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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 Start Dates * October 12th * October 26th Training Requirements * Mandatory paid training is held ...

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 ... Experience in managed care, PBM, or health plan environment. * Knowledge of pharmacy benefit ...

A-Line Staffing Solutions

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Prior Authorization Pharmacist

Phoenix, AZ · Remote

$53/hr

... PBM or health plan remote/call center environment. * Minimum 1 year of related clinical prior ... Active pharmacist license in your state of residence required Key Responsibilities * Perform ...

ICONMA

Clinical Pharmacist/Pharmacist

$59.50 - $71.75/hr

Clinical Pharmacist/Pharmacist Our client, a Healthcare company, is looking for a Clinical ... MI/Remote location. Requirements: * Prior authorization experience in a PBM environment

Managed Staffing

Pharmacist Operations Advisor

AL · Remote

$57 - $58/hr

Seeking licensed Prior Authorization Pharmacists with PBM (Pharmacy Benefit Management) experience for a fully remote contract opportunity. The Pharmacist Operations Advisor will be responsible for ...

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How much do remote pbm pharmacist jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote pbm pharmacist in the United States is $60.91, according to ZipRecruiter salary data. Most workers in this role earn between $56.01 and $67.31 per hour, depending on experience, location, and employer.

What is a remote PBM pharmacist?

A Remote PBM (Pharmacy Benefit Manager) Pharmacist is a licensed pharmacist who works remotely to manage prescription drug benefits for health plans, insurance companies, and employers. Their responsibilities typically include reviewing medication approvals, ensuring formulary compliance, conducting drug utilization reviews, and providing clinical support. They help optimize medication therapies, reduce costs, and improve patient outcomes. This role often involves collaboration with healthcare providers and insurance teams to ensure appropriate medication use. It requires strong analytical skills, knowledge of pharmacy regulations, and proficiency with PBM software systems.

What does a remote PBM pharmacist do?

A typical workday for a Remote PBM Pharmacist involves reviewing and processing prescription drug claims, conducting medication prior authorization reviews, and supporting formulary management decisions. You may spend much of your day collaborating virtually with healthcare providers, insurance representatives, and other pharmacists to resolve medication issues and optimize patient outcomes. Most roles require strong organizational skills and the ability to manage multiple cases simultaneously while maintaining regulatory compliance. You'll often use specialized pharmacy benefit management software and participate in team meetings or case discussions via secure online platforms. The remote nature of the job provides flexibility but also requires self-motivation and effective communication to ensure seamless coordination with your team.

What are the key skills and qualifications needed to thrive as a remote PBM pharmacist?

To thrive as a Remote PBM Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, a current pharmacist license, and experience in pharmacy benefit management (PBM) or managed care settings. Familiarity with pharmacy claims systems, formulary management software, and proficiency in using secure telehealth platforms are crucial technical requirements. Strong attention to detail, problem-solving abilities, and effective remote communication skills help you excel in a virtual team environment. These capabilities ensure accurate medication reviews, efficient claim adjudication, and quality service to patients and healthcare partners from a remote location.

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Remote Pbm Pharmacist jobs near you
Infographic showing various Remote Pbm Pharmacist job openings in the United States as of August 2026, with employment types broken down into 96% Full Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $126,701 per year, or $60.9 per hour.

Remote Pharmacist - Prior Authorization / PBM Experience

A-Line Staffing Solutions

Phoenix, AZ • Remote

$53 - $55/hr

Full-time

Medical, Dental, Vision, Life, Retirement

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

Job description

Pay: $53.00 per hour

Job description:

Remote Pharmacist – Prior Authorization / PBM Experience

Pay Rate: $53.00/hr

Start Dates

  • October 12th
  • October 26th

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.

Benefits:

  • Dental insurance
  • Health insurance
  • Vision insurance
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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

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