Remote Pharmacist – Prior Authorization Specialist

Actalent; United States; Remote; USD 69,000 - 76,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) retirement plan

Life Insurance

Paid time off

Job summary

Actalent is actively screening for multiple remote Pharmacists to join a leading pharmacy benefits optimizer based out of Birmingham, AL. The Clinical Pharmacist reviews prior authorization and appeals, collaborates with prescribers and pharmacies, and ensures regulatory compliance while improving the PA program.

Responsibilities include evaluating clinical documentation, gathering information, and documenting decisions for clear communication of outcomes.

Qualifications

• Active pharmacist license in the state of residence (PharmD required).
• Prior experience with prior authorization review.
• Ability to work efficiently in a production-driven environment while managing multiple high-priority tasks and deadlines.
• Strong attention to detail with a commitment to accuracy and quality.
• Excellent verbal, written, organizational, and interpersonal communication skills.

Responsibilities

• Evaluate clinical documentation to make coverage determinations.
• Collaborate with prescribers, pharmacies, and internal teams to gather necessary clinical information.
• Document decisions and communicate outcomes effectively.
• Ensure reviews are completed accurately and efficiently in compliance with regulatory requirements.
• Contribute to process improvements within the prior authorization program.

Skills

Active pharmacist license

Prior authorization experience

Production-driven multitasking

Attention to detail

Strong communication skills

Education

PharmD

Tools

PBM platforms

Workflow/case management systems

Payer PA workflows

Job description

Actalent is actively screening for multiple remote Pharmacists to join a leading pharmacy benefits optimizer based out of Birmingham, AL. The Clinical Pharmacist reviews prior authorization and appeals, collaborates with prescribers and pharmacies, and ensures regulatory compliance while improving the PA program.

Responsibilities include evaluating clinical documentation, gathering information, and documenting decisions for clear communication of outcomes.