Talent.com
Pharmacy Careers
Remote Prior Authorization PharmacistPharmacy Careers • Cambridge, England, UK
Remote Prior Authorization Pharmacist

Remote Prior Authorization Pharmacist

Pharmacy Careers • Cambridge, England, UK
25 days ago
Job type
  • Full-time
  • Remote
Job description

Remote Prior Authorization Pharmacist Work From Home in Managed Care

A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests ensure medical necessity and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care.

Key Responsibilities

  • Review prior authorization requests for accuracy appropriateness and clinical necessity.
  • Apply plan criteria evidence-based guidelines and regulatory standards to determinations.
  • Communicate approval/denial decisions clearly to providers and patients.
  • Collaborate with physicians nurses and medical directors on complex cases.
  • Document outcomes in compliance with health plan policies and CMS/state regulations.
  • Support process improvements to streamline workflow and turnaround times.


What Youll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Prior authorization utilization management or managed care preferred retail or hospital pharmacists with strong clinical judgment are encouraged to apply.
  • Skills: Excellent clinical review documentation and communication skills.

Why This Role

  • Flexibility: 100% remote work from home with flexible scheduling options.
  • Impact: Directly influence patient access to safe and cost-effective medications.
  • Growth: Build specialized skills in utilization management and managed care.
  • Rewards: Competitive compensation benefits and career advancement opportunities.


About Us
We are a confidential healthcare partner working with health plans and PBMs across the U.S.. Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations.

Apply Today
Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity and enjoy the benefits of working from home while shaping the future of managed care.


Required Experience:

IC


Employment Type : Full Time
Experience: years
Vacancy: 1
Create a job alert for this search

Remote Prior Authorization Pharmacist • Cambridge, England, UK

Similar jobs

Chief Pharmacist & Medicines Optimization Leader

jobs pharmaguidelinesCambridgeshire and Peterborough, England, GB
Full-time

A leading NHS Trust is looking for an experienced Chief Pharmacist to lead pharmacy services and ensure compliance with statutory responsibilities.The successful candidate will possess outstanding ... Show more

 • Promoted

Senior Software Engineer, Subscriptions

Roku, Inc.Cambridge, England, GB
Full-time

Roku pioneered streaming to the TV and continues to innovate and lead the industry.While we are well-positioned to help shape the future of television and streaming media worldwide, continued succe... Show more

 • Promoted

Graduate NPD Technologist

Freeworld FoodsSpalding, Lincolnshire, GB
Full-time +1

Salary £30,000 to £35,000 per annum dependant on experience.Scroll down to find the complete details of the job offer, including experience required and associated duties and tasks.Working hours fu... Show more

 • Promoted

Clinical Lead Prosthetist - 12 Month Secondment

Opcare LimitedCambridge, England, GB
Full-time

Opcare Limited in Cambridge is seeking a Clinical Lead Prosthetist for a 12-month secondment.This role offers an ambitious clinician the chance to develop management and clinical skills while leadi... Show more

 • Promoted

Prison Officer - HMP Whitemoor

HM Prison and Probation ServiceTown End, Cambridgeshire, GB
Full-time

His Majesty’s Prison and Probation Service.All potential applicants are encouraged to scroll through and read the complete job description before applying.Prison officer opportunities HMP Whitemoor... Show more

 • Promoted

Hospital Pharmacist - Impactful Care, Relocation Support

PHOENIX Medical Supplies Ltd.Cambridge, England, GB
Full-time

Hospital Pharmacist to join Rowlands Pharmacy at Addenbrookes Hospital in Cambridge.You'll dispense medications, provide patient support, and collaborate with healthcare professionals in a fast-pac... Show more

 • Promoted

Director Pharmacovigilance & Drug Safety

MoonLake Immunotherapeutics (NASDAQ: MLTX)Cambridge, England, GB
Full-time

Director Pharmacovigilance & Drug Safety.Director Pharmacovigilance & Drug Safety.MoonLake Immunotherapeutics (NASDAQ: MLTX).Director Pharmacovigilance & Drug Safety.Be among the first 25 applicant... Show more

 • Promoted

Prescribing Pharmacist – Medicinal Cannabis

Athona LtdBishop's Stortford, England, GB
Part-time

Currently we have an excellent opportunity for a pharmacist prescriber to join a specialist medicinal cannabis service.This on-site role focuses on continuation prescribing following patient initia... Show more

 • Promoted

Remote Associate Director, Clinical Operations Strategy

Jazz PharmaceuticalsCambridge, England, United Kingdom
Remote
Full-time

Jazz Pharmaceuticals is seeking an experienced clinical operations leader to plan and deliver complex development programs.You will partner with therapeutic and functional leadership to define stra... Show more

 • Promoted

Outstanding Allergist Opportunity

Montefiore Health SystemHare Street, England, GB
Full-time

Division Of Allergy & Immunology.Allergist/ The Division of Allergy and Immunology at Montefiore Medical Center.Responsibilities include outpatient activities at our Bronx and Westchester faculty p... Show more

 • Promoted

Strategic BD Lead - Drug Delivery Devices (Cambridge)

Newton Colmore ConsultingCambridge, England, GB
Full-time

Newton Colmore Consulting is seeking a Business Development Consultant in Cambridge to lead business initiatives for innovative Drug Delivery Devices.In this role, you will manage multidisciplinary... Show more

 • Promoted

Trainee Driving Instructor - Nationwide - Holbeach St Johns, Lincolnshire, England | £38/hr Avg Less

My Four WheelsHolbeach St. Johns, England, GB
Full-time +1

My Four Wheels is a 5-star rated driving school with 500 instructors teaching nationwide - and due to record learner demand, we're now recruiting new Trainee Driving Instructors across the UK.If yo... Show more

 • Promoted

Sprayer Operator

Frontier Agriculture LimitedSpalding, ENG, GB
Full-time +1

We are looking for a Sprayer Operator to join the Frontier team, based at Holbeach, on a permanent, full-time basis.You will have a passion for agriculture, ideally with previous experience of spra... Show more

 • Promoted

Relief Clinical Pharmacist – Medicines Optimization Safety

HI HUBCambridge, England, GB
Full-time

A healthcare facility in Cambridge is seeking a Bank Pharmacist to ensure the safe and effective use of medicines.You will interact with consultants, nurses, and patients to assess medication needs... Show more

 • Promoted

FLT Drivers needed for immediate shifts

Barker Ross GroupSpalding, Lincolnshire, GB
Full-time

Barker Ross is currently looking for a Reach Truck Driver to join one of our clients team based in Spalding.This is a fantastic opportunity to join on the fast growing Cold Store business in UKMake... Show more

 • Promoted

Health Insurance Subject Matter Expert (Fully Remote)

CoverGo | InsurtechCambridge, England, GB
Remote
Full-time

At CoverGo, our mission is to empower all insurance companies to make insurance 100% digital and accessible to everyone.We are a leading global no-code insurance platform for health, life, and P&C.... Show more

 • Promoted

Production Operative Days

Job&TalentWisbech, ENG, GB
Full-time

General Operative Days - WisbechAt Job&Talent, we are recruiting for General Operative Days to work with a leading company in the food manufacturing sector in Wisbech.Shift patterns:07:00 - 19:... Show more

 • Promoted

Roadside Breakdown Technician

Tears Of Sutton BridgeWisbech, ENG, UK
Full-time +1

Job Description Roadside Breakdown Technician /n Who are we looking for? /n Due to exciting commercial success and growth a fantastic opportunity has arisen for a Roadside / Recovery Breakdown... Show more

 • Promoted

Dispensing Optician: Flexible Hours in Independent Practice

Flame Healthcare LimitedRoyston, England, GB
Full-time +1

Dispensing Optician Jobs Royston.Part of a large independent group.Full time or part time hours considered.Hours 9am-5:30pm weekdays and 9am-4pm Saturday.Salary negotiable depending on experience.D... Show more

 • Promoted

Senior Medical Device Programme Lead – Drug Delivery

ECM Selection (Holdings) LimitedCambridge, England, GB
Full-time

ECM Selection (Holdings) Limited in Cambridge seeks an engineering leader to guide high-value development programmes from concept through transfer to manufacture.You will accelerate timelines, mana... Show more