Clinical Prior Authorization Pharmacist

🔥 2 minutes ago

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Navitus Health Solutions

Navitus Health Solutions

1001 - 5000 employees

Founded 2003

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.

📋 Description

• Share pharmacy experience and career interests with Navitus Talent Acquisition • Be considered for future Clinical Prior Authorization Pharmacist opportunities • Stay connected with Navitus as future opportunities become available • Submit a resume to join the Clinical Prior Authorization Pharmacist Talent Community

🎯 Requirements

• Experienced pharmacy professional • Clinical knowledge applicable to prior authorization • Passion for supporting quality outcomes • Resume submission • Must reside in one of the eligible states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, or Wisconsin

🏖️ Benefits

• Equal employment opportunity • Potential consideration for future opportunities aligned with background and qualifications

Apply Now

Similar Jobs

🔥 16 hours ago

SmithRx

51 - 200

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Clinical Review Pharmacist reviewing prior authorizations and appeals for SmithRx’s technology-driven pharmacy benefit platform. Supporting members, providers, pharmacies, and clinical programs.

🇺🇸 United States – Remote

💵 $63 - $66 / hour

💰 $20M Series B on 2022-03

⏰ Full Time

🟢 Junior

🟡 Mid-level

💊 Pharmacist

🔥 17 hours ago

Brown & Brown Insurance

10,000+ employees

💸 Finance

🛡️ Insurance

Pharmacy Audit Engineer auditing PBM claims, contracts, controls, and financial data for Brown & Brown / Remedy Analytics. Building SQL automation and delivering audit analyses.

🔥 17 hours ago

Brown & Brown Insurance

10,000+ employees

💸 Finance

🛡️ Insurance

Senior Client Audit Engineer auditing pharmacy claims for Brown & Brown’s PBM analytics business. Building audit automation, analyzing Oracle/SQL data, and validating pharmacy data pipelines.

🔥 17 hours ago

Gainwell Technologies

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

Remote Pharmacy Technician processing prior authorizations and provider inquiries for Gainwell’s healthcare benefit management services. Supporting HIPAA-compliant communications in a high-volume call center.

🔥 18 hours ago

Imagine Pediatrics

51 - 200

🏥 Healthcare

🧘 Wellness

👥 B2C

Medication Support Navigator supporting pediatric medication access, histories, renewals, and referrals. Imagine Pediatrics provides virtual and in-home care for children with special health needs.

🗣️🇪🇸 Spanish Required