ZipRecruiter

Log In

1

Virtual Prior Authorization Pharmacist Jobs in Reston, VA

CareMetx

Director, Pharmacy Operations

Bethesda, MD · On-site

$137K - $182K/yr

Prior authorization (PA) and appeals * Patient enrollment and case management * Operationalize ... Partner with pharmaceutical manufacturers to design and execute patient support programs

CareMetx

Solution Architect II

Bethesda, MD · On-site

$67.25 - $88.50/hr

... pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support ...

Parkview Health Services

Pharmacy Technician

Fairfax, VA · On-site

$18 - $21.75/hr

... the prior authorization process to expedite prescription fulfillment. Gather and document ... Support Pharmacist in keeping accurate inventory levels. Sort and stock inventory of medications ...

Careviso

HUB / Pharma Account Manager

Vienna, VA · On-site

... pharmaceutical organizations to: * Automate prior authorization workflows * Deliver real-time cost estimates, administrative requirements, and approvals * Verify medical and pharmacy benefits with ...

careviso

HUB / Pharma Account Manager

Vienna, VA · On-site

... pharmaceutical organizations to: * Automate prior authorization workflows * Deliver real-time cost estimates, administrative requirements, and approvals * Verify medical and pharmacy benefits with ...

CareMetx

Solution Architect

Bethesda, MD · On-site

$67.25 - $88.50/hr

... pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support ...

MCKESSON

Field Reimbursement Manager

Arlington, VA · On-site +1

On-site/virtual interactions will average 15 per week. These activities are recorded in FRM CRM daily with reporting to manager weekly. * Educate on Benefit Investigation, Prior Authorization Process ...

Supernus Pharmaceuticals

Manager, Patient Services

Rockville, MD · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Collaborates with HUB and Specialty Pharmacies providing operational oversight of existing patient access programs (i.e., intake, benefit verification, prior authorization, product fulfillment, PAP ...

previous pagenext page

Showing results 21-40

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

Associate Director - Field Reimbursement Manager, Oncology - Mid-Atlantic

Bayer

Arlington, VA

$162K - $243K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Bayer rating

8.3

Company rating: 8.3 out of 10

Based on 70 frontline employees who took The Breakroom Quiz

25th of 86 rated pharmaceutical

Job description

At Bayer we're visionaries, driven to solve the world's toughest challenges and striving for a world where 'Health for all Hunger for none' is no longer a dream, but a real possibility. We're doing it with energy, curiosity and sheer dedication, always learning from unique perspectives of those around us, expanding our thinking, growing our capabilities and redefining 'impossible'. There are so many reasons to join us.

If you're hungry to build a varied and meaningful career in a community of brilliant and diverse minds to make a real difference, there's only one choice. Associate Director - Field Reimbursement Manager, Oncology - Mid-Atlantic Associate Director - Field Reimbursement Manager, Oncology - Mid-Atlantic Responsible for ensuring patient access to Bayer oncology products within assigned geographical area via supporting HCPs and Office staff in navigating therapy Prior Authorizations (PAs), Medical Necessity documentation and therapy PA denial appeals. Develop collaborative working partnerships with HCPs and Office Staff, to support Patient access to therapies.

This position works with medical practice therapy decision makers, practice clinical administrators, key office support staff and clinical pharmacists to assist with Health Plan/PBM therapy approval requests. This position is also responsible for collaboration with the Bayer Patient Support Services Team, Market Access Field Teams, Bayer AGMs, SCs and MSLs to execute reimbursement and access programs to reduce access and affordability hurdles for patients on Bayer oncology products. The span of coverage will be Mid-Atlantic which covers North Carolina, South Carolina, Washington DC & Virginia.

Travel up to 50% within the territory. The candidate must be domiciled within the territory. KEY TASKS AND RESPONSIBILITIES Extensive disease state/therapy space experience (specific to Bayer Programs/Therapies); Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans; Experience in educating and supporting Prior Authorization process, appeals, and denials; Covermymeds - portal access experience a plus; Proactive education - Access Services by Bayer; Stay current with local MAC policies and procedures; Excellent verbal and written communication skills as well as prior experience educating providers; Collaborating across multiple stakeholders; Proactive Problem solving, defusing, and resolving escalations, consistent and timely follow up; Proven experience in flexibility and adaptability Territory Management; Ability to engage and navigate HCPs in various settings including hospitals, private practice, large multi-specialty practices, IDNs, IDN out-patient clinics and other facilities; Initiative-taking business acumen to identify and resolve HCP/Office Staff issues/challenges with Payer/PBM therapy approvals; New Product / Indications launch experience; Must have a valid driver's license with a safe driving record/ MVR; Specialty Pharmacy Experience; Experience educating and/or supporting pharmacies.

WHO YOU ARE Bayer is seeking an incumbent who processes the following: REQUIRED QUALIFICATIONS Bachelor's Degree or minimum of 5 years' healthcare related reimbursement experience; 2 + years Field Reimbursement experience; In depth understanding of Payer/PBM therapy approval requirements (Prior Authorization, Medical Necessity, Denial Appeals, Formulary coverage and payment for oncology therapies across all sites of care (hospital, clinic, integrated delivery network) and ability to apply this knowledge to address individual customer concerns; Broad knowledge of Medicare, managed care, third party payers and Medicaid; Demonstrated excellence in meeting and exceeding customer expectations especially in demanding situations; Ability to effectively address customer concerns in a timely fashion and by working collaboratively with external and internal stakeholders; An elevated level of sophistication/people skills needed to interact with practice clinical decision makers, office support staff, clinical pharmacists, and office managers; Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage, utilization management, and able to interpret complex information; Must possess the leadership ability to effectively organize, communicate and collaborate with HCPs, Key Practice Staff and Bayer external and internal team members; Exceptional knowledge of Healthcare Management; Pharmaceutical Manufacturer federal, state, and local compliance requirements; Area Reimbursement Managers will cover multiple regions, thus significant overnight travel, up to 50%; Must have a valid driver's license with a safe driving record/ MVR. PREFERRED QUALIFICATIONS 2 + years Oncology Field Reimbursement Experience; Experience in oncology and working with key oncology stakeholders. Employees can expect to be paid a salary between $162,000.00 - $243,000.00 Additional compensation may include a bonus or commission (if relevant)

Additional benefits include health care, vision, dental, retirement, PTO, sick leave, etc. This salary range is merely an estimate and may vary based on an applicant's location, market data/ranges, an applicant's skills and prior relevant experience, certain degrees and certifications, and other relevant factors. This posting will be available for application until at least 08/20/2026.

#LI #LI-AMS YOUR APPLICATION Bayer offers a wide variety of competitive compensation and benefits programs. If you meet the requirements of this unique opportunity, and want to impact our mission Health for all, Hunger for none, we encourage you to apply now. Be part of something bigger.

Be you. Be Bayer. To all recruitment agencies: Bayer does not accept unsolicited third party resumes.

Bayer is an Equal Opportunity Employer/Disabled/Veterans Bayer is committed to providing access and reasonable accommodations in its application process for individuals with disabilities and encourages applicants with disabilities to request any needed accommodation(s) using the contact information below. Equal Opportunity Employer Statement: Notice for U.S. Visitors: All information on this site is subject to compliance with local rule and regulations as they may vary from time to time and across different geographies, including, without limitation, U.S

Executive Orders. Bayer is an E-Verify Employer. Location: United States : District of Columbia : Residence Based || United States : District of Columbia : Washington || United States : North Carolina : Asheville || United States : North Carolina : Cary || United States : North Carolina : Chapel Hill || United States : North Carolina : Charlotte || United States : North Carolina : Clayton || United States : North Carolina : DURHAM || United States : North Carolina : DURHAM || United States : North Carolina : Durham || United States : North Carolina : Fayetteville || United States : North Carolina : Gastonia || United States : North Carolina : Greensboro || United States : North Carolina : Greenville || United States : North Carolina : Hickory || United States : North Carolina : Kannapolis || United States : North Carolina : Matthews || United States : North Carolina : Morrisville || United States : North Carolina : Mount Olive || United States : North Carolina : Mt Olive || United States : North Carolina : Pikeville || United States : North Carolina : Raleigh || United States : North Carolina : Research Triangle Park || United States : North Carolina : Residence Based || United States : North Carolina : Rocky Mount || United States : North Carolina : Statesville || United States : North Carolina : Wilmington || United States : North Carolina : Wilson || United States : North Carolina : Winston-Salem || United States : South Carolina : CHARLESTON NORTH || United States : South Carolina : COLUMBIA WEST || United States : South Carolina : Charleston || United States : South Carolina : Columbia || United States : South Carolina : FLORENCE || United States : South Carolina : Greenville || United States : South Carolina : Greenwood || United States : South Carolina : Hartsville || United States : South Carolina : Myrtle Beach || United States : South Carolina : Residence Based || United States : South Carolina : Spartanburg || United States : South Carolina : Summerville || United States : Virginia : Arlington || United States : Virginia : CHARLOTTESVILLE || United States : Virginia : Chantilly || United States : Virginia : Charlottesville || United States : Virginia : Chesterfield || United States : Virginia : Fairfax || United States : Virginia : Fredericksburg || United States : Virginia : Hampton || United States : Virginia : Lynchburg || United States : Virginia : Norfolk || United States : Virginia : Residence Based || United States : Virginia : Richmond || United States : Virginia : Roanoke || United States : Virginia : Virginia Beach || United States : Virginia : WOODBRIDGE Division: Pharmaceuticals Reference Code: 879452 Contact Us Email: hrop_usa@bayer.com

What Bayer employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Bayer logo

About Bayer

Sourced by ZipRecruiter

Bayer is a global enterprise with core competencies in the life science fields of healthcare and nutrition. We design our products and services to help people and planet thrive by supporting efforts to address the unprecedented global challenges presented by a growing and aging global population. At Bayer, we’re committed to drive sustainable development and generate a positive impact with our businesses. Through bold ideas and unprecedented insights, we’re pioneering new possibilities that advance life for all of us. That means reimagining how we care for ourselves and one another by empowering everyday health, improving approaches to patient care, and finding better ways to nourish our communities around the world.

Industry

Agriculture

Company size

10,000+ Employees

Headquarters location

Whippany, NJ, US

View All Bayer Jobs

Apply