Remote Pharmacist: Prior Authorization Specialist

Techlink Systems Inc.; Philadelphia (Philadelphia County); Hybrid; USD 85,000 - 120,000; Full time

Job summary

PerformRx in Philadelphia, PA seeks a Pharmacist to determine prior authorization requests for coverage of pharmaceutical products. You will work independently within a team, handling medical necessity and benefit decisions with clinical judgement. The role includes a rotating weekend schedule if needed.

Education requires a Pharmacist license; a PharmD is preferred, with no strict experience requirement. This contract runs until February 15, 2027 and offers on-site work with remote flexibility.

Qualifications

• Bachelor's Degree required; PharmD preferred.
• Current Pharmacist license required.
• Prior Authorization experience preferred.

Responsibilities

• Make determinations on prior authorization requests for coverage of pharmaceutical products.
• Determine medical necessity and benefit decisions according to guidelines and regulations.
• Provide clinical support to customer care and engage with providers to support determinations.
• Stay updated on industry trends, regulatory changes and internal directives.

Skills

Prior Authorization knowledge

PHARMACEUTICAL computer skills

English proficiency

Education

Bachelor's Degree

PharmD preferred

Current Pharmacist license

Job description

PerformRx in Philadelphia, PA seeks a Pharmacist to determine prior authorization requests for coverage of pharmaceutical products. You will work independently within a team, handling medical necessity and benefit decisions with clinical judgement. The role includes a rotating weekend schedule if needed.

Education requires a Pharmacist license; a PharmD is preferred, with no strict experience requirement. This contract runs until February 15, 2027 and offers on-site work with remote flexibility.