Remote Prior Authorization Pharmacist
4 weeks ago
Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work‑from‑home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care. Key Responsibilities Review prior authorization requests for accuracy, appropriateness, and clinical necessity. Apply plan criteria, evidence‑based guidelines, and regulatory standards to determinations. Communicate approval/denial decisions clearly to providers and patients. Collaborate with physicians, nurses, and medical directors on complex cases. Document outcomes in compliance with health‑plan policies and CMS/state regulations. Support process improvements to streamline workflow and turnaround times. What You’ll Bring Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. Licensure: Active and unrestricted pharmacist license in the U.S. Experience: Prior authorization, utilization management, or managed care preferred — retail or hospital pharmacists with strong clinical judgment are encouraged to apply. Skills: Excellent clinical review, documentation, and communication skills. Why This Role? Flexibility: 100% remote work from home with flexible scheduling options. Impact: Directly influence patient access to safe and cost‑effective medications. Growth: Build specialized skills in utilization management and managed care. Rewards: Competitive compensation, benefits, and career advancement opportunities. About Us We are a confidential healthcare partner working with health plans and PBMs across the U.S. Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations. Apply Today Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity — and enjoy the benefits of working from home while shaping the future of managed care. #J-18808-Ljbffr
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Remote PA Pharmacist Drive Access
1 week ago
Honolulu, United States Pharmacy Careers Full timeA confidential managed care organization offers a Remote Prior Authorization Pharmacist position for a motivated professional to evaluate prescription requests from home. Ideal candidates will have a PharmD or equivalent, an active pharmacist license, and experience in prior authorization or managed care. This role provides competitive compensation and...
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Remote PA Pharmacist — Drive Access
4 weeks ago
Honolulu, United States Pharmacy Careers Full timeA confidential managed care organization offers a Remote Prior Authorization Pharmacist position for a motivated professional to evaluate prescription requests from home. Ideal candidates will have a PharmD or equivalent, an active pharmacist license, and experience in prior authorization or managed care. This role provides competitive compensation and...
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Case Management Pharmacist
3 weeks ago
Honolulu, United States Pharmacy Careers Full timeCase Management Pharmacist – Coordinate Care and Improve Patient OutcomesA confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at...
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Case Management Pharmacist
7 days ago
Honolulu, HI, United States Pharmacy Careers Full timeCase Management Pharmacist Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at...
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Case Management Pharmacist
7 days ago
Honolulu, HI, United States Pharmacy Careers Full timeCase Management Pharmacist Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at...
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Case Management Pharmacist
7 days ago
Honolulu, HI, United States Pharmacy Careers Full timeCase Management Pharmacist Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at...
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Case Management Pharmacist
6 days ago
Honolulu, HI, United States Pharmacy Careers Full timeCase Management Pharmacist Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at...
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Case Management Pharmacist
7 days ago
Honolulu, HI, United States Pharmacy Careers Full timeCase Management Pharmacist Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at...
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Case Management Pharmacist
7 days ago
Honolulu, HI, United States Pharmacy Careers Full timeCase Management Pharmacist Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at...
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Case Management Pharmacist
7 days ago
Honolulu, HI, United States Pharmacy Careers Full timeCase Management Pharmacist Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at...
