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Remote Prior Authorization Jobs Near Me

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

Prior Authorization Specialist Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its ...

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

The Prior Authorization Specialist handles all prior authorizations, third party appeals, and pending third party payer issues across all Equitas Health medical centers. This individual will work ...

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... inquiries and prior authorization requests. This role offers an excellent opportunity to gain ... Remote Work Requirements Due to the confidential nature of healthcare information, all employees ...

Clinical Review: · Conduct comprehensive clinical reviews of prior authorization requests to ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Central Auth Coord - HHH

Westerville, OH · On-site

$18 - $22.25/hr

Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e assuring alignment of patient orders, discipline visits and authorizations match requests). Tracks all appeals ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MTM Pharmacist

Columbus, OH · On-site

$54.50 - $65.50/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

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Remote Prior Authorization information

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How much do remote prior authorization jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for remote prior authorization in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.
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A map of the United States highlighting the number of Remote Prior Authorization job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Remote Prior Authorization job openings in each state, with California having the most at 2 and Hawaii the least at 0.

REMOTE Prior Authorization Pharmacy Technician

Actalent

Columbus, OH • On-site

$18 - $22/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Job description

Job Title: Remote Pharmacy Technician (prior authorization review)
Job Description
As a Remote Prior Authorization Review Pharmacy Technician, you will perform duties in various areas including Formulary Management, Pharmacy Audit and Recovery, Pharmacy Service Center, Medicare Part D/Part B, Appeals, Medicare Part D Operations, and State Health Programs Pharmacy Operations. You will review requests made by physicians, medical groups, pharmacies, and members for the use of prescription drugs and pharmacy benefits. Your role involves researching and resolving questions, problems, or issues and consulting with Clinical Pharmacists or Regional Medical Directors as needed.
Responsibilities
  • Train on Intake and Technician Review processes.
  • Accurately type information on the prior authorization request form into a Compass case.
  • Verify intake accuracy and compare prior authorization requests with clinical documentation to determine approval.
  • Contact the office for any missing information required for request approval.
  • Route denials to the pharmacist queue for double-checking.
  • Remediate cases if determinations need overturning or errors need correction.
  • Move cases to the Manual Outreach queue and communicate decisions to providers and/or members.
Essential Skills
  • Pharmacy Technician license.
  • 2 years of experience as a Pharmacy Technician.
  • Experience with managed care and claims.
  • Proficiency in data entry.
Additional Skills & Qualifications
  • Customer service or retail experience preferred.
  • Familiarity with Microsoft functions including Teams, Outlook, Word, Excel, and OneNote.

Work Environment
This position is fully remote, fostering a strong sense of connectivity and support through Teams for chat, audio or video calls, and screen shares. Outlook is heavily used for team communications. The training schedule is Monday-Friday from 10am to 6:30pm. Post-training, the schedule will be Tuesday-Friday from 12:30pm to 9pm EST and Saturday from 8am to 4:30pm EST. Overtime is not expected.
Job Type & Location
This is a Contract to Hire position based out of Columbus, OH.
Pay and Benefits
The pay range for this position is $18.00 - $22.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Aug 12, 2026.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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About Actalent

Sourced by ZipRecruiter

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We're supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.

Company size

5,001 - 10,000 Employees

Headquarters location

Hanover, MD, US

Year founded

1983

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