PBM Pharmacist - Prior Authorizations (Remote RPH) Job at A-Line Staffing Solutions, Atlanta, GA

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  • A-Line Staffing Solutions
  • Atlanta, GA

Job Description

Job Description

Job Description

A-Line Staffing is hiring Prior Authorization Pharmacists for Fully Remote opportunities with a Fortune 500 Healthcare Leader! See additional details below:

 

Prior Authorization Pharmacist – Job Highlights 

  • Pay Rate: $53 per hour (pay increases upon conversion to permanent status) + Benefits available after 90 days
  • Schedule: Monday – Friday, 8 hours/day
  • Shift Options: Anywhere between 7:00 AM – 8:00 PM CST
  • Training: Monday – Friday, 8:00 AM – 4:30 PM CST (First 4 weeks)

 

Why You’ll Love This Role:

Join a Fortune 500 healthcare company that’s setting new standards in managed care. This is your chance to be part of a collaborative clinical review team and make real-time decisions that directly impact patient outcomes.

Day-to-Day Responsibilities:

  • Review prior authorization requests and make clinical determinations based on established criteria
  • Collaborate with providers and clinical staff to clarify information and ensure timely approvals or denials
  • Provide support via inbound calls from physicians, patients, and healthcare professionals
  • Maintain up-to-date knowledge of medications and treatment guidelines for specialty pharmacy programs
  • Document decisions clearly and follow HIPAA and regulatory compliance at all times

Required Qualifications:

  • Active Pharmacist License (in any U.S. state) and in good standing
  • MUST HAVE : Prior authorization experience in a PBM or Managed Care setting
  • Experience making clinical coverage determinations
  • Strong written/verbal communication and EMR/clinical system proficiency

 

Ready to work from home and make an impact?
Apply now or reach out directly to Senior Staffing Manager, Cinthia Diaz at CDiaz@alinestaffing.com

#RemotePharmacist #PriorAuthPharmacist #PBMPharmacyJobs #ManagedCarePharmacist

Job Tags

Hourly pay, Permanent employment, Work from home, Shift work, Monday to Friday,

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