Remote Pharmacist – Prior Authorization - 175640

We are hiring a Remote Pharmacist for a fully remote, contract-to-hire opportunity supporting clinical pharmacy and Prior Authorization services.

This position is focused on clinical medication review, Prior Authorization requests, prescription review, and communication with healthcare providers. Prior Authorization and PBM experience are NOT required, making this a strong opportunity for experienced Staff Pharmacists, Pharmacy Managers, Clinical Pharmacists, Hospital Pharmacists, and qualified new graduates with pharmacy residency, fellowship, or leadership experience.

Position Highlights:

• Fully Remote — no onsite work required
• Contract-to-hire opportunity; permanent placement is the goal but is not guaranteed
• Structured training provided
• Clinical pharmacy and Prior Authorization focus
• Multiple schedule options available
• Opportunity to transition from traditional retail or other pharmacy settings into a remote clinical environment

Schedule Options:

• Monday–Friday: 9:30 AM–6:00 PM local time
• Sunday–Thursday: 8:00 AM–4:30 PM local time
• Training: Monday–Friday, 8:00 AM–4:30 PM CT for approximately 5 weeks
• The ideal candidate has strong clinical judgment, attention to detail, communication skills, and the ability to work independently in a remote environment.

• Review patient profiles, medication history, drug interactions, sensitivities, and medication utilization.
• Review medication requests and prescriptions according to established clinical criteria, policies, and procedures.
• Review and complete clinical criteria for Prior Authorization requests.
• Evaluate and process Prior Authorization requests accurately and efficiently.
• Determine when physician clarification or additional clinical intervention is necessary.
• Contact physicians and other healthcare professionals regarding medication-related questions.
• Participate in therapeutic interventions and physician outreach activities as assigned.
• Communicate with patients and healthcare professionals regarding medication and prescription questions.
• Enter and maintain accurate prescription and patient information in computer systems.
• Resolve orders through an External Adjudication (EA) queue.
• Perform prescription review and final quality checks as applicable.
• Maintain patient confidentiality, security, and quality standards.
• Collaborate with pharmacy and clinical teams.
• Work independently while meeting productivity, quality, and service expectations.