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Part Time Prior Authorization Pharmacist Jobs (NOW HIRING)

CentraCare

Prior Authorization Assistant

Saint Cloud, MN · On-site

$20.71 - $31.68/hr

The Prior Authorization team processes all health plan/payer utilization review requirements, which ... Schedule: * Part-time | 40 hours every two weeks * Day shift |Hours between Mon-Fri 8:00am-4:30pm

CentraCare

Prior Authorization Assistant

Saint Cloud, MN · On-site

$21.12 - $31.68/hr

The Prior Authorization team processes all health plan/payer utilization review requirements, which ... Schedule: * Part-time | 40 hours every two weeks * Day shift |Hours between Mon-Fri 8:00am-4:30pm

Quantile Health

$30 - $35/hr

Part-Time Pharmacy Prior Authorization Specialist $ 30.00 - 35.00 (US Dollar) Or refer someone Job Openings Part-Time Pharmacy Prior Authorization Specialist About the Job Part-Time Pharmacy Prior ...

Quantile Health

$30 - $35/hr

Part-Time Pharmacy Prior Authorization Specialist $ 30.00 - 35.00 (US Dollar) Or refer someone Job Openings Part-Time Pharmacy Prior Authorization Specialist About the Job Part-Time Pharmacy Prior ...

W3R

PRIOR AUTHORIZATION THERAPIST

Austin, TX

... PT, OT, or ST license from the State of Texas. Minimum of two (2) years post licensure experience ... Prior Authorization experience. * 1 year of customer service or call-center experience, preferred.

W3R

Prior Authorization Therapist

Austin, TX · On-site

... PT, OT, or ST license from the State of Texas. Minimum of two (2) years post licensure experience ... Prior Authorization experience. * 1 year of customer service or call-center experience, preferred.

W3R

Prior Authorization Therapist

Austin, TX · On-site

Prior Authorization experience. 1 year of customer service or call-center experience, preferred ... PT, OT, or ST license from the State of Texas. Minimum of two (2) years post licensure experience ...

Main Line Health

Pharmacy Tech, Prior Authoriz

Wynnewood, PA · On-site

$16.75 - $20.50/hr

The Prior Authorization Pharmacy Technician will be responsible for handling prior authorization ... This position involves collaborating with pharmacists, healthcare providers, insurance companies ...

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Part Time Prior Authorization Pharmacist information

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$27

$60

$74

How much do part time prior authorization pharmacist jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for part time prior authorization pharmacist in the United States is $60.91, according to ZipRecruiter salary data. Most workers in this role earn between $56.01 and $67.31 per hour, depending on experience, location, and employer.

What does a part time prior authorization pharmacist do?

A Part Time Prior Authorization Pharmacist reviews medication requests from healthcare providers to determine if they meet the criteria set by insurance companies or pharmacy benefit managers for coverage. They assess clinical information, communicate with prescribers for additional documentation if needed, and make decisions on whether to approve or deny medication requests. Working part-time, these pharmacists balance their workload across fewer hours while ensuring timely and accurate reviews to support patient access to necessary medications.

What are the key skills and qualifications needed to thrive as a part time prior authorization pharmacist?

To thrive as a Part Time Prior Authorization Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, state pharmacist licensure, and a solid understanding of formulary management and insurance guidelines. Familiarity with pharmacy benefit management (PBM) systems, electronic health records (EHRs), and prior authorization software is essential. Strong attention to detail, communication skills, and the ability to multitask effectively set candidates apart in this role. These skills ensure accurate medication approval processes, regulatory compliance, and clear collaboration between providers, payers, and patients.

How does a part time prior authorization pharmacist typically collaborate with physicians and insurance providers to resolve medication approval issues?

A Part Time Prior Authorization Pharmacist frequently communicates with physicians' offices to clarify prescription details or provide clinical justifications required by insurance companies. They also interact with insurance representatives to ensure all necessary documentation is submitted for timely approval of medications. This collaborative approach helps reduce delays for patients and ensures compliance with both medical and insurance policies. Strong communication and problem-solving skills are essential for navigating these interactions efficiently.

What is the difference between Part Time Prior Authorization Pharmacist vs Part Time Pharmacist?

AspectPart Time Prior Authorization PharmacistPart Time Pharmacist
CredentialsLicensed Pharmacist, often with experience in insurance or prior authorization processesLicensed Pharmacist, with general pharmacy practice experience
Work EnvironmentHealthcare facilities, insurance companies, or pharmacy benefit management companiesRetail pharmacies, hospitals, or clinics
Employer & IndustryInsurance providers, PBMs, healthcare organizationsPharmacies, hospitals, healthcare settings
Primary FocusReviewing and approving prior authorization requests for medicationsDispensing medications, patient counseling, medication management

The main difference is that a Part Time Prior Authorization Pharmacist specializes in reviewing insurance prior authorization requests, while a Part Time Pharmacist focuses on dispensing medications and patient care. Both roles require a licensed pharmacist but differ in daily tasks and work environments.

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Part Time Prior Authorization Pharmacist jobs near you
Infographic showing various Part Time Prior Authorization Pharmacist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $126,701 per year, or $60.9 per hour.

Benefits & Prior Authorization Specialist

company520

Pepper Pike, OH • On-site

$26/hr

Full-time, Part-time

Posted 15 days ago

Job description

Description
Do you have experience with healthcare prior authorizations, insurance verification, medical billing, electronic health records, payer portals, or Medicaid management? JFSA of Cleveland has an immediate opening for a part-time or full-time Benefits & Prior Authorization Specialist.
Position Type: Hourly, Part-time or Full-time, Office-based
General Duties and Responsibilities:
  • Coordinates initial, concurrent, and renewal prior authorization requests for assigned behavioral health services in accordance with payer requirements and internal timelines.
  • Verifies coverage, eligibility, benefit limitations, authorization requirements, and payer-specific submission procedures before services begin and throughout the authorization period.
  • Advocates for individuals through benefits application/enrollment process. Monitors revalidation/redetermination needs through client portals or local office. Assists individuals with problem-solving barriers and ensuring benefits are reinstated.
  • Reviews authorization packets for required administrative and clinical elements and promptly follows up on missing, inconsistent, expired, or incomplete information.
  • Submits requests and supporting records through payer portals and other approved secure methods while protecting client confidentiality and complying with HIPAA requirements.
  • Maintains an accurate authorization tracker that includes requested and approved services and units, effective dates, remaining balances, renewal deadlines, status, denials, and follow-up activity.
  • Monitors service utilization, payer thresholds, and clients approaching or exceeding authorized limits and provides advance notice to clinical and program leadership.
  • Tracks pending requests through final resolution, documents payer communications, responds to requests for additional information, and escalates delays before they affect services or billing.
  • Coordinates prior authorization denial reviews, reconsiderations, peer-to-peer requests, and appeals by gathering records, communicating deadlines, and supporting clinical leadership and billing staff.
  • Communicates authorization decisions and limitations promptly and ensures approved information is entered accurately in the electronic health record and billing systems.
  • Reconciles authorization records with service delivery and claims data and helps identify services delivered without authorization, unused units, authorization-related denials, and recurring process gaps.
  • Prepares routine reports on pending requests, upcoming expirations, denials, appeal outcomes, turnaround times, and authorization-related financial risk and recommends workflow improvements.
  • Maintains organized, audit-ready records and remains current on Ohio Medicaid, managed care, Medicare, commercial payer, and organizational requirements relevant to assigned services.
  • Participates in team meetings, audits, training, and quality-improvement activities and performs other duties or special projects as required or assigned.
  • Credentialing new providers for in-network reimbursement and provider revalidations.
  • Assists with special projects as needed and any additional duties as assigned.

Requirements
Minimum Qualifications and Skills:
  • High School Diploma/GED, degree in healthcare administration, information management, medical billing and coding, business, or related behavioural health field preferred.
  • Relevant payer, clinical expereince, prior authorization, revenue-cycle, or medical office training may substitute for post-secondary education.
  • Experience in Excel, Word, and other applicable software.
  • At least 2 years expereince in healthcare prior authorization, insurance verification, utilization support, medical billing, revenue cycle, or medical office operation is preferred.
  • Behavioral health, community mental health Medicaid managed care, or human-services expereince is strongly preferred.
  • Excellent interpersonal skills.
  • Must be able to prioritize and schedule daily activities effectively.
  • Computer data entry experience.
  • High degree of accuracy and attention to detail.
  • Experience using the Internet.
  • Experience with payer portals, authorizations, claims-tracking systems, Direct Data Entry ("DDE"), and electronic medical records systems preferred.

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