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Prior Authorization Remote Pharmacy Jobs in Springfield, MA

micro1 AI

Clinical Pharmacy Technicians

Springfield, MA · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...

micro1 AI

Clinical Pharmacy Technicians

Hartford, CT · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...

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Prior Authorization Remote Pharmacy information

See Springfield, MA salary details

$14

$19

$26

How much do prior authorization remote pharmacy jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for prior authorization remote pharmacy in Springfield, MA is $19.20, according to ZipRecruiter salary data. Most workers in this role earn between $16.78 and $20.38 per hour, depending on experience, location, and employer.

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

AspectPrior Authorization Remote PharmacyPharmacist
CredentialsCertification in pharmacy operations, pharmacy technician licenseDoctor of Pharmacy (Pharm.D.), state licensure
Work EnvironmentRemote, administrative settingRetail, hospital, or clinical settings, often onsite
Employer & IndustryInsurance companies, pharmacy benefit managersHospitals, retail pharmacies, healthcare facilities

Prior Authorization Remote Pharmacy specialists focus on processing insurance approvals remotely, requiring certification in pharmacy operations. Pharmacists hold advanced degrees and licenses, working directly with patients or in clinical settings. While both roles are integral to pharmacy services, they differ mainly in responsibilities, work environment, and required credentials.

What is a prior authorization remote pharmacy?

A Prior Authorization Remote Pharmacy job involves pharmacists or pharmacy technicians working remotely to review and process prior authorization requests for prescription medications. These professionals evaluate whether medications are covered under a patient's insurance plan and ensure that all necessary documentation is complete. They communicate with healthcare providers, patients, and insurance companies to obtain additional information as needed. Working remotely, they use specialized software and adhere to privacy regulations to protect patient information. This role helps ensure patients receive timely access to necessary medications while maintaining compliance with insurance requirements.

What are the key skills and qualifications needed to thrive as a prior authorization remote pharmacy specialist, and why are they important?

To thrive as a Prior Authorization Remote Pharmacy Specialist, you need a strong understanding of pharmacy practices, insurance processes, and medication therapies, often supported by a pharmacy technician certification (CPhT) or similar credentials. Familiarity with pharmacy benefit management (PBM) systems, electronic health records (EHRs), and prior authorization platforms is typically required. Attention to detail, effective communication, and strong organizational skills help professionals excel in managing complex cases and interacting with patients and providers. These competencies ensure accurate and timely processing of authorizations, improving patient access to medications and supporting healthcare team efficiency.

What are some common challenges faced by remote pharmacy professionals handling prior authorizations, and how can they be addressed?

Remote pharmacy professionals working on prior authorizations often encounter challenges such as complex insurance requirements, frequent communication with providers and payers, and navigating various electronic health record (EHR) systems. Staying organized and up-to-date with payer policies can help streamline the process. Developing strong communication skills and leveraging digital collaboration tools are key to efficiently resolving authorization issues and ensuring timely patient care.
What are popular job titles related to Prior Authorization Remote Pharmacy jobs in Springfield, MA? For Prior Authorization Remote Pharmacy jobs in Springfield, MA, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Remote Pharmacy jobs in Springfield, MA look for? The top searched job categories for Prior Authorization Remote Pharmacy jobs in Springfield, MA are:
What cities near Springfield, MA are hiring for Prior Authorization Remote Pharmacy jobs? Cities near Springfield, MA with the most Prior Authorization Remote Pharmacy job openings:
Prior Authorization Remote Pharmacy jobs near you
Infographic showing various Prior Authorization Remote Pharmacy job openings in Springfield, MA as of August 2026, with employment types broken down into 50% Full Time, 44% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $39,934 per year, or $19.2 per hour.

Pharmacy Prior Authorization Specialist

Onco360

Hartford, CT • On-site, Remote

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

21st of 112 rated pharmacies

Job description

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Full-Time | Starting at $23.00/hr and up
Shift times currently available: 9:00am- 5:30pm EST or 9:30 - 6:00 pm EST
Full-Time position working out of the State of Connecticut. This position may work remotely
Sign-On Bonus: $5,000 for employees starting before August 31, 2026!
As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives.
Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability
What You’ll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third-party authorization requests.
How You’ll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.
What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.

What Onco360 employees say

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