Remote Prior Authorization Pharmacist Job at A-Line Staffing Solutions, Woonsocket, RI

eWdVdnJEZmVWWExrNHBJNEFOaEhwUzhxQlE9PQ==
  • A-Line Staffing Solutions
  • Woonsocket, RI

Job Description

Job Description

Job Description

Pharmacist - RPh Operations Advisor (Specialty Medical Prior Authorization ) - REMOTE

  • Pay Rate: $53.00/hr
  • Location: Remote (Continental U.S. only, excluding New Mexico & Colorado)

Job Description:

We are seeking a Clinical Pharmacist to conduct medical prior authorization reviews for specialty medications. This role involves reviewing medical data, applying clinical knowledge, and handling inbound calls from physicians and patients regarding prior authorization decisions.

Schedule:

  • Work Hours: 7:00 AM – 12:00 AM CST (8-hour shifts)
  • Training: Monday – Friday, 8:00 AM – 4:30 PM CST (4 weeks)
  • Possible Weekend Shifts

Key Responsibilities:

  • Review and process prior authorization requests by evaluating medical and clinical data
  • Communicate case decisions to physicians, health plans, employers, and patients
  • Handle inbound calls and escalations from physicians or patients regarding prior authorizations
  • Coordinate communication among health plans, and employer groups
  • Maintain knowledge of specialty medications and disease states within Novologix
  • Perform additional projects and duties as assigned, including potential on-call/after-hours availability

Qualifications:

  • Education: Bachelor’s Degree in Pharmacy or PharmD required
  • License: Active pharmacist license in state of residence (in good standing) is required
  • Experience:
    • 2-5 years of clinical experience with specialty medications or prior authorization reviews preferred
    • Experience with MS Office & Windows-based applications
    • Strong organizational, interpersonal, and detail-oriented skills

Additional Notes:

  • Resumes must include a copy of an active pharmacy license
  • This is a safety-sensitive position

This is an excellent opportunity for experienced pharmacists looking to work in a fully remote clinical operations role. Apply today!

Job Tags

Shift work, Weekend work, Monday to Friday,

Similar Jobs

Samsung Electronics Co., Ltd.

Samsung Health - Ecosystem Technical Lead Job at Samsung Electronics Co., Ltd.

Position SummaryMaking the future is everyday life at Samsung. We're seeking innovators who are called to change the world and build a better one. We enable the best technology hardware on the planet, but our best is always a prototype for something better, and our people... 

CMB Group Ltd

Marketing Assistant Job at CMB Group Ltd

 ...We are seeking a motivated and creative Marketing Assistant to support our marketing initiatives and contribute to our growth. As a Marketing Assistant, you will assist in the development and execution of marketing strategies and campaigns. This role is ideal for... 

Janek Performance Group

Learning Content Editor Job at Janek Performance Group

 ...looking for a detail-oriented Learning Content Editor to join our team. This role is ideal...  ..., consistency, and branding who enjoys working with training and instructional materials...  ...opportunity offers the flexibility to work from home while collaborating with a team of... 

Georgia Bureau of Investigation

Criminal Intelligence Analyst 1 Job at Georgia Bureau of Investigation

 ...Sharing and Analysis Center (GISAC), however, position will be housed/located in Albany, Georgia. The selected candidate will be required to meet the residency requirements of the assigned Sou Intelligence, Analyst, Technology, Information Georgia Bureau of Investigation

Magellan Health

Personal Financial Counselor- Truax Field, WI Job at Magellan Health

 ...position will provide personal financial services at assigned military installations. Primary responsibilities include the full breadth...  ...in-services/training, quality improvement committees or other contract activities as assigned/appropriate. All other duties as assigned...