Remote Prior Authorization Pharmacist Job at Pharmacy Careers, Hartford, CT

cW13Nk0zYlQ5RXNOUVAweFZ2SjdXNlZ4NEE9PQ==
  • Pharmacy Careers
  • Hartford, CT

Job Description

Remote Prior Authorization Pharmacist – Work From Home in Managed Care

A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care.

Key Responsibilities
  • Review prior authorization requests for accuracy, appropriateness, and clinical necessity.
  • Apply plan criteria, evidence-based guidelines, and regulatory standards to determinations.
  • Communicate approval/denial decisions clearly to providers and patients.
  • Collaborate with physicians, nurses, and medical directors on complex cases.
  • Document outcomes in compliance with health plan policies and CMS/state regulations.
  • Support process improvements to streamline workflow and turnaround times.


What You’ll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Prior authorization, utilization management, or managed care preferred — retail or hospital pharmacists with strong clinical judgment are encouraged to apply.
  • Skills: Excellent clinical review, documentation, and communication skills.

Why This Role?

  • Flexibility: 100% remote work from home with flexible scheduling options.
  • Impact: Directly influence patient access to safe and cost-effective medications.
  • Growth: Build specialized skills in utilization management and managed care.
  • Rewards: Competitive compensation, benefits, and career advancement opportunities.


About Us
We are a c onfidential healthcare partner working with health plans and PBMs across the U.S. . Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations.

Apply Today
Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity — and enjoy the benefits of working from home while shaping the future of managed care.

Job Tags

Remote work, Work from home, Flexible hours,

Similar Jobs

QualDerm Partners

Moonlighting Opportunity for Dermatology Resident Physician Job at QualDerm Partners

 ...Are you a Dermatology Resident looking to expand your hands-on clinical experience in a private practice setting? Were looking for a driven and capable Dermatology Resident Physician to moonlight at our renowned dermatology clinics , offering you the opportunity... 

Expert Technology Services

Senior Datawarehouse Analyst, Team Lead Job at Expert Technology Services

 ...new tools and technologies * AI Agentic experience - Snowflake Cortex/Intelligence Preferred Experience: * Familiarity with Epic, Cerner, Athena, or other EMR data models * Prior work on healthcare analytics or clinical/operational data projects is a plus Basic Qualification... 

State of Minnesota Direct Care and Treatment

Registered Nurse Job at State of Minnesota Direct Care and Treatment

 ...Job Details Working Title: Registered Nurse Job Class: Registered Nurse Agency: Direct Care and Treatment Job ID : 91335...  ...children ~ Pension plan that provides income when you retire (after working at least three years)~ Employer paid life... 

Rivian

Mechanical Design Engineer II Job at Rivian

 ...member of Rivians Electrical Hardware mechanical team, you will be an intrinsic part of shaping new and exciting...  ...degree (or above), in mechanical engineering, or relevant equivalent experience...  ...vision insurance packages for full-time and part-time employees, their spouse... 

The Resort at Longboat Key Club

Banquet Server Job at The Resort at Longboat Key Club

Description of the role:As a Banquet Server at The Resort at Longboat Key Club in Longboat Key, FL, you will be responsible for providing exceptional service to guests during events and banquets. Your role includes setting up and clearing tables, serving meals and beverages...