REMOTE Pharmacist- PBM Prior Authorization required

A-Line Staffing Solutions; Orlando (FL); Remote; USD 111,000; Full time

Job summary

A staffing agency is looking for a fully remote Pharmacist to manage prior authorizations and coordinate communications with healthcare professionals. The role offers flexible work hours, a contract-to-hire opportunity, and a competitive pay of $53 per hour, which may increase upon conversion to a permanent position.

Qualifications

• Active pharmacist license in good standing is required.
• Experience with prior authorization in PBM or managed care environments is preferred.
• Background in PBM, managed care, or veterans hospital is beneficial.

Responsibilities

• Consult with physicians on prior authorization.
• Coordinate communication of case decisions.
• Handle inbound calls regarding prior authorization.
• Maintain communication among healthcare providers.
• Perform additional related projects as required.

Skills

Pharmacist license in state

Prior authorization experience

Experience in PBM

Experience in Managed Care

Communication skills

Job description

Overview

FULLY REMOTE - WORK FROM HOME, 40 hours per week.

Job Highlights

• 100% Remote / Work from Home - can be located anywhere in the USA
• Contract to Hire with room for growth!
• Compensation: $53 per hour ($110,240 estimated salary) - pay increases once converted to permanent

Note: 40 hours per week, the schedules available are:

1. Tuesday-Saturday 8am-4:30pm CST / 9am - 5:30pm EST / 6am - 2:30pm PST
2. Sunday-Thursday 8am-4:30pm CST / 9am - 5:30pm EST / 6am - 2:30pm PST
3. Monday-Friday 9:30am-6pm CST / 10:30am - 7pm EST / 7:30am - 4pm PST

Job Requirements

• Pharmacist license in state of residence, active and in good standing
• Prior authorization experience in PBM or managed care environment
• Experience in PBM, Managed Care, or VA Veterans Hospital

Job Responsibilities

• Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases.
• Coordinate timely communication of case decisions to physician, health-plan/employer, patient and other healthcare professionals following approved processes.
• Handle inbound phone calls and escalations from physicians or patients regarding Prior Authorization.
• Establish and maintain communication among health plan and employer group staff.
• Perform other related projects and duties as assigned including on call and after hours pharmacist availability could be required.

APPLY or contact Senior Staffing Manager, Bradley Zidek or email at [e-mail]