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Prior Authorization Pharmacist Jobs in Boca Raton, FL

Actalent

Pharmacy Technician

Oakland Park, FL · On-site

$16.25 - $19.75/hr

The technician supports pharmacological services, assists with prior authorizations and billing ... Collaborate with pharmacists and other technicians as part of a cohesive team to meet weekly ...

Actalent

Pharmacy Technician

Fort Lauderdale, FL · On-site

$16.75 - $20.25/hr

The technician supports pharmacological services, assists with prior authorizations and billing ... Collaborate with pharmacists and other technicians as part of a cohesive team to meet weekly ...

Healthy MD

Patient Lifecycle Coordinator

Coconut Creek, FL

$16.50 - $21.75/hr

Review and process prior authorization requests for medications, medical procedures, and treatments ... Communicate with healthcare providers, pharmacies, and insurance companies to obtain required ...

Cardinal Health

Pharmacist

Fort Lauderdale, FL · On-site

$55.50 - $66.75/hr

May oversee running of the facility (known as Pharmacist in Charge) if needed. Trains newly hired ... Prior Authorized User certification is preferred. Nuclear Pharmacy Training can be provided ...

Cardinal Health

Pharmacist

Fort Lauderdale, FL · On-site

$55.75 - $67/hr

Valid Pharmacist's license in the state in which the pharmacy operates, or is in the process of ... Prior Authorized User certification is preferred. Nuclear Pharmacy Training can be provided ...

Actalent

Registered Pharmacy Technician

Oakland Park, FL · On-site

$16.50 - $18.50/hr

Facilitate prior authorization requests by gathering necessary information, submitting ... Collaborate with pharmacists and other technicians to manage a high prescription volume and meet ...

Actalent

Registered Pharmacy Technician

Fort Lauderdale, FL · On-site

$17 - $19/hr

Facilitate prior authorization requests by gathering necessary information, submitting ... Collaborate with pharmacists and other technicians to manage a high prescription volume and meet ...

KabaFusion

Authorization Representative

Boca Raton, FL · On-site

$16 - $20.50/hr

We have a national network of pharmacies and nursing offices strategically placed to service 40 ... prior to deliveries to ensure accuracy, active coverage and notifies internal departments and ...

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All JobsPrior Authorization Pharmacist JobsPrior Authorization Pharmacist Jobs in Boca Raton, FL

Prior Authorization Pharmacist information

See Boca Raton, FL salary details

$26

$57

$70

How much do prior authorization pharmacist jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for prior authorization pharmacist in Boca Raton, FL is $57.81, according to ZipRecruiter salary data. Most workers in this role earn between $53.17 and $63.89 per hour, depending on experience, location, and employer.

What is a prior authorization pharmacist?

A Prior Authorization Pharmacist is a licensed pharmacist who specializes in reviewing and processing medication prior authorization requests. These requests are required by insurance companies to determine if a prescribed medication is covered under a patient's health plan. The pharmacist evaluates the medical necessity, safety, and cost-effectiveness of the medication based on clinical guidelines and insurance policies. They work closely with healthcare providers, patients, and insurance companies to ensure appropriate medication access while controlling healthcare costs. Their role helps streamline the approval process and supports optimal patient care.

What does a prior authorization pharmacist do?

A prior authorization pharmacist works specifically with the pre-approval process of filling prescribed medication orders to ensure the proper insurance coverage and efficacy for the drugs used. In this career, you work with patients as well as clinical staff, who relay prescription information from a provider. Your duties include answering questions and concerns about new medications, explaining proper usage and doses, and advising about precautions. Other responsibilities involve processing paperwork, overseeing inventory management, and supervising technicians.

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

To thrive as a Prior Authorization Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, active pharmacist licensure, and a strong understanding of insurance formularies and medication therapy management. Familiarity with pharmacy benefit management (PBM) systems, electronic prior authorization platforms, and claims processing software is essential. Strong attention to detail, effective communication, and problem-solving abilities help pharmacists navigate complex insurance criteria and advocate for patient needs. These skills ensure timely, accurate medication approvals, minimize delays in patient care, and support optimal clinical and financial outcomes.

How does a prior authorization pharmacist collaborate with healthcare providers and insurance companies to resolve medication access issues?

A Prior Authorization Pharmacist serves as a key liaison between healthcare providers, insurance companies, and patients to ensure timely access to necessary medications. They review clinical documentation, communicate with prescribers to gather additional information, and submit prior authorization requests to insurers. When challenges or denials arise, these pharmacists work closely with both providers and insurance representatives to clarify coverage criteria and appeal decisions as needed. This role requires strong communication skills and a thorough understanding of formulary policies to effectively advocate for patient care.

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

AspectPrior Authorization PharmacistPharmacy Technician
CredentialsDoctor of Pharmacy (PharmD) license, certificationHigh school diploma, pharmacy technician certification
Work EnvironmentHospitals, clinics, insurance companies, retail pharmaciesRetail pharmacies, hospitals, mail-order pharmacies
Job RoleReviewing insurance requests, approving prior authorizations, clinical decision-makingAssisting pharmacists, processing prescriptions, data entry

Prior Authorization Pharmacists and Pharmacy Technicians work closely in pharmacy settings, but the pharmacist handles clinical review and approval of insurance requests, while the technician supports administrative tasks. The pharmacist's role requires advanced credentials and clinical expertise, whereas the technician focuses on operational support. Both roles are essential in ensuring efficient medication management and patient care.

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The most popular types of Prior Authorization Pharmacist jobs in Boca Raton, FL are:

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For Prior Authorization Pharmacist jobs in Boca Raton, FL, the most frequently searched job titles are:

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Cities near Boca Raton, FL with the most Prior Authorization Pharmacist job openings:

Prior Authorization Pharmacist jobs near you
Infographic showing various Prior Authorization Pharmacist job openings in Boca Raton, FL as of August 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $120,235 per year, or $57.8 per hour.

RN Case Manager Prior Authorizations

Sunrise, FL

Healthcare Support Staffing
Recruiting and Staffing Services • 201 - 500 employees
Learn more about Healthcare Support Staffingexternal

Full-time

Re-posted 7 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Will be requesting prior authorization of durable medical equipment for members.

100% Telephonic

Requests for prior authorization of DME

Review provider requests through fax or telephone to ensure medical necessity for services requiring pre-authorization

Utilize nationally recognized criteria to determine medical necessity of services requested

Refer provider requests appropriately to Medical Director when medical necessity of services is not met based on the criteria

Data enters authorizations into the system

Qualifications

RN

At least 1 years of DME experience * Preferred

At least 2 years of UM experience, must have atleast one year of authorization experience

Plus to have CCR

Experience utilizing medical management software programs. Interqual/Miilman

UM certification preferred.

Managed Care preferred not required

Look for people who come from any type of DME facility, pharmacy...

Will send from from large providers office is have over two years of Prior Auths. 

Additional Information

-Salary range 60K-72K

-Excellent opportunity to begin a career with one of Florida's leading health plans with excellent benefits

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

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