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Director Prior Authorization information

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$11

$27

$61

How much do director prior authorization jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for director prior authorization in the United States is $27.30, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $34.13 per hour, depending on experience, location, and employer.

What is the difference between Director Prior Authorization vs Medical Claims Supervisor?

AspectDirector Prior AuthorizationMedical Claims Supervisor
Required CredentialsBachelor's degree, industry certifications often preferredBachelor's degree, relevant certifications beneficial
Work EnvironmentHealthcare organizations, insurance companiesHealthcare providers, insurance companies
Employer & Industry UsageUsed in health insurance and healthcare managementCommon in healthcare administration and insurance claims processing
Primary FocusReviewing and approving prior authorization requestsOverseeing claims processing and ensuring accuracy

The main difference is that the Director Prior Authorization focuses on managing the approval process for medical procedures before they occur, while the Medical Claims Supervisor oversees the processing and accuracy of claims after services are provided. Both roles require healthcare knowledge, but their responsibilities and workflows differ significantly.

What cities are hiring for Director Prior Authorization jobs? Cities with the most Director Prior Authorization job openings:
What are the most commonly searched types of Prior Authorization jobs? The most popular types of Prior Authorization jobs are:
What states have the most Director Prior Authorization jobs? States with the most job openings for Director Prior Authorization jobs include:
Director Prior Authorization jobs near you
Infographic showing various Director Prior Authorization job openings in the United States as of May 2026, with employment types broken down into 64% Full Time, 32% Part Time, 2% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $56,785 per year, or $27.3 per hour.

Remote Prior Authorization Pharmacist

Pharmacy Careers

South Jordan, UT • Remote

$55.25 - $66.50/hr

Other

Posted 16 days ago

Job description

Remote Prior Authorization Pharmacist - Work From Home in Managed Care
A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care.
Key Responsibilities

  • Review prior authorization requests for accuracy, appropriateness, and clinical necessity.
  • Apply plan criteria, evidence-based guidelines, and regulatory standards to determinations.
  • Communicate approval/denial decisions clearly to providers and patients.
  • Collaborate with physicians, nurses, and medical directors on complex cases.
  • Document outcomes in compliance with health plan policies and CMS/state regulations.
  • Support process improvements to streamline workflow and turnaround times.


What You'll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply.
  • Skills: Excellent clinical review, documentation, and communication skills.

Why This Role?

  • Flexibility: 100% remote work from home with flexible scheduling options.
  • Impact: Directly influence patient access to safe and cost-effective medications.
  • Growth: Build specialized skills in utilization management and managed care.
  • Rewards: Competitive compensation, benefits, and career advancement opportunities.


About Us
We are a confidential healthcare partner working with health plans and PBMs across the U.S.. Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations.
Apply Today
Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity - and enjoy the benefits of working from home while shaping the future of managed care.

Apply