Remote Specialty Prior Authorization Pharmacist

Job Title: Remote Specialty Prior Authorization Pharmacist Pay: $53 an hr | Bi-weekly Job Type: Remote Start date: 11/03/25 Shift Options: • 7am to 10pm CST - 8 hours per day expected • Possible weekend shifts* Remote Specialty Prior Authorization Pharmacist Overview: • This individual must have excellent interpersonal and organizational skills. Will be responsible for: 1. Collaborating with Technicians and Nurses to process authorization requests, including answering clinical questions, collecting appropriate clinical/medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements. (20%) 2. Coordinating timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (15%) 3. Handling inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishing and maintaining communication among CVS Caremark, health plan and employer group staff. (5%) 5. Maintaining professional and technical knowledge of drug and disease-states for the Specialty Medical programs administered within the Novologix platform. (5%) 6. Performing other related projects and duties as assigned. On call and after hours pharmacist availability may be required. (5%) Remote Specialty Prior Authorization Pharmacist Qualifications: • 2+ years of clinical experience with *specialty medications* or *clinical review of prior authorization requests*. Experience using MS Office and other Windows based computer applications, strong organizational skills, interpersonal skills, and detail orientation are important for this position. Required certification: Active pharmacist license in state of residence in good standing Remote Specialty 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 | [email protected] | 412-790-5425 Apply tot his job Apply To this Job