Remote Prior Authorization Pharmacist
Location: Remote (U.S. based)
Type: W2 Contract, Full-Time (40 hrs/week)
Pay Rate: $53.00/hr
Schedule
Business hours coverage: 7:00 AM – 8:00 PM ET (Mon–Fri) and 7:00 AM – 4:30 PM ET (Sat–Sun)
Training: Monday–Friday, 9:00 AM – 5:30 PM ET (initial training period)
Position Summary
We’re hiring a Remote Prior Authorization Pharmacist to support Medicare Part D members and providers with pharmacy benefit requests. You’ll ensure cases are set up accurately, review clinical information for decision-making, complete timely documentation, and perform provider outreach when additional details are needed—all while meeting Medicare guidelines and required timelines.
Review Medicare Part D requests and ensure accurate case setup
Apply clinical judgment to evaluate clinical documentation and determine appropriate outcomes
Document clear, concise case notes and decisions
Contact providers to request additional clinical information when needed
Follow work instructions and CMS Medicare guidance to ensure compliant case processing
Meet productivity and quality standards in a metrics-driven environment
| Location | (Remote) |
| Job Type | Contractor, Full-time |
| Industry | Staffing/Employment Agencies |
| Salary | $53 Per Hour |
| Year Founded | 2004 |
| Headquarters | Utica, MI, US |
| Website | http://www.alinestaffing.com/ |
Active Registered Pharmacist license in good standing in your state of residence
PharmD or Bachelor’s in Pharmacy (required)
Comfortable working independently in a WFH, productivity/accuracy-driven environment
Strong computer skills (Excel/Word); Access/PowerPoint/Visio preferred
Dedicated, quiet, separate workspace at home
Wired internet meeting at least 25 Mbps download / 5 Mbps upload
Ability to be on camera during meetings (training and team/supervisor meetings)
A-Line Staffing Solutions is a premier staffing company that supplies professionals to the Healthcare, Insurance, Pharmaceutical, and Information Technology industries.
Founded in 2004, A-Line Staffing Solutions has been a leader in matching talented individuals to the jobs that our clients NEED to fill. We are experts at offering creative staffing solutions to employers, and we are hiring every day.
A-Line Staffing can offer short-term, long-term and direct-hire opportunities to professionals across the United States. We hire only the most qualified and talented individuals in the country. Our recruiting, selection and stringent screening processes have strengthened our reputation for delivering quality customer service and unbeatable talent.
For our commissioned clients, A-Line Staffing closely follows the standards and practices established by The Joint Commission. For all of our clients and employees, our commitment to continual improvement combined with a strict code of ethics provides an atmosphere of respect and unparalleled professionalism.
To find out how A-Line Staffing Solutions can share our talent with you, please contact us today. We are eager to include you among our most valued and satisfied clients. If you are a professional and would like to learn more about open opportunities in your area, please contact us today. We are always searching for talented and enthusiastic professionals
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