Remote Clinical Pharmacist — Specialty Prior Authorization

A-Line Staffing Solutions; Georgia; Remote; USD 60,000 - 86,000; Full time

Benefits offered by this job

Fully remote

Competitive pay

Job summary

A-Line Staffing Solutions is seeking a Remote Clinical Pharmacist – Specialty Medical Prior Authorization to perform clinical assessments and support authorization decisions for specialty medication programs. This remote role offers flexible 8-hour shifts (7:00 AM–10:00 PM CST) and a competitive pay rate of $53 per hour, with training in CST hours.

The position requires an active pharmacist license in your state, a PharmD or B.Pharm degree, and at least 1 year of prior authorization or related

Qualifications

• Active pharmacist license in your state of residence in good standing.
• Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD).
• Minimum of 1 year of related prior authorization, utilization management, or clinical review experience or health plan remote/call center environment experience required.

Responsibilities

• Perform clinical reviews of specialty medication prior authorization requests using established clinical criteria and guidelines.
• Evaluate medical documentation and clinical information to support authorization decisions.
• Review cases for prospective and concurrent utilization management.
• Collaborate with pharmacy technicians, nurses, providers, and healthcare professionals to collect necessary clinical information.
• Handle inbound calls from physicians, healthcare providers, and members regarding pending, approved, and denied authorization requests.
• Communicate case outcomes and decisions professionally and accurately.
• Maintain detailed documentation within clinical systems.
• Stay current on specialty medications, disease states, and applicable clinical guidelines.
• Support quality, compliance, and operational performance goals.

Skills

Communication skills

Organizational skills

Computer skills

Education

PharmD or B.Pharm

Job description

A-Line Staffing Solutions is seeking a Remote Clinical Pharmacist – Specialty Medical Prior Authorization to perform clinical assessments and support authorization decisions for specialty medication programs. This remote role offers flexible 8-hour shifts (7:00 AM–10:00 PM CST) and a competitive pay rate of $53 per hour, with training in CST hours.

The position requires an active pharmacist license in your state, a PharmD or B.Pharm degree, and at least 1 year of prior authorization or related