Posted Sep 26, 2026

Remote Specialty Prior Authorization Pharmacist

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Job Title :Remote Specialty Prior Authorization Pharmacist Pay :$53 an hr Bi-weekly Job Type :Remote Start date :11 / 03 / 25 Shift Options :7am to 10pm CST - 8 hours per day expectedPossible weekend shiftsRemote Specialty Prior Authorization Pharmacist Overview :This individual must have excellent interpersonal and organizational skills.Will be responsible for :1.Collaborating with Technicians and Nurses to process authorization requests, including answering clinical questions, collecting appropriate clinical / medical data needed to perform clinical assessments, and reviews as per the health plan / employer agreed criteria within the designated service level agreements.(20%) 2.Coordinating timely communication of case decision to physician, health-plan / employer, patient and other healthcare professionals following agreed upon approval & denial management processes.(15%) 3.Handling inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4.Establishing and maintaining communication among CVS Caremark, health plan and employer group staff.(5%) 5.Maintaining professional and technical knowledge of drug and disease-states for the Specialty Medical programs administered within the Novologix platform.(5%) 6.Performing other related projects and duties as assigned.On call and after hours pharmacist availability may be required.(5%) Remote Specialty Prior Authorization Pharmacist Qualifications :2years of clinical experience withspecialty medicationsorclinical review of prior authorization requests.Experience using MS Office and other Windows based computer applications, strong organizational skills, interpersonal skills, and detail orientation are important for this position.Required certification :Active pharmacist license in state of residence in good standing Remote Specialty 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 shlaing@alinestaffing.com 412-790-5425.