A-Line Staffing Solutions LLC
Remote Specialty Prior Authorization Pharmacist
A-Line Staffing Solutions LLC, Atlanta, Georgia, United States, 30349
Job Title:
Remote Specialty Prior Authorization Pharmacist Pay:
$53 an hr | Bi-weekly Job Type:
Remote Start date:
11/03/25 Shift Options: 7am to 10pm CST - 8 hours per day expected
Find out exactly what skills, experience, and qualifications you will need to succeed in this role before applying below. *Possible weekend shifts* Remote Specialty Prior Authorization Pharmacist
Overview: This individual must have excellent interpersonal and organizational skills. Will be responsible for: 1. Collaborating with Technicians and Nurses to process authorization requests, including answering clinical questions, collecting appropriate clinical/medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements. (20%) 2. Coordinating timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (15%) 3. Handling inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishing and maintaining communication among CVS Caremark, health plan and employer group staff. (5%) 5. Maintaining professional and technical knowledge of drug and disease-states for the Specialty Medical programs administered within the Novologix platform. (5%) 6. Performing other related projects and duties as assigned. On call and after hours pharmacist availability may be required. (5%)
Remote working/work at home options are available for this role.
Remote Specialty Prior Authorization Pharmacist Pay:
$53 an hr | Bi-weekly Job Type:
Remote Start date:
11/03/25 Shift Options: 7am to 10pm CST - 8 hours per day expected
Find out exactly what skills, experience, and qualifications you will need to succeed in this role before applying below. *Possible weekend shifts* Remote Specialty Prior Authorization Pharmacist
Overview: This individual must have excellent interpersonal and organizational skills. Will be responsible for: 1. Collaborating with Technicians and Nurses to process authorization requests, including answering clinical questions, collecting appropriate clinical/medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements. (20%) 2. Coordinating timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (15%) 3. Handling inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishing and maintaining communication among CVS Caremark, health plan and employer group staff. (5%) 5. Maintaining professional and technical knowledge of drug and disease-states for the Specialty Medical programs administered within the Novologix platform. (5%) 6. Performing other related projects and duties as assigned. On call and after hours pharmacist availability may be required. (5%)
Remote working/work at home options are available for this role.