Top 979 Prior authorization pharmacist Jobs

Pharmacy Prior Authorization Specialist
Infusion For Health —Riverside, CA
- $22 - $30 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Pharmacy Prior Authorization Specialist
Onco360 —Houston, TX
- From $23 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Pharmacy Prior Authorization Specialist
Onco360 —New Hyde Park, NY
- From $25 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
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Prior Authorization Systems Pharmacist
Judi Health —New York, NY
- $128,000 - $150,000 a year
- Full-time
- Microsoft Word
- System design
- 3 years
- Wellness program
- Health savings account
Quick Apply
Clinical Pharmacist - Prior Authorization
CVS Health —Texas
- $50.48 - $84.62 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Bachelor of Science
- Health insurance
- Dental insurance
3d
Utilization Management Pharmacist (temp-to-hire)
Judi Health —Remote
- $125,000 - $130,000 a year
- Weekends as needed
- Writing skills
- Mid-level
- Bachelor's degree
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Prior Authorization Supervisor
Dana-Farber Cancer Institute —Brookline, MA
- $96,500 - $109,100 a year
- Full-time
- Nursing
- RN License
- Writing skills
Utilization Management Technician (temp-to-hire)
Judi Health —Remote
- $50,000 - $60,000 a year
- Remote
- Writing skills
- HIPAA
- Mid-level
Quick Apply
Pharmacist PA/Appeals
Optum —Cheyenne, WY
- $44 - $79 an hour
- 8 hour shift
- Remote
- Microsoft Outlook
- Computer literacy
- Pass drug screening
- AD&D insurance
- Employee stock purchase plan
Pharmacist, Centralized Refill Authorization
Valley Medical Center —Renton, WA
- $77.78 - $107.86 an hour
- Full-time
- Writing skills
- HIPAA
- Mid-level
3d
Prior Authorization Nurse Associate LPN/LVN
CVS Health —California
- $21.10 - $53.53 an hour
- Full-time
- Remote
- Nursing
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
3d
Pharmacist I
Natividad Medical Center —Salinas, CA
- $80.23 - $109.57 an hour
- Weekends as needed
- Anatomy knowledge
- Management
- Hospital
Clinical Pharmacist (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $120,240 - $214,929 a year
- Full-time
- Doctor of Philosophy
- Mentoring
- US work authorization
- 401(k)
Quick Apply
Infusion Prior Authorization and Reimbursement Specialist
Kayal Orthopaedic Center, Joint Venture with RWJ Barnabas —Glen Rock, NJ
- $43 - $48 an hour
- Full-time
- High school diploma or GED
- Mentoring
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
10d
Prior Authorization Specialist
CareMed Specialty Pharmacy —Louisville, KY
- $23 - $25 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Pharmacy Service Representative Associate, Geisinger Health Plan (Pennsylvania resident)
Geisinger —Remote
- Full-time
- Remote
- High school diploma or GED
- Entry level
- Health insurance
- Dental insurance
Clinical Utilization Management Pharmacist
Point32Health —Canton, MA
- $110,680.66 - $166,020.98 a year
- Full-time
- Microsoft Word
- Bachelor of Science
- Research
- Disability insurance
- Health insurance
Pharmacy Prior Authorization Specialist
Infusion4Health Inc —Riverside, CA
- $22 - $30 an hour
- Full-time
- Microsoft Word
- Microsoft Outlook
- Mid-level
Quick Apply
Pharmacy Care Representative - Work From Home Pennsylvania
CVS Health —Pennsylvania
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
Prior-Authorization Technician- Pharmacy
George Washington Medical Faculty Associates —Arlington, VA
- $23.46 - $30.50 an hour
- Mid-level
- High school diploma or GED
- Clinic
Quick Apply

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Pharmacy Prior Authorization Specialist

Infusion For Health -
Riverside, CA

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Job Details

Full-time
$22 - $30 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Microsoft Word
Microsoft Excel
Insurance prior authorization
Overseeing health insurance pre-certification
Medicare
Insurance verification
Managed care
Managed care organization experience
Pharmacy Technician License
IV infusion
Medicaid health insurance
Medicare regulations
Medicaid regulations
Medicaid
Healthcare reimbursement methods

Full Job Description

Infusion For Health is dedicated to serving patients with autoimmune disorders and complex chronic conditions through exceptional infusion therapy. Our mission is to provide a patient-focused environment that emphasizes professional care, compassion, and collaboration to ensure optimal treatment outcomes.

The Prior Authorization Pharmacy Technician plays a critical role in securing timely insurance approvals for specialty and infusion medications. This position ensures that all required documentation is obtained and submitted to payers to facilitate patient access to therapy. The ideal candidate will have experience working in a specialty or infusion pharmacy and a strong understanding of insurance verification and the prior authorization process for high-cost medications.

Key Responsibilities

Demonstrated experience with prior authorizations (PAs), insurance verification, and medication access workflows
Proficient in using electronic health records (EHRs), pharmacy benefit tools, and prior authorization portals (e.g., CoverMyMeds etc)
Experience collaborating with pharmacists, providers, and insurance companies to resolve access barriers and support patient adherence
Review new infusion referrals and coordinate benefits investigation for commercial and government payers.
Obtain and submit all necessary clinical documentation and forms to insurance companies for prior authorization requests.
Proactively follow up with payers, providers, and internal teams to resolve any delays in the authorization process.
Proactively follow up with payers, providers, and internal teams to resolve any delays in the authorization process.
Document all communication and authorization statuses in pharmacy software or CRM systems.
Maintain working knowledge of payer-specific policies for infusion therapies, including Medicare, Medicaid, and commercial plans.

QUALIFICATIONS

At least 2 years of experience in infusion or pharmacy prior authorization is required.
At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines.
Organizational skills are sufficient to maintain consistently accurate records.
Intermediate level skills in Microsoft Excel , Word, and Microsoft Outlook, and
Certification as a Pharmacy Technician and/or hold an active Pharmacy Technician license.(preferred)

Job Type: Full-time

Pay: $22.00 - $30.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Experience:

Prior Authorisation in Pharmacy: 3 years (Required)

License/Certification:

Pharmacy Technician License (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

prior authorization pharmacist jobs

Pharmacy Prior Authorization Specialist

Pharmacy Prior Authorization Specialist

Pharmacy Prior Authorization Specialist

Prior Authorization Systems Pharmacist

Clinical Pharmacist - Prior Authorization

Utilization Management Pharmacist (temp-to-hire)

Prior Authorization Supervisor

Utilization Management Technician (temp-to-hire)

Pharmacist PA/Appeals

Pharmacist, Centralized Refill Authorization

Prior Authorization Nurse Associate LPN/LVN

Pharmacist I

Clinical Pharmacist (Remote)

Infusion Prior Authorization and Reimbursement Specialist

Prior Authorization Specialist

Pharmacy Service Representative Associate, Geisinger Health Plan (Pennsylvania resident)

Clinical Utilization Management Pharmacist

Pharmacy Prior Authorization Specialist

Pharmacy Care Representative - Work From Home Pennsylvania

Prior-Authorization Technician- Pharmacy

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