Prior Authorization Pharmacist
$57.50 - $69/hr
Pharmacist will be responsible for supporting the Prior Authorization program as well as other clinical services through the Clinical Call Center. This role will provide daily operational support to ...
$57.50 - $69/hr
Pharmacist will be responsible for supporting the Prior Authorization program as well as other clinical services through the Clinical Call Center. This role will provide daily operational support to ...
$57.50 - $69/hr
Pharmacist will be responsible for supporting the Prior Authorization program as well as other clinical services through the Clinical Call Center. This role will provide daily operational support to ...
Chicago, IL · On-site
$15 - $18/hr
... pharmacies. Willingness to maintain confidentiality of patient records and patient information ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
Quick apply
Chicago, IL · On-site
$15 - $18/hr
... pharmacies. Willingness to maintain confidentiality of patient records and patient information ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
Chicago, IL · On-site
$15 - $18/hr
... pharmacies. Willingness to maintain confidentiality of patient records and patient information ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
Quick apply
Chicago, IL · On-site
$15 - $18/hr
... pharmacies. Willingness to maintain confidentiality of patient records and patient information ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
$17.25 - $21/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... The Prior Authorization Technician will assist callers by providing quality service through ...
$17.25 - $21/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... The Prior Authorization Technician will assist callers by providing quality service through ...
$17.25 - $21/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... The Prior Authorization Technician will assist callers by providing quality service through ...
$17.25 - $21/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... The Prior Authorization Technician will assist callers by providing quality service through ...
$17.25 - $21/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... The Prior Authorization Technician will assist callers by providing quality service through ...
$17.25 - $21/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... The Prior Authorization Technician will assist callers by providing quality service through ...
$17.25 - $21/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... The Prior Authorization Technician will assist callers by providing quality service through ...
$17.25 - $21/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... The Prior Authorization Technician will assist callers by providing quality service through ...
$16.75 - $22.50/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Major Job Duties: You will assist in receiving and reviewing prescription prior-authorization ...
$16.75 - $22.50/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Major Job Duties: You will assist in receiving and reviewing prescription prior-authorization ...
Woodridge, IL · On-site
$20.25 - $26.25/hr
Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Woodridge, IL | Full-Time | Starting at ... Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while ...
Woodridge, IL · On-site
$20.25 - $26.25/hr
Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Woodridge, IL | Full-Time | Starting at ... Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while ...
$15 - $20/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... member prior authorizations Assist staff pharmacists with processing and reviewing prior ...
$15 - $20/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... member prior authorizations Assist staff pharmacists with processing and reviewing prior ...
Woodridge, IL · On-site +1
$20.25 - $26.25/hr
Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Woodridge, IL | Full-Time | Starting at ... Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while ...
Woodridge, IL · On-site +1
$20.25 - $26.25/hr
Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Woodridge, IL | Full-Time | Starting at ... Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while ...
$16.75 - $22.50/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Provide administrative support to the prior authorization team * Receive and review prescription ...
$16.75 - $22.50/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Provide administrative support to the prior authorization team * Receive and review prescription ...
Chicago, IL · On-site
$18 - $22/hr
... for contract optimization, completing the necessary paperwork for prior authorizations, and ... pharmacists of denials or nonresponse. * Facilitate enrollment of patients in patient assistance ...
Chicago, IL · On-site
$18 - $22/hr
... for contract optimization, completing the necessary paperwork for prior authorizations, and ... pharmacists of denials or nonresponse. * Facilitate enrollment of patients in patient assistance ...
Chicago, IL · Remote
$59/hr
this is a Prior Authorization and Appeals Pharmacist role focused on reviewing medication authorization requests and appeals to determine coverage based on clinical guidelines, pharmacy policies, and ...
Quick apply
Chicago, IL · Remote
$59/hr
this is a Prior Authorization and Appeals Pharmacist role focused on reviewing medication authorization requests and appeals to determine coverage based on clinical guidelines, pharmacy policies, and ...
Chicago, IL · On-site
$60 - $72.25/hr
Support prescribers and patients through the prior-authorization and coverage process. * Identify ... S. pharmacist license. * Experience: Managed care, patient access, or specialty preferred. Hospital ...
Chicago, IL · On-site
$60 - $72.25/hr
Support prescribers and patients through the prior-authorization and coverage process. * Identify ... S. pharmacist license. * Experience: Managed care, patient access, or specialty preferred. Hospital ...
Chicago, IL · On-site
$60 - $72.25/hr
Provide clinical support for utilization management, prior-authorization criteria, and step-therapy ... Active U.S. pharmacist license. * Experience: Managed care, PBM, or health-plan ideal. All ...
Chicago, IL · On-site
$60 - $72.25/hr
Provide clinical support for utilization management, prior-authorization criteria, and step-therapy ... Active U.S. pharmacist license. * Experience: Managed care, PBM, or health-plan ideal. All ...
Clinical Pharmacist duties include,but are not limited to ... Staff to support day-to-day operations of the Patient Access Center including prior authorization ...
New
Clinical Pharmacist duties include,but are not limited to ... Staff to support day-to-day operations of the Patient Access Center including prior authorization ...
New
Chicago, IL · On-site
Clinical Pharmacist duties include,but are not limited to ... Staff to support day-to-day operations of the Patient Access Center including prior authorization ...
New
Chicago, IL · On-site
Clinical Pharmacist duties include,but are not limited to ... Staff to support day-to-day operations of the Patient Access Center including prior authorization ...
New
Chicago, IL · On-site
$60 - $72.25/hr
Pharmacist Chicago We are a Chicago-based technology company that is leading a new way forward for ... prior authorization processes, and collaborating with the healthcare team to ensure timely ...
Chicago, IL · On-site
$60 - $72.25/hr
Pharmacist Chicago We are a Chicago-based technology company that is leading a new way forward for ... prior authorization processes, and collaborating with the healthcare team to ensure timely ...
Naperville, IL · On-site
$59 - $69.50/hr
... prior authorizations, insurance navigation, and financial assistance programs. Requirements ... Contract to hire Start Date: ASAP preferred - client is focused on finding the right person rather ...
Naperville, IL · On-site
$59 - $69.50/hr
... prior authorizations, insurance navigation, and financial assistance programs. Requirements ... Contract to hire Start Date: ASAP preferred - client is focused on finding the right person rather ...
$28.44 - $32.75
2% of jobs
$32.75 - $37.05
0% of jobs
$37.05 - $41.35
0% of jobs
$41.35 - $45.65
0% of jobs
$45.65 - $49.95
5% of jobs
$49.95 - $54.26
9% of jobs
$57.04 is the 25th percentile. Wages below this are outliers.
$54.26 - $58.56
13% of jobs
The median wage is $62.55 / hr.
$58.56 - $62.86
22% of jobs
$62.86 - $67.16
21% of jobs
$67.73 is the 75th percentile. Wages above this are outliers.
$67.16 - $71.47
18% of jobs
$71.47 - $75.77
9% of jobs
$28
$62
$75
A Contract Prior Authorization Pharmacist is a licensed pharmacist who reviews medication requests to determine if they meet insurance coverage guidelines. They evaluate prescriptions based on clinical criteria, patient history, and formulary guidelines to approve or deny prior authorization requests. This role is typically contract-based, meaning pharmacists work for a set duration rather than as permanent employees. They often collaborate with healthcare providers and insurance companies to ensure patients receive appropriate medications while managing costs.
A typical day for a Contract Prior Authorization Pharmacist involves reviewing medication prior authorization requests, assessing clinical documentation against insurance criteria, and communicating approval decisions to healthcare providers. You’ll frequently interact with physicians, nurses, and insurance personnel to clarify information or request additional details. Most work is performed remotely or in a centralized office setting, relying heavily on digital systems for case management. The pace can be fast, but the workload is generally well-structured and team-oriented. This role offers valuable exposure to managed care practices and can serve as a gateway to roles in pharmacy administration or medical policy.
To thrive as a Contract Prior Authorization Pharmacist, you need a solid background in pharmacy with a PharmD degree or equivalent, active pharmacist licensure, and thorough knowledge of insurance and medication approval processes. Familiarity with pharmacy benefit management (PBM) systems, electronic prior authorization (ePA) platforms, and payer-specific portals is often required. Excellent analytical thinking, attention to detail, and communication skills help pharmacists effectively review requests and interact with providers or insurers. These abilities ensure timely, accurate medication approvals and support patient access while meeting regulatory and payer requirements.
The top searched job categories for Contract Prior Authorization Pharmacist jobs in Chicago Ridge, IL are:
Cities near Chicago Ridge, IL with the most Contract Prior Authorization Pharmacist job openings:
Lisle, IL
$57.50 - $69/hr
Full-time
Re-posted 17 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Pharmacist will be responsible for supporting the Prior Authorization program as well as other clinical services through the Clinical Call Center. This role will provide daily operational support to the PA department and Clinical Call Center and will serve as clinical resources for both internal and external Catamaran/United customers in regards to the PA program and other clinical call center activities.
Serve as a clinical resource to the PA staff in reviewing denied, unclear or questionable PA requests. Communicate PA/appeal requirements to healthcare providers as requested.
Assist the PA managers and supervisors in the daily operations of the PA department including the planning and implementation of new client PA programs. Educate PA staff on client or Catamaran specific PA guidelines and processes.
Assist in administering PA appeal services including first level appeal reviews and coordination of 2nd level appeals with the appeal vendor.
Handle any escalated calls and other issues that may arise in the clinical call center to help maintain a smooth workflow and ensure turnaround times/SLAs are met for each client.
Assist in training activities for internal/external candidates entering the clinical call center
Other activities as determined by the PA Manager
Must have clear and active Pharmacist license in IL throughout the assignment
Must come from a specialty or retail pharmacy setting, although new grads are also fine to submit
Must be very detailed oriented and able to multi-task and navigate through various screens
Must be proficient with computer and able to use and learn systems quickly
Excellent verbal and written communication skills
Strong customer service and commitment to professionalism
Strong typing skills
Position Introduction:
Are you a Pharmacy Technician in Lisle area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a Fortune 500 company that provides on-going training and development? Are you interested in working for a company that offers benefits for full-time permanent employees, flex schedules and the opportunity to grow with the company? If you answered "yes" to any of these questions - this is the position for you!
Want More Information?
Interested in hearing more about this great opportunity? Reach out to Hannah Barreta at 321-710- 4797 for immediate consideration.
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003