ZipRecruiter

Log In

2

Remote Insurance Prior Authorization Jobs (NOW HIRING)

Pacer Group

Prior Authorization Pharmacist (Remote)

$59.50 - $71.75/hr

Prior Authorization Pharmacist (Remote) Location: Remote (Must be able to work EST hours) Duration: 3 months Schedule: Monday - Friday | 10:00 AM - 6:30 PM EST Weekend Rotation: Possible Saturday ...

A-Line Staffing Solutions

Be Seen First

Pharmacist - Prior Authorization | Remote

Phoenix, AZ · Remote

$53/hr

Pay: From $53.00 per hour Pharmacist - Prior Authorization | Remote Job Type: Full-Time Contract Location: 100% Remote - Work from Home Positions Available: 35 Contract: Contract-to-Hire Goal ...

BMC Software

Prior Authorization Specialist I

$18.50 - $24.50/hr

This is a Remote Position. JOB REQUIREMENTS EDUCATION: * High school diploma or GED required ... Experience with insurance verification, prior authorization, pre-certification and financial ...

Boston Medical Center

Prior Authorization Specialist I

$18.50 - $24.50/hr

This is a Remote Position. JOB REQUIREMENTS EDUCATION : * High school diploma or GED required ... Experience with insurance verification, prior authorization, pre-certification and financial ...

OU Medical Center

Prior Authorization Specialist II

$18.50 - $24.50/hr

Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Remote Eligibility: Candidates must reside and work full-time in OK before their first day of ...

MRIoA

Prior Authorization Pharmacist (Remote)

$59.50 - $71.75/hr

Benefits include healthcare, vision and dental insurance, a generous 401k match, paid vacation ... To evaluate prior authorizations for drug appropriateness per drug policy criteria * To provide ...

Managed Staffing

Prior Authorization Techician

RI · Remote

$21 - $22/hr

Fully Remote (U.S. based) - West Coast candidates preferred Seeking Pharmacy Technician I (Prior Authorization) professionals to join their remote Caremark team. This role is responsible for ...

OU Health

Prior Authorization Specialist II

$18.50 - $24.50/hr

Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Remote Eligibility: Candidates must reside and work full-time in OK before their first day of ...

OU Health

Prior Authorization Specialist II

$18.50 - $24.50/hr

Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Remote Eligibility: Candidates must reside and work full-time in OK before their first day of ...

previous pagenext page

Showing results 21-40

All JobsRemote JobsRemote Insurance Prior Authorization Jobs

Remote Insurance Prior Authorization information

See salary details

$25.5K

$65.7K

$83.5K

How much do remote insurance prior authorization jobs pay per year?

As of Sep 13, 2026, the average yearly pay for remote insurance prior authorization in the United States is $65,651.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,000.00 and $77,000.00 per year, depending on experience, location, and employer.

What is the difference between Remote Insurance Prior Authorization vs Remote Insurance Claims Processor?

AspectRemote Insurance Prior AuthorizationRemote Insurance Claims Processor
Required CredentialsInsurance knowledge, certification preferredClaims processing experience, basic insurance knowledge
Work EnvironmentOffice or remote, healthcare or insurance companiesRemote, insurance companies or third-party administrators
Employer & Industry UsageHealth insurance, healthcare providersInsurance carriers, third-party payers
Common Search & ComparisonYesNo

Remote Insurance Prior Authorization involves obtaining approval from insurance companies before services are provided, ensuring coverage. Remote Insurance Claims Processors handle the submission and management of claims after services are rendered. While both roles require insurance knowledge and often work remotely within the insurance industry, they focus on different stages of the insurance process, making them distinct but related positions.

What cities are hiring for Remote Insurance Prior Authorization jobs?

Cities with the most Remote Insurance Prior Authorization job openings:

What are the most commonly searched types of Insurance Prior Authorization jobs?

The most popular types of Insurance Prior Authorization jobs are:

What states have the most Remote Insurance Prior Authorization jobs?

States with the most job openings for Remote Insurance Prior Authorization jobs include:

What are popular job titles related to Remote Insurance Prior Authorization jobs?

For Remote Insurance Prior Authorization jobs, the most frequently searched job titles are:

Remote Insurance Prior Authorization jobs near you

Prior Authorization Pharmacist (Remote)

Remote

Pacer Group
Electrical Equipment, Appliance, and Component Manufacturing • 11 - 50 employees
Learn more about Pacer Groupexternal

$59.50 - $71.75/hr

Other

Re-posted 7 days ago

Job description

Job Title: Prior Authorization Pharmacist (Remote)
Location: Remote (Must be able to work EST hours)
Duration: 3 months
Schedule: Monday - Friday | 10:00 AM - 6:30 PM EST
Weekend Rotation: Possible Saturday rotation based on business needs
XXXX: XXXXXXXXXXX/hr
Job Summary
We are seeking a licensed Pharmacist to join the Prior Authorization team. In this role, you will review and determine prior authorization requests for pharmaceutical products by evaluating medical necessity, benefit coverage, and clinical appropriateness. This is a fully remote position requiring candidates to work an Eastern Time schedule.
Key Responsibilities
  • Review and process prior authorization requests for prescription drug coverage.
  • Make medical necessity and benefit determinations using established pharmacy guidelines and clinical criteria.
  • Apply sound clinical judgment while ensuring compliance with industry regulations and company policies.
  • Work independently while collaborating with senior pharmacists and leadership as needed.
  • Provide clinical support to the Customer Care Center.
  • Engage with healthcare providers regarding prior authorization determinations.
  • Support Fraud, Waste, and Abuse program oversight.
  • Stay current on industry trends, regulatory updates, and operational guidelines.
  • Meet quality standards and customer performance metrics.
  • Participate in rotating weekend coverage if business needs require.
Required Qualifications
  • Bachelor's Degree in Pharmacy (PharmD preferred).
  • Current active Pharmacist license.
  • Strong clinical decision-making and communication skills.
  • Proficiency with Windows-based computer applications.
  • Ability to work independently in a remote environment.
Preferred Qualifications
  • Prior Authorization or Coverage Determination experience.
  • Experience in managed care, PBM, or health plan environment.
  • Knowledge of pharmacy benefit management and utilization review.
Work Environment
  • Fully remote position.
  • Must be available to work Monday-Friday, 10:00 AM-6:30 PM EST.
  • Occasional Saturday rotation based on business needs.
  • Collaborative team environment with opportunities for long-term growth.

Apply