferred
• Strong computer skills including Microsoft Excel and Word (Access, PowerPoint, and Visio preferred)
• Ability to work independently in a productivity-driven, data entry-focused environment
• Experience navigating multiple systems and working with dual screens preferred
• Must have a dedicated, quiet workspace for remote work
• Wired internet connection with minimum 25 Mbps download / 5 Mbps upload (screenshot required)
• Ability to remain focused and seated for the duration of shift
• High level of attention to detail, organization, and communication skills
• Verifiable High School Diploma or GED required

• Candidates must be on camera for all meetings, including training and team interactions
• Attendance is critical, especially during the first 8–10 weeks of training
• Weekend work required (either rotating or one consistent weekend day)
• Virtual interviews conducted via Microsoft Teams

1. Any conflicts with required training schedule (M-F 9:00 AM – 5:30 PM EST for 8 weeks)?
2. Any conflicts working assigned shifts between 7:00 AM – 8:00 PM EST, including weekends?
3. Do you have a dedicated, quiet workspace for remote work?
4. Do you have wired internet meeting minimum speed requirements (include screenshot)?
5. Are you able to sit and focus without interruptions for the full shift?
6. Do you have data entry and multi-system navigation experience?
7. Do you have an active Pharmacist license in good standing?
8. Are you comfortable working independently in a productivity-driven role?
9. Do you demonstrate a positive and engaged work approach?

• Benefits are available to full-time employees after 90 days of employment.
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

If you are interested in this Clinical Pharmacist - Prior Authorization/PBM position, APPLY, or contact

• Check medications prepared by the pharmacy technicians
• Coordinate all clinical pharmacy patient care and pharmacy dispensing/shipping activities
• Coordinating all clinical pharmacy patient care and/or pharmacy production activities
• Mean that the supervising pharmacist have reviewed the prescription or drug order
• Provide direct supervision to pharmacy interns and pharmacy technicians working with the pharmacist
• Maintain pharmacy patient profiles and dispensing records
• Provide pharmacist counseling for all new prescriptions to patients
• Supervise the work of pharmacy technicians and pharmacy interns
• Assign projects to resident pharmacist and other pharmacy personnel
• Initiate and facilitate appropriate drug dosing and manage medication-related pharmacist
• Provide clinical pharmacy support and execute clinical pharmacy programs for all patient areas
• Prescribe interview or dispensing pharmacy interview
• Optimize pharmacy practice, pharmacy systems, and the medication-use process
• Enter prescription data into pharmacy software
• Perform individual patient pharmacy reviews to determine medication adherence and medication reconciliation
• Supervise pharmacy technicians in drug distribution and compounding tasks
• Supervise and direct pharmacy technicians