Remote Prior Authorization Pharmacist — Appeals & Decisions

Actalent; Tampa (FL); Remote; USD 69,000 - 76,000; Full time

Job summary

Actalent seeks a licensed Pharmacist for a 100% remote prior authorization role. You will review PA and appeal requests, evaluate clinical documentation, and make coverage determinations in a fully remote setting.

The position emphasizes collaboration with providers and internal teams, regulatory compliance, and maintaining high accuracy in a fast-paced environment. Prior authorization expertise is preferred.

Qualifications

• Active Pharmacist license (RPh or PharmD) in state of residence.
• Strong clinical judgment and attention to detail.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities and meet deadlines.
• Proficiency with Microsoft Office and other technology platforms.

Responsibilities

• Review prior authorization and appeal requests.
• Evaluate clinical documentation against established criteria.
• Make and document coverage determinations.
• Collaborate with providers, pharmacies, and internal teams.
• Ensure compliance with regulatory and quality standards.
• Maintain productivity and accuracy in a fast-paced environment.

Skills

Pharmacist license

Clinical judgment

Communication

Time management

Microsoft Office

Job description

Actalent seeks a licensed Pharmacist for a 100% remote prior authorization role. You will review PA and appeal requests, evaluate clinical documentation, and make coverage determinations in a fully remote setting.

The position emphasizes collaboration with providers and internal teams, regulatory compliance, and maintaining high accuracy in a fast-paced environment. Prior authorization expertise is preferred.