Remote Prior Authorization Pharmacist

4 days ago

Charlotte, NC, United States Pharmacy Careers Full time
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.

  • Pharmacist - Remote - Prior Authorization

    1 week ago

    Charlotte, NC, United States A-Line Staffing Solutions Full time

    Remote Prior Authorization Pharmacist Opportunities are available! Don't miss out on these Fully Remote Roles! Just need to be licensed in the state you reside/work in! Start Dates: November 30th and December 8th (More coming for December and January as well!) Pay: $53.00 per hour (Good pay bump if brought on board perm with client after contract...

  • Appeals Pharmacist

    5 hours ago

    Charlotte, NC, United States Pharmacy Careers Full time

    Appeals Pharmacist - Ensure Fair Medication Access for Patients A confidential managed care organization is seeking an experienced Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role is ideal for pharmacists who want to leverage their clinical knowledge and critical thinking skills to advocate for patients and ensure...

  • Pharmacist - Medicare Part D

    1 week ago

    Charlotte, NC, United States US Tech Solutions Full time

    Pharmacist Advisor Location: Fully remote Duration: 06+ months contract Note: Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. Shift Timing: Business Hours are 7am - 8pm EST Monday - Friday and 7am - 4:30pm EST Sat and Sunday. Set Rotation. Job Description: As a Pharmacist Advisor you...

  • Pharmacist (Clinical Pharmacy Specialist)

    7 days ago

    Charlotte, NC, United States Veterans Affairs, Veterans Health Administration Full time

    Summary The Clinical Resource Hub (CRH) is a repository of clinical and administrative staff that serve Veterans Affairs facilities within a VISN. Staff within the CRH are expected to provide interprofessional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand....

  • Pharmacist (Clinical Pharmacy Specialist)

    1 week ago

    Charlotte, NC, United States Veterans Affairs, Veterans Health Administration Full time

    Summary The Clinical Resource Hub (CRH) is a repository of clinical and administrative staff that serve Veterans Affairs facilities within a VISN. Staff within the CRH are expected to provide interprofessional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand....

  • Pharmacist (Clinical Pharmacy Specialist)

    1 week ago

    Charlotte, NC, United States Veterans Affairs, Veterans Health Administration Full time

    Summary The Clinical Resource Hub (CRH) is a repository of clinical and administrative staff that serve Veterans Affairs facilities within a VISN. Staff within the CRH are expected to provide interprofessional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand....

  • Pharmacist (Clinical Pharmacy Specialist)

    5 days ago

    Charlotte, NC, United States Veterans Affairs, Veterans Health Administration Full time

    Summary The Clinical Resource Hub (CRH) is a repository of clinical and administrative staff that serve Veterans Affairs facilities within a VISN. Staff within the CRH are expected to provide interprofessional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand....

  • Pharmacist (Clinical Pharmacy Specialist)

    7 days ago

    Charlotte, NC, United States Veterans Affairs, Veterans Health Administration Full time

    Summary The Clinical Resource Hub (CRH) is a repository of clinical and administrative staff that serve Veterans Affairs facilities within a VISN. Staff within the CRH are expected to provide interprofessional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand....

  • Pharmacist (Clinical Pharmacy Specialist)

    5 days ago

    Charlotte, NC, United States VETERANS HEALTH ADMINISTRATION Full time

    Summary The Clinical Resource Hub (CRH) is a repository of clinical and administrative staff that serve Veterans Affairs facilities within a VISN. Staff within the CRH are expected to provide interprofessional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand....

  • Pharmacist (Clinical Pharmacy Specialist)

    8 hours ago

    Charlotte, NC, United States VETERANS HEALTH ADMINISTRATION Full time

    Summary The Clinical Resource Hub (CRH) is a repository of clinical and administrative staff that serve Veterans Affairs facilities within a VISN. Staff within the CRH are expected to provide interprofessional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand....