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A-Line Staffing Solutions

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Prior Authorization Pharmacist (PBM) - Remote

Miami, FL · On-site

$53/hr

Prior Authorization Pharmacist (PBM) - Remote Pay: $53.00 an hr Duration: Contract to hire Start date: 10/12/26 Work Setup: Fully remote (continental U.S.) -- cannot be in New Mexico or Colorado ...

A-Line Staffing Solutions

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Prior Authorization Pharmacist (PBM) - Remote

Miami, FL · On-site

$53/hr

Prior Authorization Pharmacist (PBM) - Remote Pay: $53.00 an hr Duration: Contract to hire Work Setup: Fully remote (continental U.S.) -- cannot be in New Mexico or Colorado Hours: 40 hrs/week ...

A-Line Staffing Solutions

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Remote - Prior Authorization Pharmacist

Phoenix, AZ · Remote

$53/hr

From $53.00 per hour Remote Prior Authorization Pharmacist - (Fully Remote) Pay Rate: $53.00/hr ... PBM, Managed Care, or Health Plan experience strongly preferred * Specialty Pharmacy experience ...

Pacer Group

Prior Authorization Pharmacist (Remote)

$59.50 - $71.75/hr

Prior Authorization Pharmacist (Remote) Location: Remote (Must be able to work EST hours) Duration ... Experience in managed care, PBM, or health plan environment. * Knowledge of pharmacy benefit ...

US Tech Solutions

Prior Authorization Pharmacist

$59.50 - $71.75/hr

Prior authorization experience required. * Previous pharmacy experience in retail or hospital ... Must Have Pharmacy Benefit Management (PBM) experience. Education * Pharm D. required with at least ...

MRIoA

Prior Authorization Pharmacist (Remote)

$59.50 - $71.75/hr

The PA Pharmacist works alongside the Supervisor, PA Pharmacists to set and meet production goals and to ensure each prior authorization is completed on time and in accordance with the individual ...

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How much do pbm prior authorization pharmacist jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for pbm 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 is a PBM prior authorization pharmacist?

A PBM Prior Authorization Pharmacist is a licensed pharmacist who works for a Pharmacy Benefit Manager (PBM) and is responsible for reviewing and processing prior authorization requests for prescription medications. These pharmacists evaluate whether prescribed drugs meet specific criteria for coverage, based on clinical guidelines and the patient's health plan. Their role helps ensure that medications are used appropriately, safely, and cost-effectively. They also communicate with prescribers and patients to clarify information and support optimal medication therapy.

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

To thrive as a PBM Prior Authorization Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, active pharmacist licensure, and expertise in formulary management and clinical drug review. Familiarity with pharmacy benefit management (PBM) platforms, electronic prior authorization systems, and knowledge of insurance processes are vital. Strong attention to detail, analytical thinking, and effective communication skills help pharmacists collaborate with providers and resolve medication access issues. These skills ensure timely, accurate medication approvals and support optimal patient outcomes while managing healthcare costs.

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

A PBM Prior Authorization Pharmacist frequently communicates with physicians and insurance providers to clarify clinical information and ensure all necessary documentation is provided for medication approvals. They review patient histories, interpret prescription policies, and act as a liaison to resolve discrepancies or denials efficiently. This collaborative process requires strong communication skills, attention to detail, and a thorough understanding of both clinical guidelines and insurance requirements. Effective teamwork helps reduce delays in patient care and improves overall satisfaction for both patients and providers.

What is the difference between Pbm Prior Authorization Pharmacist vs Pbm Pharmacy Technician?

AspectPbm Prior Authorization PharmacistPbm Pharmacy Technician
CredentialsDoctor of Pharmacy (PharmD) or equivalent, licensureCertification as a pharmacy technician, state registration
Work EnvironmentClinical review, decision-making, patient and provider communicationProcessing prior authorization requests, data entry, administrative tasks
Employer & Industry UsagePharmacy benefit managers, healthcare providersPharmacy benefit managers, retail and mail-order pharmacies

The Pbm Prior Authorization Pharmacist is responsible for reviewing and approving prior authorization requests, requiring clinical expertise and licensure. In contrast, the Pbm Pharmacy Technician handles administrative tasks like data entry and processing requests. Both roles are essential in the pharmacy benefit management industry but differ significantly in responsibilities and credentials.

How much do Pbm Prior Authorization Pharmacists make?

Pbm Prior Authorization Pharmacists typically earn an average salary ranging from $100,000 to $130,000 annually, depending on experience, location, and employer. They often work in healthcare or pharmacy benefit management settings, requiring knowledge of medication policies and prior authorization processes.

How to become a Pbm Prior Authorization Pharmacist?

To become a PBM prior authorization pharmacist, candidates typically need a Doctor of Pharmacy (PharmD) degree, a valid pharmacy license, and experience in pharmacy operations or managed care. Additional certifications in medication therapy management or prior authorization processes can enhance qualifications, and familiarity with pharmacy benefit management software is often required.
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Pbm Prior Authorization Pharmacist jobs near you
Infographic showing various Pbm Prior Authorization Pharmacist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $126,701 per year, or $60.9 per hour.

Prior Authorization Pharmacist (PBM) - Remote

A-Line Staffing Solutions

Miami, FL • On-site

$53/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 5 days ago

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Job description

Prior Authorization Pharmacist (PBM) - Remote

Pay: $53.00 an hr
Duration: Contract to hire

Start date: 10/12/26
Work Setup: Fully remote (continental U.S.) — cannot be in New Mexico or Colorado
Hours: 40 hrs/week

Schedule (CST hours required)

Candidates will work one weekend day each week on one of these schedules:

  • Sun–Thu or Tue–Sat
  • 10:30am–7:00pm CST
  • 11:00am–7:30pm CST
  • 11:30am–8:00pm CST

Training (Mandatory)

10/12/2026 – 11/25/2026 (first 7 weeks)
Mon–Fri, 8:00am–4:30pm CST

Position Summary

Seeking an experienced Pharmacist to complete criteria-based clinical reviews and render prior authorization coverage determinations based on plan design, clinical guidelines, and regulatory requirements. This role supports specialty and non-specialty pharmacy programs and includes high-volume provider interaction.

Key Responsibilities

  • Review prior authorization requests for accuracy, appropriateness, and medical necessity
  • Interpret clinical criteria and plan guidelines; gather/assess clinical documentation
  • Communicate approvals/denials/incomplete requests to providers and patients
  • Handle high-volume inbound/outbound calls (approx. 50 calls/day)
  • Manage a daily workload (approx. 40 PA cases/day)
  • Document determinations and communication thoroughly and accurately
  • Support technicians and PA team to meet service level requirements

Required Qualifications

  • Active Pharmacist license (required)
  • 2+ years of prior authorization review experience (required)
  • PBM / Managed Care / Health Plan experience (strongly preferred)
  • Specialty pharmacy exposure (plus)
  • Strong communication + documentation skills; comfortable in a high-production environment
  • Able to work CST hours and one weekend day weekly
  • High school diploma/GED (verifiable) required
  • Bachelor’s in Pharmacy required (PharmD preferred)

Remote/Equipment Requirements (Must Meet)

  • Provide your own high-speed internet: minimum 25 Mbps download / 3 Mbps upload
  • Smartphone required (VPN token will be installed on phone)
  • Private, secure workspace (conversations/screens/documents not accessible to others)
  • Must be able to comply with teleworker privacy/security requirements
  • Assignment may be changed to in-office in the future (must acknowledge)
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About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

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