Remote Prior Authorization Pharmacist {168034}
A-Line Staffing is Hiring: Remote Prior Authorization Pharmacist A-Line Staffing is now hiring a Remote Prior Authorization Pharmacist ! This role offers an opportunity to work for a Fortune 500 company with career growth potential in a fully remote capacity. Highlights
- Pay: $53.00 per hour
- Hours: 7:00 AM – 8:00 PM EST Monday – Friday, 7:00 AM – 4:30 PM EST Saturday and Sunday (set rotation)
- Location: Remote / Work from Home (must have dedicated, quiet workspace)
- Type: Full-time, contract
- Training: First 8 weeks M-F, 9:00 AM – 5:30 PM EST (attendance mandatory)
Responsibilities
- Support Medicare Part D members and providers with pharmacy benefit and prior authorization requests.
- Ensure accurate case setup and complete clinical review of prior authorization and Medicare appeals in compliance with CMS guidelines.
- Review clinical information and make appropriate determinations based on drug compendia and clinical judgment.
- Conduct provider outreach for additional clinical clarification when necessary.
- Accurately document all prior authorization and Medicare Part D requests and maintain compliance with CMS-mandated timelines.
- Meet or exceed departmental productivity and quality standards.
Requirements
- Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD) required.
- Active pharmacist license in the state of residence (must provide proof).
- Strong attention to detail and ability to work independently in a remote environment.
- Proven ability to apply clinical judgment and interpret drug compendia resources.
- Prior experience in Medicare Part D, prior authorizations, or pharmacy benefit management preferred.
- Computer literate with knowledge of Excel, Word, and preferably Access, PowerPoint, and Visio.
- Must provide internet speed test (minimum 25 Mbps download / 5 Mbps upload) and have a dedicated, quiet workspace.
Benefits
- Benefits available to full-time employees after 90 days.
- 401(k) with company match available after 1 year of service on eligibility dates.
Contact: Austin Faris – 586-710-7941 | [email protected] If you want, I can also make a concise, job-board ready version for quick online posting that keeps all the essentials but is easier to read. Do you want me to do that next? . Remote Skills: Arterial Lines, Centers for Medicare and Medicaid Services (CMS), Clinical Information, Compensation and Benefits, Computer Skills, Detail Oriented, Fortune 500 Customers, Medicare, Microsoft Access Database, Microsoft Excel, Microsoft PowerPoint, Microsoft Visio, Microsoft Word, Pharmacy, Quality Metrics, Work From Home About the Company: A-Line Staffing Solutions LLC A-Line Staffing Solutions is a premier staffing company that supplies professionals to the Healthcare, Insurance, Pharmaceutical, and Information Technology industries. Founded in 2004, A-Line Staffing Solutions has been a leader in matching talented individuals to the jobs that our clients NEED to fill. We are experts at offering creative staffing solutions to employers, and we are hiring every day. A-Line Staffing can offer short-term, long-term and direct-hire opportunities to professionals across the United States. We hire only the most qualified and talented individuals in the country. Our recruiting, selection and stringent screening processes have strengthened our reputation for delivering quality customer service and unbeatable talent. For our commissioned clients, A-Line Staffing closely follows the standards and practices established by The Joint Commission. For all of our clients and employees, our commitment to continual improvement combined with a strict code of ethics provides an atmosphere of respect and unparalleled professionalism. To find out how A-Line Staffing Solutions can share our talent with you, please contact us today. We are eager to include you among our most valued and satisfied clients. If you are a professional and would like to learn more about open opportunities in your area, please contact us today. We are always searching for talented and enthusiastic professionals Company Size: 1,000 to 1,499 employees Industry: Staffing/Employment Agencies Founded: 2004 Website: http://www.alinestaffing.com/ Apply tot his job Apply To this Job