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Virtual Prior Authorization Pharmacist Jobs in Raleigh, NC

Adecco

Pharmacy Technician

Cary, NC · On-site

$22.50/hr

You'll be the bridge between patients, providers, insurance companies, and specialty pharmacies to ... Prior Authorization Specialist ???? Specialty Pharmacy Representative ???? Pharmacy Support ...

Actalent

Pharmacy Technician

Cary, NC · Hybrid

$17.25 - $21/hr

... pharmacists and nurses, when clinical input is required. * Identify and report adverse events and ... Apply knowledge of insurance, medical claims, and prior authorization processes when assisting ...

Actalent

Pharmacy Technician

Cary, NC · Hybrid

$17.25 - $21/hr

... pharmacists and nurses, when clinical input is required. * Identify and report adverse events and ... Apply knowledge of insurance, medical claims, and prior authorization processes when assisting ...

UNC HEALTH

Outpatient Pharmacy Tech II

Chapel Hill, NC · On-site

$18.48 - $25.89/hr

... Pharmacist. 5. Prepares medications for pick-up, delivery or shipping. Returns unpurchased medications to stock and processes credits. 6. Solves issues with patient payment (prior authorization ...

AMPLIFY HEALTH

Pharmacy Technician - Full Time

Raleigh, NC · On-site

$15.50 - $19/hr

Manage multiple drug inventories, physical and virtual, according to policies and procedures of ... Under the direction of the pharmacist, complete and document in the EMR, Prior Authorizations for ...

IN CLINIC RX LLC

Pharmacy Technician

Benson, NC · On-site

$14.25 - $17.25/hr

Process prescription orders, refill requests, and medication prior authorizations accurately and ... pharmacist promptly. QUALIFICATIONS AND EXPERIENCE: * High school diploma or equivalent required ...

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Virtual Prior Authorization Pharmacist information

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$27

$59

$72

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

As of Sep 3, 2026, the average hourly pay for virtual prior authorization pharmacist in Raleigh, NC is $59.21, according to ZipRecruiter salary data. Most workers in this role earn between $54.42 and $65.43 per hour, depending on experience, location, and employer.

What is a virtual prior authorization pharmacist?

A Virtual Prior Authorization Pharmacist is a licensed pharmacist who works remotely to review and process prior authorization (PA) requests for medications. They evaluate clinical information submitted by healthcare providers to determine if a prescribed medication meets the requirements for insurance coverage. This role involves collaborating with providers, payers, and patients, and often utilizes electronic health records and telepharmacy systems to streamline the PA process. Virtual Prior Authorization Pharmacists help ensure that patients receive appropriate, cost-effective medications while complying with insurance policies and regulations.

How does a virtual prior authorization pharmacist typically collaborate with healthcare providers and insurance companies to ensure timely medication approvals?

As a Virtual Prior Authorization Pharmacist, you will regularly communicate with physicians, nurses, and insurance representatives to gather necessary clinical information and clarify prescription details. The role involves reviewing patient records, submitting documentation, and following up on pending authorizations to minimize delays in patient care. Effective collaboration often requires strong communication skills, attention to detail, and a proactive approach to problem-solving. You'll use secure digital platforms to coordinate these efforts, ensuring compliance with privacy regulations while streamlining the approval process.

What are the key skills and qualifications needed to thrive as a virtual prior authorization pharmacist, and why are they important?

To thrive as a Virtual Prior Authorization Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, active pharmacist licensure, and strong knowledge of insurance policies and medication therapies. Familiarity with electronic prior authorization platforms, pharmacy benefit management (PBM) systems, and clinical decision support tools is typically required. Excellent communication, attention to detail, and strong organizational skills help pharmacists excel in coordinating with providers and payers remotely. These competencies are critical for ensuring accurate medication approvals, timely patient access to therapies, and compliance with regulatory standards.

What is the difference between Virtual Prior Authorization Pharmacist vs Pharmacist?

AspectVirtual Prior Authorization PharmacistPharmacist
CredentialsLicensed Pharmacist, often with certification in pharmacy or healthcareLicensed Pharmacist, with state licensure
Work EnvironmentRemote, primarily handling prior authorization requestsRetail, hospital, or clinical settings
Employer & IndustryHealth insurance companies, telepharmacy servicesPharmacies, hospitals, healthcare facilities

The Virtual Prior Authorization Pharmacist specializes in reviewing and approving prior authorization requests remotely, focusing on insurance and coverage criteria. In contrast, a Pharmacist works directly with patients in various settings, dispensing medications and providing clinical advice. Both roles require pharmacy licensure, but their work environments and daily tasks differ significantly.

What jobs can a virtual prior authorization pharmacist do remotely?

A virtual prior authorization pharmacist can perform tasks such as reviewing medication requests, verifying insurance coverage, and communicating with healthcare providers remotely. These roles typically require strong knowledge of pharmacy benefits, access to secure communication tools, and often involve flexible schedules to support healthcare providers and patients from a remote setting.

What are the most commonly searched types of Prior Authorization Pharmacist jobs in Raleigh, NC?

The most popular types of Prior Authorization Pharmacist jobs in Raleigh, NC are:

What are popular job titles related to Virtual Prior Authorization Pharmacist jobs in Raleigh, NC?

For Virtual Prior Authorization Pharmacist jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Virtual Prior Authorization Pharmacist jobs in Raleigh, NC look for?

The top searched job categories for Virtual Prior Authorization Pharmacist jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Virtual Prior Authorization Pharmacist jobs?

Cities near Raleigh, NC with the most Virtual Prior Authorization Pharmacist job openings:

Virtual Prior Authorization Pharmacist jobs near you
Infographic showing various Virtual Prior Authorization Pharmacist job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $123,164 per year, or $59.2 per hour.

Patient Access Liaison - Rare Disease - East

Amgen

Raleigh, NC • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 2 days ago

New

Key responsibilities

  • Support patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes.

  • Educate physician offices and sites of care on therapy coverage pathways, reimbursement processes, and billing considerations.

  • Investigate patient access challenges, review denied claims, and support resolution of reimbursement barriers.

Job description

Career CategoryCorporate ServicesJob Description

Join Amgen's Mission of Serving Patients

At Amgen, if you feel likeyou'repart of something bigger,it'sbecause you are. Our shared mission-to serve patients living with serious illnesses-drives all that we do.

Since 1980,we'vehelped pioneer the world of biotech in our fight against the world's toughest diseases. With our focus on four therapeutic areas - Oncology, Inflammation, General Medicine, and Rare Disease - we reachthousandsof patients each year. As a member of the Amgen team,you'llhelp make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller, happier lives.

Our award-winning culture is collaborative, innovative, andscience-based. If you have a passion for solving complex challenges and driving meaningful impact for patients,you'llthrive as part of the Amgen team.

HOW MIGHT YOU DEFY IMAGINATION?

At Amgen, our shared mission-to serve patients-drives all that we do. As a global biotechnology leader, we collaborate across disciplines to deliver innovative therapies that reach millions of patients worldwide.It'stime for a career you can be proud of.

Live

What youwill do

Let'sdo this.Let'schange the world.

ThePatient Access Liaison (PAL) is a field-based patient access and reimbursement specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies.

ThePAL serves as a key resource in helping stakeholders understand payer requirements, prior authorization processes, reimbursement considerations, and available patient support resources. The role focuses on ensuringtimelyand sustained access to therapy by addressing reimbursement barriers and providing education to patients and providers on coverage and financialassistanceprograms.

Working within a collaborative field environment, thePALpartners with internalteams including Market Access, Medical Affairs, Advocacy, Marketing, Case Management, and Site of Care teams to supportthe patient journey. The roleoperateswith independence in managing assigned patient cases and contributesfieldinsights that inform broader access strategies.

Key Responsibilities

Patient Access and Reimbursement Support

  • Serve as a resource on patient access and reimbursement for infused and specialty therapies.

  • Assistpatients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes.

  • Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims.

  • Provide educationregardingcoding and billing considerations relevant to therapy access.

Patient and Caregiver Engagement

  • Develop relationships with patients and caregivers through phone, virtual, and in-person engagement.

  • Secure written or electronic patient HIPAA authorization within assigned geography.

  • Assess individual patient needs and provide education and resources that support access to therapy.

  • Educate patients on coverage considerations and the stepsrequiredto obtain prior authorization.

  • Provide informationregardingco-payassistanceprograms, national foundations, and free drug programs whenappropriate.

Provider and Site-of-Care Education

  • Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes.

  • Provide informationregardingcommon prior authorization requirements, coding considerations, and billing practices.

  • Support healthcare providers and infusion centers in navigating reimbursement questions related to patient cases.

Access Issue Resolution

  • Investigate patient access challenges before and after infusion.

  • Support physician offices and sites of care in reviewing denied claims andidentifyingpotential next steps.

  • Escalate complex or systemic reimbursement issues toappropriate internalstakeholders.

Cross-Functional Collaboration

  • Partner with internal stakeholders including Market Access, Medical Affairs, Advocacy, Case Managers, and Site of Care teams to support patient access initiatives.

  • Coordinate with internal and external partners to ensureappropriate resourcesare available to support patient access.

  • Share field insightsregardingpayer policies and reimbursement challenges.

Compliance, Safety, and Operational Excellence

  • Adhereto company policies, compliance guidance, andapplicable tofederal, state, and local regulations.

  • Ensure activities align with HIPAA privacy requirements and internal compliance guidelines.

  • Report adverse events and product complaints through established pharmacovigilance processes.

  • Maintainaccuratedocumentation of activities and interactionsin Amgen's internal system.

Win

What we expect of you

Basic Qualifications- Level 5

Doctorate degree

OR

Master's degree and2years of patient services and/or access and reimbursement experience

OR

Bachelor's degree and4years of patient services and/or access and reimbursement experience

OR

Associate's degree and8yearsof patient services and/or access and reimbursement experience

OR

High school diploma / GED and 10years ofpatient services and/or access and reimbursement experience

Basic Qualifications - Level 6

Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience

OR

Master's degree and 4 years of patient services, and/or access and reimbursement, experience

OR

Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience

Preferred Qualifications

  • Experience supportingbuy-and-bill or infused pharmaceutical therapies

  • Rare disease or orphan drug experience

  • Clinical background such as nursing or allied health

  • Understanding of reimbursement processes including prior authorization, appeals, and denied claims management

  • Knowledge of HIPAA guidelines and FDA regulatory requirements

  • Familiarity with internal and OIG compliance guidelines

  • Strong analytical and problem-solving skills

  • Excellent written and verbal communication skills

  • Ability to manage complex patient situations and resolve access barriers

  • Experience working in cross-functional field teams

  • Proficiencyin Microsoft Office, CRM,AIand relevant systems

  • Access and reimbursement knowledge

  • Prior authorization processes

  • Healthcare reimbursement systems

  • Coding and billing awareness

  • Patient support program knowledge

  • Compliance and privacy requirements

  • Learning agility

  • Decision quality

  • Stakeholder engagement

  • Ability to respond rapidly to urgent access needs to preventtreatment delays or lapses

  • Ability tooperateeffectively inmatrix field environments

  • Travel up to50%, including occasional overnight and weekend commitments

Thrive

What you can expect of us

As we work to develop treatments that take care of others, we also work to care for our teammates' professional and personal growth and well-being.

The annual base salary range is from $158,394 -$185,578 for Level 5 , $164,276 - $ 222,256 for Level 6. Actual salary will vary based on several factors including, but not limited to, relevant skills, experience, and qualifications.

In addition to the base salary, Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including:

  • Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts.

  • A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan

  • Stock-based long-term incentives

  • Award-winning time-off plans and bi-annual company-wide shutdowns

  • Flexible work models, including remote work arrangements, where possible

Apply now

for a career that defies imagination

Objects in your future are closer than they appear. Join us.

careers.amgen.com

Application deadline

Amgen's application deadline is August 3, 2026; we will continue accepting applications until we receive a sufficient number or select a candidate for the position.

Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

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Salary Range

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