Remote PBM Prior Authorization Pharmacist
Job Title: Remote PBM Prior Authorization Pharmacist Pay: $53 an hr | Bi-weekly Job Type: Remote Start date: 11/30/25 Shift Options: • Monday-Friday 9:30am-6pm local time zone or Sunday-Thursday 8am-4:30pm local time zone Remote PBM Prior Authorization Pharmacist Overview: • This individual must have excellent interpersonal skills. Will be responsible for: Reviewing and completing criteria based prior authorizations as per policy and procedure. Remote PBM Prior Authorization Pharmacist Qualifications: • Prior experience with prior authorization (PA) reviews or clinical case review in a high-volume or production setting—look for direct experience processing PA requests, ideally with commercial or specialty pharmacy, and strong documentation of meeting service level agreements (SLAs) or production targets. Demonstrated ability to multitask using multiple technology platforms and clinical resources—seek candidates who highlight comfort with multitasking, proficiency with Microsoft Office (especially Excel and Word), and using multiple clinical and administrative systems at once. Strong communication and collaboration skills in cross-functional teams—prioritize resumes that show effective written and verbal communication, experience working with both clinical and non-clinical staff, and handling phone-based interactions with providers and patients. • Bachelor's degree in pharmacy or Pharm D. with at least two years' experience as a pharmacist is required. • Must have an active license in good standing in the candidate's state of residence. Remote PBM Prior Authorization Pharmacist Benefits: • Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance. • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates. How to Apply: If you are interested in this position, please apply OR submit your resume to: Saw Hlaing | [email protected] | 412-790-5425