ZipRecruiter

Log In

1

Virtual Prior Authorization Pharmacist Jobs in Reston, VA

MFA

Prior-Authorization Technician- Pharmacy

Arlington, VA · On-site

$23.46 - $30.50/hr

Under the direct supervision of a licensed Pharmacist: * Initiate prior authorizations for medications and work with providers on completion * Confirm patient demographics are accurate and insurance ...

MFA Co

Prior-Authorization Technician- Pharmacy

Arlington, VA · On-site

$20.25 - $24.50/hr

Under the direct supervision of a licensed Pharmacist: * Initiate prior authorizations for medications and work with providers on completion * Confirm patient demographics are accurate and insurance ...

Insight Global

Pharmacy Technician

Washington, DC · Remote

$20.50/hr

  • Medical

  • Dental

  • Vision

  • Life

The Prior Authorization Pharmacy Technician is responsible for supporting members, providers, and pharmacies by processing prior authorization requests for prescription medications while ensuring ...

ARM Consulting

Reimbursement Specialist

Fort Belvoir, VA · On-site

$21.75 - $30/hr

Specialty pharmacies * * Prior authorization platforms Required Skills: * Knowledge & Technical Expertise of: * * Medical and pharmacy benefit structures * * Specialty pharmacy workflows * * Prior ...

Molina Healthcare

Representative, Pharmacy

Washington, DC · On-site

$20.75 - $25.50/hr

Provides coordination and processing of pharmacy prior authorization requests and/or appeals ... Supports pharmacists with completion of comprehensive medication reviews (CMRs) through pre-work up ...

next page

Showing results 1-20

All JobsPrior Authorization Pharmacist JobsVirtual Prior Authorization Pharmacist JobsVirtual Prior Authorization Pharmacist Jobs in Reston, VA

Virtual Prior Authorization Pharmacist information

See Reston, VA salary details

$29

$63

$77

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

As of Aug 15, 2026, the average hourly pay for virtual prior authorization pharmacist in Reston, VA is $63.37, according to ZipRecruiter salary data. Most workers in this role earn between $58.27 and $70.00 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.

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.

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 popular job titles related to Virtual Prior Authorization Pharmacist jobs in Reston, VA?

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

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

The top searched job categories for Virtual Prior Authorization Pharmacist jobs in Reston, VA are:

What cities near Reston, VA are hiring for Virtual Prior Authorization Pharmacist jobs?

Cities near Reston, VA with the most Virtual Prior Authorization Pharmacist job openings:

Virtual Prior Authorization Pharmacist jobs near you

Prior Authorization Pharmacist

Accede Solutions Inc.

Mclean, VA • On-site

$59.75 - $71.75/hr

Other

Re-posted 27 days ago

Job description

Prior Authorization (PA) Pharmacist

The Prior Authorization (PA) Pharmacist would facilitate efforts in the review of clinical documentation and the Preferred Drug list (PDL) to determine proper medication therapy. The PA pharmacist will work with internal and external stakeholders in evaluating and continually developing a strategy for Utilization Management.

Responsibilities:

  • Clinical evaluation of medication therapy using established clinical or PDL criteria, drug compendia, and appropriate methods that support the principles of high-quality evidence-based medicine
  • Peer to Peer discussions with medical providers to discuss Prior Authorization reviews.
  • Consultations/Interventions: work with staff in contacting prescribers needing consultation to provide clinical information on prescribing practices that have been identified as outliers. Reviews prior authorizations data and determine opportunities for interventions.
  • Intervention Refinements: Collaborates on the refinement of consultation scripting; solicits and utilizes input from those contacted toward scripting improvements.
  • Operations: Contributes to the success of the Clinical Call Centers and Prior Authorization department by assisting with the implementation and management of both written and verbal communications to members and physicians. Is available for consultation on pharmacy-related questions and issues for others within the organization.
  • Quality Improvement: Contributes to program improvements by using continuous quality improvement processes, by being proactive in identifying improvement opportunities and by contributing on-going consultation and collaboration with product leaders.
  • Medical/Clinical: Upholds clinical integrity of pharmaceutical solutions by staying up to date on medication information, contributing to the identification of pharmacy program best practices, collaborating with Medical Directors, Clinical Pharmacist, and Clinical Specialty Pharmacist to provide pharmacy expertise.
  • Drug Review: Provides clinical input during the weekly drug file updates, making recommendations on applying utilization controls
  • Other duties as assigned. Contributes creative solutions to improve operational efficiency and effectiveness of pharmacy team

Qualifications:

  • Experience in the coordination of and collaboration of work teams preferred.
  • Ability to perform clinical reviews using relevant compendia and clinical trial data.
  • Managed care pharmaceutical service experience a plus.
  • Strong research and implementation skills in practical settings.
  • Analytical skills which can translate into practical and pragmatic recommendations.
  • Strong team orientation with respect for all members.
  • People skills are essential that allow for the successful consultation and collaboration with internal and external stakeholders who do not directly report to this job.

Requirements:

  • PharmD or B.S. in Pharmacy with relevant Specialty background
  • Registered Pharmacist with respective State Licensure
  • 4 years' experience in clinical pharmacy
  • Strong verbal and written communications skills.
  • Highly skilled with Microsoft office products and ability to quickly learn proprietary systems.

Apply