Prior Authorization Pharmacist {175162}

A-Line Staffing is now hiring a Prior Authorization Pharmacist (Remote)! This Pharmacist role is supporting a respected healthcare organization and offers strong long-term potential. See additional details below.

Pharmacist Highlights

Pay: $53.00/hour (W2)
Schedule (after training): Sun–Thurs or Tues–Sat (must work one weekend day each week)
Shift options (CST): 10:30am–7:00pm, 11:00am–7:30pm, or 11:30am–8:00pm
Training: Oct 12, 2026 – Nov 25, 2026, Mon–Fri 8:00am–4:30pm CST (required attendance)
Start date: October 12, 2026
Duration: ~48 weeks (projected through Sep 11, 2027)
Work arrangement: Fully remote (no onsite requirement)
Remote location: Continental U.S. only (excluding New Mexico and Colorado)
Pharmacist Responsibilities

Review prior authorization requests and make coverage determinations using clinical criteria and plan guidelines
Verify coverage/eligibility and evaluate clinical documentation for medical necessity
Communicate approval/denial/incomplete decisions clearly and timely to providers and other stakeholders
Handle high-volume provider interaction (~50 calls/day)
Manage daily prior authorization workload (~40 cases/day)
Collaborate with technicians/PA team to collect clinical/medical data and resolve escalations
Document all reviews, decisions, and communications thoroughly and accurately
Maintain knowledge of drug/disease states (specialty and non-specialty pharmacy programs)
Pharmacist Requirements

Active Pharmacist license (required)
2+ years prior authorization review experience (required)
PBM / Managed Care / Health Plan experience (strongly preferred)
Specialty pharmacy experience (plus)
Strong communication + documentation skills; comfort with high-volume workflow
Basic computer proficiency (required)
High school diploma or GED (required)
Must have a private, secure work area (conversations/screens/documents cannot be overheard/seen by others)
Remote/Technology Requirements

Provide your own high-speed internet (minimum 25 Mbps download / 3 Mbps upload)
Smartphone required (VPN token use)
Required Items to Include With Application (Top of Resume)

Active Pharmacist License
Internet speed test screenshot
Computer proficiency assessment (basic computer skills; free online assessment acceptable)
Completed candidate questionnaire (your recruiter will provide/collect)
Benefits Available

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

If you are interested in this Pharmacist position, please APPLY!