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Prior Authorization Pharmacist Jobs in Rochester, NY

Mindlance

Clinical Pharmacist

Rochester, NY · On-site

$116K - $139K/yr

Clinical Pharmacist - Utilization Management (Remote) * Primary Responsibilities ... Review prior authorization and medical exception requests. * Perform utilization review for medical ...

UK St Claire

Pharmacist I, Specialty

Pavilion, NY

$55 - $66/hr

... of pharmaceutical care across clinical settings. Essential Functions Develops and maintains ... Oversees access to care services, including benefits investigation, prior authorization, and ...

University of Rochester

Pharmacy Access Rep

Rochester, NY · On-site

$21.97 - $29.66/hr

... prior authorization, and helps enroll patients in financial assistance programs and arrange timely delivery of the medication. Facilitates communication between the patient, pharmacist, insurance ...

Oak Orchard Community Health Center

LPN

Brockport, NY · On-site

$27 - $30.50/hr

Answer and document phone calls from patients, pharmacies, etc.in accordance with HIPAA regulations ... Initiates and completes all parts of medication prior-authorization requests based on insurance ...

Oak Orchard Community Health Center

LPN

Batavia, NY · On-site

$27 - $30.50/hr

Answer and document phone calls from patients, pharmacies, etc.in accordance with HIPAA regulations ... Initiates and completes all parts of medication prior-authorization requests based on insurance ...

Oak Orchard Community Health Center

LPN

Batavia, NY · On-site

$27 - $30.50/hr

Answer and document phone calls from patients, pharmacies, etc.in accordance with HIPAA regulations ... Initiates and completes all parts of medication prior-authorization requests based on insurance ...

Oak Orchard Community Health Center

LPN

Batavia, NY · On-site

$27 - $30.50/hr

Answer and document phone calls from patients, pharmacies, etc.in accordance with HIPAA regulations ... Initiates and completes all parts of medication prior-authorization requests based on insurance ...

Oak Orchard Health

LPN

Batavia, NY · On-site

$27 - $30.50/hr

Answer and document phone calls from patients, pharmacies, etc.in accordance with HIPAA regulations ... Initiates and completes all parts of medication prior-authorization requests based on insurance ...

Oak Orchard Health

LPN

Brockport, NY · On-site

$27 - $30.50/hr

Answer and document phone calls from patients, pharmacies, etc.in accordance with HIPAA regulations ... Initiates and completes all parts of medication prior-authorization requests based on insurance ...

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All JobsPrior Authorization Pharmacist JobsPrior Authorization Pharmacist Jobs in Rochester, NY

Prior Authorization Pharmacist information

See Rochester, NY salary details

$27

$60

$73

How much do prior authorization pharmacist jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for prior authorization pharmacist in Rochester, NY is $60.10, according to ZipRecruiter salary data. Most workers in this role earn between $55.24 and $66.39 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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For Prior Authorization Pharmacist jobs in Rochester, NY, the most frequently searched job titles are:

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The top searched job categories for Prior Authorization Pharmacist jobs in Rochester, NY are:

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Cities near Rochester, NY with the most Prior Authorization Pharmacist job openings:

Prior Authorization Pharmacist jobs near you
Infographic showing various Prior Authorization Pharmacist job openings in Rochester, NY as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 100% In-person job distribution, with an average salary of $125,012 per year, or $60.1 per hour.

Clinical Pharmacist

Mindlance

Rochester, NY • On-site

$116K - $139K/yr

Other

Posted 23 days ago

Job description

Role: Clinical Pharmacist - Utilization Management (Remote)
  • Primary Responsibilities:
    • Review prior authorization and medical exception requests.
    • Perform utilization review for medical necessity.
    • Evaluate medical records and apply PA criteria.
    • Handle 20-30 cases per day.
  • Required Experience:
    • Prior Authorization (PA) / Utilization Management experience.
    • Knowledge of prescription drug formularies and pharmacy workflow.
    • Strong computer skills (Microsoft Office and multiple systems).
    • bility to work independently.
    • Comfortable communicating with providers, patients, and healthcare staff.
  • Required Qualifications:
    • BS Pharmacy or PharmD.
    • Active New York Pharmacist License (mandatory).
  • Work Schedule:
    • Remote, Monday-Friday, 8:30 AM - 5:00 PM ET.
    • Occasional weekend/holiday coverage may be required.
  • Location:
    • Candidates located in New York State.
  • Contract Duration:
    • Through the end of the year, with possible extension.
  • Interview Process:
    • One virtual interview
EEO:
"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."
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About Mindlance

Sourced by ZipRecruiter

Mindlance is a multinational staffing and services firm based in the Greater NYC area. We have 14 offices across the United States, Canada, and India. We match talented people to Fortune 500 and Fortune 1000 companies across industries. We have been in business since 1999 and are recognized by Staffing Industry Analysts (SIA) as one of the fastest-growing U.S. staffing firms. Our rapid growth means more jobs, more projects, and more opportunities for you. Our core philosophy means that you work with an organization that truly values and recognizes you.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Union, NJ, US

Year founded

1999

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