ZipRecruiter

Log In

2

Remote Prior Authorization Pharmacist Jobs (NOW HIRING)

Central Oregon Pediatric Associates

$19 - $24.75/hr

Job Type Full-time Description Prior Authorization and Referral Coordinator - Hybrid This position is only available to applicants in Central Oregon FTE: 1.0 Non-Exempt Monday - Friday, 8am-5pm The

Adecco

Pharmacist PipelineMissoula MT

Missoula, MT · On-site +1

$55 - $57.75/hr

Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside within Montana. This role is work from home and all equipment is provided. Please read below and apply

next page

Showing results 1-20

All JobsPrior Authorization Pharmacist JobsRemote Prior Authorization Pharmacist Jobs

Remote Prior Authorization Pharmacist information

See salary details

$27

$60

$74

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

As of Jul 16, 2026, the average hourly pay for remote prior authorization 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 Prior Authorization Pharmacist job?

A Remote Prior Authorization Pharmacist evaluates medication requests from healthcare providers to ensure they meet insurance coverage criteria. They review patient records, assess clinical guidelines, and approve or deny authorizations based on company policies. Working remotely, they collaborate with physicians, insurance companies, and patients to facilitate access to necessary medications while ensuring cost-effective prescribing. Strong clinical knowledge and familiarity with insurance policies are required for this role.

What are some common challenges faced by Remote Prior Authorization Pharmacists, and how can they be managed?

Remote Prior Authorization Pharmacists often navigate challenges such as high volumes of complex medication requests, frequent updates to insurance policies, and communicating effectively with prescribers and payers through virtual channels. Staying organized and keeping up-to-date with payer criteria and evolving drug formularies is essential. Many employers offer robust training and ongoing support to help pharmacists adapt to these changes and maintain workflow efficiency. By leveraging strong communication and analytical skills, pharmacists can streamline approvals and contribute positively to patient care, even in a remote setting.

What are the key skills and qualifications needed to thrive in the Remote Prior Authorization Pharmacist position, and why are they important?

To thrive as a Remote Prior Authorization Pharmacist, you need strong clinical pharmacy knowledge, attention to detail, and current pharmacist licensure. Experience with prior authorization systems, pharmacy benefit management software, and proficiency in using EHRs and relevant payer platforms is crucial. Exceptional written communication, problem-solving, and time management skills help professionals excel in coordinating with providers and payers remotely. These attributes ensure accurate review and efficient processing of medication requests, leading to better patient outcomes and streamlined healthcare delivery.

More about Remote Prior Authorization Pharmacist jobs
What cities are hiring for Remote Prior Authorization Pharmacist jobs? Cities with the most Remote Prior Authorization Pharmacist job openings:
What are the most commonly searched types of Prior Authorization Pharmacist jobs? The most popular types of Prior Authorization Pharmacist jobs are:
What states have the most Remote Prior Authorization Pharmacist jobs? States with the most job openings for Remote Prior Authorization Pharmacist jobs include:
What job categories do people searching Remote Prior Authorization Pharmacist jobs look for? The top searched job categories for Remote Prior Authorization Pharmacist jobs are:
Remote Prior Authorization Pharmacist jobs near you
Infographic showing various Remote Prior Authorization Pharmacist job openings in the United States as of July 2026, with employment types broken down into 75% Full Time, 13% Part Time, and 12% Contract. Highlights an 100% Remote job distribution, with an average salary of $126,701 per year, or $60.9 per hour.

Prior Authorization Workflow Consultant

Humata Health

Remote

Full-time

Medical, Life, Retirement, PTO

Re-posted 3 days ago

Job description

What we're looking for: The Prior Authorization Workflow Consultant plays a critical role in Humata Health's customer's implementation process and post go-live stabilization/maintenance efforts. This role sits at the intersection of hospital operations, Epic workflows, and payer portal automation. The PA Workflow Consultant partners with hospital PA staff to review prior authorization workflows, referral volumes, and payer mappings, ensuring seamless alignment with Humata's automation platform. They will validate existing automations, document requirements for new ones, and ensure workflows are fully mapped, tested, and optimized for Humata's touchless prior authorization solution.
Location: Remote, US or Hybrid - Orlando, Florida, US
• Responsibilities
  • Own the operational workstream deliverables for customer implementations including discovery, data collection and analysis of Prior Authorization workflows.
  • Proactively manage all operational workstream tasks of the implementation project plan
  • Be a collaborative and communicative member of the implementation project team, ensuring implementation project manager has visibility into operational progress and risks
  • Conduct operational workflow and portal shadowing sessions with customers, asking thoughtful and specific questions to understand their current processes. Identify risks related to the successful implementation of Humata's PA technology.
  • Capture and document operational workflows in Humata's design workbook to inform solution build and develop prior authorization workflows. Review customer payer/plan mix and formulate automation workflow recommendations
  • Adapt future-state workflows and payer/portal additions for customers during stabilization and maintenance phases post go-live
  • Create payer portal credentials to support Humata's automations
  • Own payer portal validation during testing and go-live project phases; collaborate with the customer's operations/technical teams to review automation results
  • Document and escalate validation issues to be reviewed/resolved by Humata's Engineering team

Role Requirements
  • Bachelor's degree in Business, Healthcare Administration, or a related field.
  • 3+ years hands' on Prior Authorization experience
  • Familiarity with healthcare operations, prior authorization, or revenue cycle workflow optimization.
  • Systems knowledge/expertise with Epic (referrals, work queues, coverage), payer portals, and revenue cycle operations
  • Hands-on data analysis experience, ability to analyze referral volumes service line/payer. This role requires a strong analytical mindset and ability to synthesize large data volumes and make informed decisions based on data analysis
  • Organized, able to document processes (both current state and future-state automations) succinctly
  • Comfort with ambiguity, shifting priorities and building new processes in an evolving start-up environment
  • Collaborative team player with a consultative approach to client engagement and solution development
  • Utilize PowerBI for reporting, Google Workspace, Slack
  • Willingness to travel as required (up to 25%) for customer onsite discovery sessions and all-company meetings

☆Preferred Experience & Skills:
  • Prior Authorization Expertise: Understand the end-to-end Prior Authorization process (including pre and post-auth touchpoints). Hands-on experience working with payer portals.
  • Strong Epic user knowledge (Cadence, Referrals, Coverage/Work Queues), comfortable pulling/analyzing data (Excel/SQL helpful).
  • Operational & process mindset: Can map workflows end-to-end and identify bottlenecks.
  • Experience with healthcare software and familiarity with HIPAA compliance and PHI handling.
  • Innovative problem-solver who brings curiosity, creativity, and structure to ambiguous challenges.
  • Adept at navigating complex challenges and can think critically to solution and remove barriers

Why Join Humata Health?
  • Impactful Work: Contribute to innovative solutions that improve healthcare efficiency and patient outcomes
  • Remote Flexibility: Enjoy working remotely while being part of a collaborative team, with access to our new office in Winter Park, FL
  • Competitive Compensation: Enjoy competitive base compensation, equity through our Employee Stock Option Plan, and bonus-eligible roles
  • Comprehensive Benefits: Full benefits package including unlimited PTO and 401k program with employer match
  • Growth Opportunities: Advance your career in a fast-paced, high-impact environment with ample professional development
  • Inclusive Culture: Join a diverse workplace where your ideas and contributions are valued

Pay Transparency
Humata Health will provide pay transparency information upon application to those in qualifying jurisdictions.
Our salary ranges are based on competitive pay for our company's size and industry. They are one part of the total compensation package that may also include equity, variable compensation, and benefits. Individual pay decisions are ultimately based on several factors, including qualifications, experience level, skillset, geography, and balancing internal equity.
Humata Health is proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, age, sex, marital status, ancestry, neurotype, physical or mental disability, veteran status, gender identity, sexual orientation or any other category protected by law.
Join us in our mission to transform healthcare while building a life that works in harmony both in and outside the office.

Apply