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Remote Formulary Jobs (NOW HIRING)

Prime Therapeutics

Program Analyst Associate - Remote

$25.48 - $40.87/hr

Job Posting Title Program Analyst Associate - Remote The AssociateProgram Analyst is responsible ... Clinical Program Management, Utilization Management (UM), Formulary, GuidedHealth, Pharmaceutical ...

A-Line Staffing Solutions

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Remote Pharmacist - Prior Authorization / PBM Experience

Phoenix, AZ · Remote

$53 - $55/hr

Pay: $53.00 per hour Remote Pharmacist - Prior Authorization / PBM Experience Pay Rate: $53.00/hr ... Interpret Medicare Part D guidelines, formulary requirements, and clinical criteria. * Apply ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist Work From Home | Flexible Schedule | High Clinical Impact ... Apply evidence-based guidelines, formulary rules, and regulatory standards to approve or deny ...

American Oncology Network

Pharmacist

Charleston, WV · Remote

$44.33 - $92.07/hr

Remote Position Pay Range: $44.33 - $92.07 Position Summary The Clinical Pharmacist provides ... Support clinical pharmacy projects, including formulary evaluations, P&T preparation, drug ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Apply evidence-based guidelines, formulary rules, and regulatory standards to approve or deny ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Apply evidence-based guidelines, formulary rules, and regulatory standards to approve or deny ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Apply evidence-based guidelines, formulary rules, and regulatory standards to approve or deny ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Apply evidence-based guidelines, formulary rules, and regulatory standards to approve or deny ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Apply evidence-based guidelines, formulary rules, and regulatory standards to approve or deny ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Apply evidence-based guidelines, formulary rules, and regulatory standards to approve or deny ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Apply evidence-based guidelines, formulary rules, and regulatory standards to approve or deny ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Apply evidence-based guidelines, formulary rules, and regulatory standards to approve or deny ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact ... Apply evidence-based guidelines, formulary rules, and regulatory standards to approve or deny ...

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Remote Formulary information

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$71

$100

How much do remote formulary jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for remote formulary in the United States is $71.40, according to ZipRecruiter salary data. Most workers in this role earn between $58.17 and $83.41 per hour, depending on experience, location, and employer.

What is a remote formulary specialist?

A remote formulary specialist is a professional who manages and updates lists of approved medications (formularies) for health insurance plans, pharmacy benefit managers, or healthcare organizations, typically while working from a remote location. They are responsible for reviewing drug data, ensuring compliance with regulations, and making recommendations for formulary inclusion or exclusion. By working remotely, these specialists use digital platforms to collaborate with healthcare providers and insurers, helping ensure patients have access to the most effective and affordable medications.

How does a remote formulary analyst typically collaborate with pharmacy benefit managers and healthcare providers?

A Remote Formulary Analyst frequently works with pharmacy benefit managers (PBMs), healthcare providers, and internal pharmacy teams to ensure drug lists are accurate, compliant, and up to date. Collaboration often occurs via virtual meetings, shared documentation platforms, and regular email communication. The analyst provides insights into formulary changes, answers clinical and regulatory questions, and assists in resolving discrepancies or issues related to drug coverage. Effective collaboration is key to maintaining a smooth workflow and ensuring all stakeholders are aligned on formulary updates and policies.

What are the key skills and qualifications needed to thrive as a remote formulary pharmacist, and why are they important?

To thrive as a Remote Formulary Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, state licensure, and a solid understanding of drug therapy management and formulary development. Familiarity with pharmacy management systems, electronic health records (EHRs), and formulary management software is essential. Strong analytical skills, attention to detail, and effective communication are vital for collaborating with healthcare teams and optimizing patient outcomes. These skills ensure safe and cost-effective medication use while supporting evidence-based clinical decisions in a remote setting.

What is the difference between Remote Formulary vs Remote Pharmacist?

AspectRemote FormularyRemote Pharmacist
CredentialsPharmacy degree, certification in formulary managementPharmacy degree, state licensure, pharmacist license
Work EnvironmentHealthcare organizations, insurance companies, pharmacy benefit managersHospitals, retail pharmacies, telehealth platforms
Industry UsageFormulary development, medication management, policy creationDispensing medications, patient counseling, medication review

Remote Formulary specialists focus on developing and managing medication lists and policies, often working behind the scenes for healthcare organizations. Remote Pharmacists are licensed professionals who dispense medications and provide patient care remotely. While both roles require pharmacy credentials, their daily tasks and work environments differ significantly.

More about Remote Formulary jobs

What cities are hiring for Remote Formulary jobs?

Cities with the most Remote Formulary job openings:

What are the most commonly searched types of Formulary jobs?

The most popular types of Formulary jobs are:

What states have the most Remote Formulary jobs?

States with the most job openings for Remote Formulary jobs include:

What job categories do people searching Remote Formulary jobs look for?

The top searched job categories for Remote Formulary jobs are:

Remote Formulary jobs near you
Infographic showing various Remote Formulary job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 87% Full Time, 9% Part Time, and 1% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $148,520 per year, or $71.4 per hour.

Remote Pharmacist - Prior Authorization / Coverage Determination

A-Line Staffing Solutions

Woonsocket, RI • Remote

$53/hr

Full-time

Medical, Dental, Vision

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Remote Pharmacist – Prior Authorization / Coverage Determination

Pay Rate: $53.00/hr

Start Dates

  • September 7
  • September 28

Training Requirements

  • Mandatory paid training is held Monday – Friday, 9:00 AM – 5:30 PM EST for approximately 8–10 weeks.
  • Attendance is mandatory during training. No planned vacation or scheduling conflicts are permitted during this period.
  • Candidates must be available for the entire training schedule before accepting the assignment.
  • Camera must remain on during all virtual training sessions, supervisor meetings, and team meetings.

Schedule

Business Hours:

  • Monday – Friday: 7:00 AM – 8:00 PM EST
  • Saturday & Sunday: 7:00 AM – 4:30 PM EST

Schedule Type: Set Rotation

After training, candidates will be assigned an 8-hour shift based on business needs, which will include either:

  • One weekend day each week, or
  • A rotating weekend schedule.


Job Summary

We are seeking a licensed Registered Pharmacist to support a high-volume, remote Prior Authorization and Coverage Determination team. This role is responsible for reviewing pharmacy benefit requests, interpreting clinical criteria, evaluating Medicare Part D coverage determinations, and ensuring accurate, timely decisions while maintaining compliance with regulatory requirements.

The ideal candidate has experience in Pharmacy Benefit Management (PBM), prior authorizations, managed care, or clinical pharmacy operations and thrives in a productivity-driven remote environment with strict turnaround times.

This is a Safety Sensitive position.

Key Responsibilities

  • Review and evaluate prior authorization and coverage determination requests.
  • Interpret Medicare Part D guidelines, formulary requirements, and clinical criteria.
  • Apply evidence-based clinical judgment using drug information resources and clinical compendia.
  • Ensure compliance with CMS regulations, plan policies, and pharmacy benefit guidelines.
  • Document case reviews accurately and maintain audit-ready records.
  • Manage a high-volume case queue while meeting quality and productivity standards.
  • Perform provider outreach as needed to obtain clinical information or clarify requests.
  • Navigate multiple applications simultaneously while documenting case activity.
  • Work independently in a fast-paced remote environment with minimal supervision.
  • Participate in virtual meetings, coaching sessions, and required training.

Required Qualifications

  • Active Registered Pharmacist (RPh) license in good standing in the state of residence.
  • Experience with:
    • Pharmacy Benefit Management (PBM)
    • Prior Authorizations
    • Coverage Determinations
    • Medicare Part D
    • Formulary management
    • Drug Utilization Review (DUR)
  • Strong understanding of CMS regulations and managed care pharmacy.
  • Excellent documentation and data entry skills.
  • Experience working in high-volume, productivity-driven environments.
  • Strong computer skills, including Microsoft Excel and Word.
  • Ability to navigate multiple computer applications using dual monitors.

Preferred Qualifications

  • Experience with provider outreach and clinical case review.
  • Retail pharmacy combined with managed care or PBM experience.
  • Knowledge of Microsoft Access, PowerPoint, and Visio.
  • Previous remote clinical review experience.

Remote Work Requirements

Candidates must have:

  • A dedicated, quiet workspace free from interruptions.
  • Wired high-speed internet with a minimum of:
    • 25 Mbps download
    • 5 Mbps upload
  • Dual-monitor capability.
  • Ability to remain seated and focused throughout the workday.

Additional Requirements

  • Virtual interviews are conducted through Microsoft Teams.
  • Candidates must be comfortable with extensive data entry, multitasking, and working independently while maintaining productivity standards.
  • Opportunity for full-time employment based on performance.
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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

Social media

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