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Remote Prior Authorization Rn Jobs in Dallas, GA

REMOTE across the US working EST, CST or PST Duration : 10 months - extensions are based on ... The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating ...

The Clinical Pharmacist reviews prior authorization and appeal requests to determine medication coverage based on clinical guidelines, pharmacy policies, and health plan benefits. This role works ...

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Remote Prior Authorization Rn information

See Dallas, GA salary details

$6

$38

$65

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

As of Aug 31, 2026, the average hourly pay for remote prior authorization rn in Dallas, GA is $38.16, according to ZipRecruiter salary data. Most workers in this role earn between $28.46 and $45.19 per hour, depending on experience, location, and employer.

What is the difference between Remote Prior Authorization Rn vs Remote Medical Coder?

AspectRemote Prior Authorization RnRemote Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), high school diploma or equivalent
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding platforms
Industry UsageUtilization review, patient authorization, insurance approvalMedical record review, billing, coding for insurance claims

Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

What are popular job titles related to Remote Prior Authorization Rn jobs in Dallas, GA?

For Remote Prior Authorization Rn jobs in Dallas, GA, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Rn jobs in Dallas, GA look for?

The top searched job categories for Remote Prior Authorization Rn jobs in Dallas, GA are:

What cities near Dallas, GA are hiring for Remote Prior Authorization Rn jobs?

Cities near Dallas, GA with the most Remote Prior Authorization Rn job openings:

Infographic showing various Remote Prior Authorization Rn job openings in Dallas, GA as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $79,382 per year, or $38.2 per hour.

Remote Prior Authorization Pharmacist

Atlanta, GA • Remote

$59/hr

Contractor

Medical, Dental, Vision

Posted 12 days ago


Job description

Company: OptumRx

Position: Pharmacist

Locations: REMOTE across the US working EST, CST or PST

Duration: 6 – 10 months – extensions are based on business demand

  • All contractors are expected to work the full assignment.
  • Some assignments can convert permanent based on business demand and performance.

Start date: Rolling start dates, 8/31-11/23 – all start dates can be found on Airtable.

Schedule: Will vary depending on hiring class, information located on Air Table

  • Lunch is 30 minutes; lunch is not paid.
  • They will get 2, 15-minute breaks.
  • Candidates with no time off request will be prioritized. 100% attendance during training is required. Candidates with more than 3 days off during the contract period will not be considered.
  • Interview Process: Group interview lead by IG AM and OptumRx
  • 5 Pharm Tech: 1 OptumRx Hiring Manager
  • 3 RPh: 1 OptumRx Hiring Manager
  • Basic Requirements for both skill sets:
  • Training is for 5 weeks. Training time is TBD based on the time zone candidates will be working in Monday- Friday. This training time is subject to change.
  • Shift after training is an 8-hour shift with an hour lunch. Candidate must be available as early as 5am and as late as midnight. Training requires the candidate’s camera to be on and to be at their remote home work station for the full workday.
  • Candidate will work 5 days a week which may or may not include a weekend day(s). Most shifts are Monday- Friday.  5% are Sunday - Thursday and about 10% are Tuesday – Saturday.
  • There may be scheduled overtime and/or working on holidays dependent on business needs.
  • Pharm Techs: Average 5 hours of OT/month. 
  • RPh: Average 5-20 hours of OT/month during peak season (December – January).
  • Candidate must have their own home internet access.
  • Expected Internet Speed: Download: ≥ 15 Mbps, Upload: ≥ 5 Mbps, Ping: ≤ 150 ms, Jitter: ≤ 30 ms
  • Candidate must also have a secure workspace/office in their home, cannot be moving between locations throughout the work week.
  • Candidates need to be technology savvy (Share your screen, test internet speed, open your web browser, type in a URL, favorite the web browser, navigating a second web browser, open setting and connect Bluetooth device.)
  • Excellent attendance is a must.

PHARMACIST – RPh

Must Haves

-Bachelors or Doctorate of Pharmacy; Active State Pharmacist License

-Current Licensed Pharmacist within the state of work

-6+ months of customer service/customer relations with healthcare professionals

-Technology savvy - Basic proficiency with Microsoft Excel (ability to create, edit, and save a basic spreadsheet), Microsoft Word (ability to create, edit, and save a basic document) and basic proficiency with Microsoft Outlook (ability to send emails)

-Comfortable with production-based environment

-Ability to perform responsibilities and duties remotely with little to no supervision

-Comfortable in a fast-paced, high-volume workload

-Ability to be adaptable, team-oriented culture requiring flexibility and adaptability to changing business needs.


Job Description:

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy policies, and health plan benefits. In this fast-paced, high-volume environment, the pharmacist works closely with physicians, healthcare providers, pharmacy technicians, and internal teams to gather and assess clinical information, make evidence-based coverage determinations, recommend formulary-compliant and cost-effective treatment alternatives, and ensure compliance with federal and state regulations. The role requires strong clinical judgment, attention to detail, effective communication skills, and the ability to manage competing priorities while meeting productivity and quality standards. Additionally, the pharmacist supports quality assurance initiatives, resolves provider and pharmacy inquiries, participates in process improvement efforts, and contributes to a collaborative, customer-focused team environment. Maintain full compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and commercial benefit regulations. Accurately document case decisions in accordance with internal protocols, auditing standards, and confidentiality policies.  Effectively manage case volume by organizing workload, setting daily priorities, and meeting productivity and quality benchmarks. Adapt to fluctuating demands while maintaining accuracy and professionalism under pressure.