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Virtual Prior Authorization Pharmacist Jobs in Renton, WA

Pharmacy Careers

Formulary Management Pharmacist

Seattle, WA · On-site

$66.25 - $79.75/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy ... Active U.S. pharmacist license. * Experience: Managed care, PBM, or health-plan ideal. All ...

New

MultiCare

Pharmacist Specialty Services NRU

Puyallup, WA · On-site

$78.17 - $105.04/hr

Pharmacist Specialty Services MultiCare Cancer Institute is a physician-led, multi-specialty group ... Process prior authorization (PA) requests from specialty clinics * Determine patient eligibility ...

MultiCare

Pharmacist Specialist

Tacoma, WA · On-site

$78.17 - $105.04/hr

Pharmacist Specialty Services At MultiCare Mary Bridge Children's Hospital & Health Network, caring ... Process prior authorization (PA) requests from specialty clinics * Determine patient eligibility ...

MultiCare Health System

Pharmacist Specialist

Tacoma, WA

$78.17 - $105.04/hr

You will process prior authorization (PA) requests from specialty clinics * You will determine ... Licensed as a pharmacist in the State of Washington * Completion of an ASHP accredited pharmacy ...

MultiCare Health System

Pharmacist Specialist

Tacoma, WA · On-site

$78.17 - $105.04/hr

You will process prior authorization (PA) requests from specialty clinics * You will determine ... Licensed as a pharmacist in the State of Washington * Completion of an ASHP accredited pharmacy ...

Conflux Systems

*Pharmacy Tech I

Seattle, WA · On-site

$21.29/hr

... prior authorization process, and transfers all clinical questions and judgment calls to the pharmacist. Maintains complete, timely and accurate documentation of inventory. * The role will mainly ...

Vir Healthway

*Pharmacy Tech I

Seattle, WA · On-site

$21.29/hr

... prior authorization process, and transfers all clinical questions and judgment calls to the pharmacist. Maintains complete, timely and accurate documentation of inventory. * The role will mainly ...

Uw

Pharmacy Technician 2 - Specialty Pharmacy

Seattle, WA · On-site

$31.86/hr

... prior authorization issues All activities shall be performed under the supervision of a registered pharmacist PRIMARY JOB RESPONSIBILITIES Review and screen new patients to determine if patient has ...

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All JobsPrior Authorization Pharmacist JobsVirtual Prior Authorization Pharmacist JobsVirtual Prior Authorization Pharmacist Jobs in Renton, WA

Virtual Prior Authorization Pharmacist information

See Renton, WA salary details

$31

$68

$83

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

As of Aug 17, 2026, the average hourly pay for virtual prior authorization pharmacist in Renton, WA is $68.52, according to ZipRecruiter salary data. Most workers in this role earn between $62.98 and $75.72 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 are the most commonly searched types of Prior Authorization Pharmacist jobs in Renton, WA?

The most popular types of Prior Authorization Pharmacist jobs in Renton, WA are:

What are popular job titles related to Virtual Prior Authorization Pharmacist jobs in Renton, WA?

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

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

The top searched job categories for Virtual Prior Authorization Pharmacist jobs in Renton, WA are:

What cities near Renton, WA are hiring for Virtual Prior Authorization Pharmacist jobs?

Cities near Renton, WA with the most Virtual Prior Authorization Pharmacist job openings:

Virtual Prior Authorization Pharmacist jobs near you

RN Prior Authorization Nurse

Healthcare Support Staffing

Tacoma, WA • On-site

$78K/yr

Full-time

Medical, Retirement

Re-posted 12 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Daily Responsibilities Prior Auth RN:

  • Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests.
  • Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
  • Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
  • Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member care
  • Educate providers on utilization and medical management processes
  • Provide clinical knowledge and act as a clinical resource to non-clinical team staff
  • Enter and maintain pertinent clinical information in various medical management systems


Qualifications

Requirements RN Prior Authorizations:

  • RN license
  • Associate's degree in Nursing.
  • Minimum of 2-5 years of clinical experience in acute setting
  • One of these 2: experience authorizing services or experience calling in for auths from a provider setting
  • Knowledge of utilization management principles and managed care.
  • Must be comfortable with computers and with learning software programs


Hours for this Position:

M-F 8-5:30

Advantages of this Opportunity:

  • Competitive salary ($64-78K) plus annual bonus
  • Fun and positive work environment
  • Room for growth
  • Medical benefits 1st of the month after hire
  • 401k Matching
Additional Information

Interested in being considered?

If you are interested in being considered for the position, please contact Ashley Greene at 407-478-0332 ext 169.

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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

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