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Freelance Remote Prior Authorization Jobs (NOW HIRING)

1840 & Company

$16.75 - $22.25/hr

... BPO) and remote talent solutions, dedicated to propelling businesses forward through our ... We specialize in connecting companies with world-class freelance professionals and delivering top ...

Managed Staffing

Licensed Vocational Nurse - LPN

RI · Remote

$28 - $30/hr

Licensed Vocational Nurse (LPN) - Remote Prior Authorization 100% Remote - Anywhere in the U.S. Schedule: Monday-Friday, Day Shift (No weekends unless overtime is required) About the Role We are ...

CareMed Specialty Pharmacy

$23 - $25/hr

Pharmacy Prior Authorization Specialist - CareMed Specialty Pharmacy Buffalo, NY | Full-Time | ... Remote work possible after initial on-site training. Company Benefits * Medical; Dental; Vision ...

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Remote About DxTx Pain & Spine At DxTx Pain & Spine, we're redefining how pain and spine practices ...

Managed Staffing

Prior Authorization Techician

RI · Remote

$21 - $22/hr

Fully Remote (U.S. based) - West Coast candidates preferred Seeking Pharmacy Technician I (Prior Authorization) professionals to join their remote Caremark team. This role is responsible for ...

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How much do freelance remote prior authorization jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for freelance remote prior authorization in the United States is $47.71, according to ZipRecruiter salary data. Most workers in this role earn between $24.28 and $61.78 per hour, depending on experience, location, and employer.
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What cities are hiring for Freelance Remote Prior Authorization jobs? Cities with the most Freelance Remote Prior Authorization job openings:
What are the most commonly searched types of Remote Prior Authorization jobs? The most popular types of Remote Prior Authorization jobs are:
What states have the most Freelance Remote Prior Authorization jobs? States with the most job openings for Freelance Remote Prior Authorization jobs include:
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Freelance Remote Prior Authorization jobs near you
Infographic showing various Freelance Remote Prior Authorization job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $99,230 per year, or $47.7 per hour.
REMOTE Prior Authorization Pharmacist

REMOTE Prior Authorization Pharmacist

Insight Global

Philadelphia, PA • Remote

$58.50 - $59/hr

Contractor

Medical, Dental, Vision

Posted 5 days ago

Job description

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy policies, and health plan benefits. In this fast-paced, high-volume environment, the pharmacist works closely with physicians, healthcare providers, pharmacy technicians, and internal teams to gather and assess clinical information, make evidence-based coverage determinations, recommend formulary-compliant and cost-effective treatment alternatives, and ensure compliance with federal and state regulations. The role requires strong clinical judgment, attention to detail, effective communication skills, and the ability to manage competing priorities while meeting productivity and quality standards. Additionally, the pharmacist supports quality assurance initiatives, resolves provider and pharmacy inquiries, participates in process improvement efforts, and contributes to a collaborative, customer-focused team environment. Maintain full compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and commercial benefit regulations. Accurately document case decisions in accordance with internal protocols, auditing standards, and confidentiality policies. Effectively manage case volume by organizing workload, setting daily priorities, and meeting productivity and quality benchmarks. Adapt to fluctuating demands while maintaining accuracy and professionalism under pressure.

  • Requirements:
    • Bachelor's or Doctorate of Pharmacy
    • Active State Pharmacist License / Current Licensed Pharmacist in state of work
    • 6+ months of customer service/customer relations experience with healthcare professionals
    • Basic proficiency with Microsoft Excel, Word, and Outlook
    • Comfortable working in a call center/production-based environment
    • Ability to work remotely with little to no supervision
    • Strong adaptability in a fast-paced, high-volume setting
  • Duration: 6-Month Contract
  • Location: Remote
  • Day-to-Day:
    • Review and evaluate prior authorization and appeal requests for pharmacy coverage determinations
    • Assess clinical information and apply pharmacy policies, clinical guidelines, and health plan benefits
    • Collaborate with physicians, healthcare providers, pharmacy technicians, and internal teams
    • Recommend formulary-compliant and cost-effective treatment alternatives
    • Ensure compliance with state and federal pharmacy regulations, Medicare Part D, Medicaid, and commercial benefit requirements
    • Manage a high-volume caseload while maintaining quality and productivity standards
    • Document case decisions and assist with quality assurance and process improvement initiatives