Date Posted: 08/13/2026
Hiring Organization: Rose International
Position Number: 505667
Industry: Pharmaceutical/Healthcare
Job Title: Clinical Pharmacist Prior Authorization
Job Location: Remote, USA
Work Model: Remote
Shift: 08 Hour shift assigned between 7:00 am to 10:00 pm CST
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 12
Must Have Skills/Attributes: Clinical, Computer Literacy, Interpersonal Skills, Pharmacy
Experience Desired: Clinical experience with specialty medications or clinical review of prior authorization requests (2+ yrs); Experience as a pharmacist with prior authorization (2+ yrs); MS Office and other Windows-based computer applications (2+ yrs)
Required Minimum Education: Bachelor’s Degree
Required Certifications/Licenses: Active pharmacist license in the state of residence in good standing
**C2C is not available**
Job Description
Required Education
• Bachelor’s degree in Pharmacy or PharmD
Required License/Certification
• Active pharmacist license in the state of residence in good standing
Required Qualifications/Skills/Experience
• 2+ years of clinical experience with specialty medications or clinical review of prior authorization requests
• At least two years of experience as a pharmacist with prior authorization
• Ability to handle inbound phone calls and escalations related to prior authorization requests
• Excellent interpersonal and communication skills
• Experience using MS Office and other Windows-based computer applications
• Ability to maintain professional and technical knowledge of specialty medications and disease states
• Ability to work collaboratively with technicians and nurses
• Ability to communicate effectively with physicians, patients, health plans, employers, and other healthcare professionals
• Ability to meet designated service level agreements and follow established approval and denial management processes
Clinical Pharmacist Overview
• The Clinical Pharmacist is an operations-based role responsible for conducting clinical reviews of medical data collected to perform prior authorization reviews for specialty medications
• Applies clinical knowledge and approved criteria to conduct prospective and concurrent reviews of cases
• Collaborates with technicians and nurses to obtain appropriate clinical and medical information needed to complete clinical assessments
• Communicates case decisions to physicians, health plans, employers, patients, and other healthcare professionals in accordance with established approval and denial management processes
• Handles inbound calls and escalations from physicians and patients regarding pending, approved, or denied prior authorizations
• Works within supported systems and maintains current knowledge of specialty medications and applicable disease states
• On-call and after-hours pharmacist availability may be required
Job Duties
• Collaborates with technicians and nurses to process authorization requests, including answering clinical questions, collecting appropriate clinical and medical data needed to perform clinical assessments, and conducting reviews according to health plan and employer-agreed criteria within designated service level agreements — 20%
• Coordinates timely communication of case decisions to physicians, health plans, employers, patients, and other healthcare professionals following established approval and denial management processes — 15%
• Handles inbound phone calls and escalations from physicians or patients regarding prior authorization requests — 50%
• Establishes and maintains communication among health plan and employer group staff and internal stakeholders — 5%
• Maintains professional and technical knowledge of drugs and disease states for specialty medical programs — 5%
• Performs other related projects and duties as assigned, including on-call and after-hours pharmacist availability as required — 5%
#CV1
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
Each time I contacted Rose, I was completely satisfied with the great attention and customer service I received. Each person was extremely knowledgeable and patient with my concerns or questions.
Diana, Consultant
You are customer service oriented. No matter whether it was the Recruiter or someone in Human Resources/Payroll, you were responsive. That to me is key!
Tonya, Consultant
It is a great pleasure being a part of the Rose International Team.
Toni, Consultant
Thanks for the opportunity. If in the future I ever need a job, I would like to work for Rose International.
David, Consultant
Rose International has been great to me. I thank everyone there for all of their hard work; it has not gone unnoticed.
Melody, Consultant
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