Remote PBM Prior Authorization Pharmacist

* Job Title: * Remote PBM Prior Authorization Pharmacist * Pay: * $53 an hr | Bi-weekly * Job Type: * Remote * Start date: * 07/21/25 * Job Requirements: * * * MUST HAVE PBM PRIOR AUTHORIZATION EXPERIENCE! REQUIRED * * Please email a screen shot/snippet of an Internet speed test and Pharmacist license in the state you reside in to [ shlaing@alinestaffing.com ](mailto:shlaing@alinestaffing.com) * Updated Resume must be emailed to [ shlaing@alinestaffing.com ](mailto:shlaing@alinestaffing.com) as well. * Internet Speed Test must have download and upload speed shown. Can be gotten from speedtest.net If gotten from phone must download speedtest by ookla app to get both download and upload. * Must do all above to be considered for role. Thank you! * Shift Options: * * Attendance is extremely important, especially during the initial 8 weeks of training. The new hire must be available M-F from 9am-5:30pm EST for the first 8 weeks (no vacation time planned). * After training, shifts will be assigned based on business needs and will include either 1 weekend day, or a weekend rotation * Shifts will be assigned 8-hour shift between 7 AM to 8PM EST - 8hours per day M-F or 7AM- 4PM EST rotating weekends * Remote PBM Prior Authorization Pharmacist Overview: * * As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. * You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. * This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience. * This individual must have excellent interpersonal skills. * Will be responsible for: reviewing patient profile, drug interactions, sensitivities and drug usage database in relation to patient's prescription. * Determines if prescription requires physician clarification or if it should be forwarded to therapeutic intervention or doctor phone calls for follow-up. * Enters prescription in to the computer. * Assists in patient services as required, taking incoming prescription medication questions/concerns from patients. * Assists in the doctor phone call area and/or therapeutic intervention as assigned and contacts physicians to resolve any questions or concerns. * Maintains established procedures concerning quality assurance, security of controlled substances, and disposal of hazardous waste drugs. * Works with other members of the pharmacy to ensure accuracy of prescriptions. * Dispenses prescription medication and performs final dispensing quality check on all prescriptions for accuracy and dosage. * *Remote PBM Prior Authorization Pharmacist Qualifications:* * *MUST HAVE PBM PRIOR AUTHORIZATION EXPERIENCE! REQUIRED* * Minimum of one year's previous pharmacy experience - retail or hospital preferred. * Appropriate state license required. * Basic computer skills required. * Strong organizational skill, interpersonal skills and detail orientation important for this position. * High School Diploma or GED required. * Bachelor's degree in pharmacy or Pharm D. also required with at least one year experience as a pharmacist. * Must have an active license in good standing. * Knowledge of Access, Power Point, and Visio is preferable. * Must be computer literate – knowledge of Excel and Word. * Licensed Registered Pharmacist in state of residence *Remote PBM Prior Authorization Pharmacist Benefits:* * Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance. * A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates. *How to Apply:* If you are interested in this position, please apply OR submit your resume to: *Saw Hlaing | * *shlaing@alinestaffing.com* | 412-790-5425

Location: Atlanta, GA, US

Posted Date: 6/6/2025