Pharmacist (Prior Authorization Expr) - Remote

Actalent; Houston (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company is urgently hiring a Prior Authorization Pharmacist for a fully remote position. The role involves reviewing prior authorization requests, verifying member eligibility, and using clinical judgment for medication requests. Candidates should hold a PharmD or Bachelor's in Pharmacy and have at least one year of managed care pharmacy experience. This position offers a competitive pay range and various benefits.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Short and long-term disability

Health Spending Account (HSA)

Transportation benefits

Employee Assistance Program

Time Off/Leave

Qualifications

• Minimum 1 year of experience in a managed care pharmacy setting is mandatory.

Responsibilities

• Review completed prior authorization requests.
• Verify member's ID number and eligibility.
• Evaluate prescription claim history.

Skills

Clinical Judgment

Education

Doctor of Pharmacy (PharmD)

Bachelor’s Degree in Pharmacy

Job description

1 day ago Be among the first 25 applicants

Urgent Hiring for Prior Authorization Pharmacist in US

Job Description

• Review completed prior authorization requests from providers and pharmacy technicians for appropriateness.
• Verify member's ID number, date of birth, and eligibility in the health plan system.
• Check for previous prior authorization decisions and verify coverage in prescription and health plan benefits.
• Evaluate prescription claim history, review chart notes, and lab values.
• Use professional clinical judgment on a case-by-case basis to review medication requests.

Qualifications

• Doctor of Pharmacy (PharmD) OR Bachelor’s Degree in Pharmacy is required.
• PharmD preferred and license from the state of Texas is mandatory.
• Minimum 1 year of experience in a managed care pharmacy setting is mandatory.

If you are interested, kindly give a call: [phone]

Pay and Benefits

The pay range for this position is $60.00 - $65.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and specific plan or program terms.

Available Benefits for This Temporary Role May Include

• Medical, dental & vision
• Critical Illness, Accident, and Hospital coverage
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on May 19, 2025.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation, and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia, and Europe, Actalent serves many of the Fortune 500.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email [e-mail] for other accommodation options.

Seniority level

• Entry level

Employment type

• Contract

Job function

• Health Care Provider

Industries

• Business Consulting and Services