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Pbm Prior Authorization Pharmacist Jobs (NOW HIRING)

Prior Authorization Pharmacist

Smyrna, GA

$58 - $69.75/hr

The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty ... Knowledge of PBM, formulary management, and 340B is a plus. Why Work for Us? We offer competitive ...

Prior Authorization Pharmacist

Smyrna, GA · On-site

$58 - $69.75/hr

The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty ... Knowledge of PBM, formulary management, and 340B is a plus. Why Work for Us? We offer competitive ...

Prior Authorization Pharmacist

Smyrna, GA · On-site

$57 - $68.50/hr

The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty ... Knowledge of PBM, formulary management, and 340B is a plus. Why Work for Us? We offer competitive ...

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 ...

Be Seen First

Must-Have Experience Candidates must have prior authorization experience within a PBM or health ... Active pharmacist license in your state of residence required Key Responsibilities * Perform ...

New

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... About Us We are a confidential managed-care and PBM partner supporting health plans nationwide. Our ...

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... About Us We are a confidential managed-care and PBM partner supporting health plans nationwide. Our ...

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... About Us We are a confidential managed-care and PBM partner supporting health plans nationwide. Our ...

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

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 ...

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... About Us We are a confidential managed-care and PBM partner supporting health plans nationwide. Our ...

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... About Us We are a confidential managed-care and PBM partner supporting health plans nationwide. Our ...

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

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 ...

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... About Us We are a confidential managed-care and PBM partner supporting health plans nationwide. Our ...

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... About Us We are a confidential managed-care and PBM partner supporting health plans nationwide. Our ...

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... About Us We are a confidential managed-care and PBM partner supporting health plans nationwide. Our ...

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... About Us We are a confidential managed-care and PBM partner supporting health plans nationwide. Our ...

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... About Us We are a confidential managed-care and PBM partner supporting health plans nationwide. Our ...

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Pbm Prior Authorization Pharmacist information

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$27

$60

$74

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

As of Aug 9, 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.

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 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 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.

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.
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What cities are hiring for Pbm Prior Authorization Pharmacist jobs? Cities with the most Pbm Prior Authorization Pharmacist job openings:
What states have the most Pbm Prior Authorization Pharmacist jobs? States with the most job openings for Pbm Prior Authorization Pharmacist jobs include:
What job categories do people searching Pbm Prior Authorization Pharmacist jobs look for? The top searched job categories for Pbm Prior Authorization Pharmacist jobs are:
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

Curant Health

Smyrna, GA

$58 - $69.75/hr

Full-time

PTO

Posted 24 days ago


Job description

JOIN A LEADING HEALTHCARE COMPANY

Do you want to join a leading healthcare team focused on nurturing long-term patient and caregiver relationships? Do you want to be a part of a company that is committed to hiring the best people and using the best technology and tools to deliver improved health outcomes for patients and partners? If so, take a look at the available career opportunities at Curant Health.

Curant Health is searching for a Prior Authorization Pharmacist to join its team in Smyrna, GA. The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty medication prior authorizations. This role involves processing and evaluating PA requests, supervising PA specialists, and serving as a clinical resource to both internal and external stakeholders.

Key Responsibilities:

  • Review and process prior authorization requests based on clinical criteria and member benefits.
  • Coordinate drug utilization review reports and ensure compliance with regulatory requirements.
  • Handle clinical calls from Customer Care for medication-related prior authorizations.
  • Manage PA appeals and ensure adherence to policies and procedures.
  • Act as a clinical resource for internal teams, prescribers, and clients.
  • Monitor and improve the quality and efficiency of the Coverage Determination process.
  • Stay updated on clinical guidelines and provide relevant insights for program development.
  • Supervise the Prior Authorization Department, ensuring operational efficiency and training.
  • Develop and implement departmental protocols and training materials.

Qualifications:

  • Doctor of Pharmacy (PharmD) with at least 2 years of experience and licensed in the state of practice.
  • Prior experience with prior authorizations, clinical pharmacy, and managed care is preferred.
  • Knowledge of PBM, formulary management, and 340B is a plus.

Why Work for Us?
We offer competitive pay, paid holidays, benefits, paid time off and a work/life balance. Not only that, but we also offer paid parental leave, recognition programs, promotion opportunities, a comprehensive training program to enhance your career, and employee prescription discounts.