Remote Prior Authorization Pharmacist {168157} 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 now hiring a Remote Prior Authorization Pharmacist ! This role offers an opportunity to work for a Fortune 500 company with career growth potential in a fully remote capacity.

Highlights

  • Pay: $53.00 per hour
  • Hours: 7:00 AM – 8:00 PM EST Monday – Friday, 7:00 AM – 4:30 PM EST Saturday and Sunday (set rotation)
  • Location: Remote / Work from Home (must have dedicated, quiet workspace)
  • Type: Full-time, contract
  • Training: First 8 weeks M-F, 9:00 AM – 5:30 PM EST (attendance mandatory)

Responsibilities

  • Support Medicare Part D members and providers with pharmacy benefit and prior authorization requests.
  • Ensure accurate case setup and complete clinical review of prior authorization and Medicare appeals in compliance with CMS guidelines.
  • Review clinical information and make appropriate determinations based on drug compendia and clinical judgment.
  • Conduct provider outreach for additional clinical clarification when necessary.
  • Accurately document all prior authorization and Medicare Part D requests and maintain compliance with CMS-mandated timelines.
  • Meet or exceed departmental productivity and quality standards.

Requirements

  • Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD) required.
  • Active pharmacist license in the state of residence (must provide proof).
  • Strong attention to detail and ability to work independently in a remote environment.
  • Proven ability to apply clinical judgment and interpret drug compendia resources.
  • Prior experience in Medicare Part D, prior authorizations, or pharmacy benefit management preferred.
  • Computer literate with knowledge of Excel, Word, and preferably Access, PowerPoint, and Visio.
  • Must provide internet speed test (minimum 25 Mbps download / 5 Mbps upload) and have a dedicated, quiet workspace.

Benefits

  • Benefits available to full-time employees after 90 days.
  • 401(k) with company match available after 1 year of service on eligibility dates.

Contact: Austin Faris – 586-710-7941 | afaris@alinestaffing.com

Job Tags

Remote job, Hourly pay, Full time, Contract work, Immediate start, Monday to Friday, Weekend work

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