Date Posted: 10/29/2026
Hiring Organization: Rose International
Position Number: 510027
Industry: Pharmaceutical/Healthcare
Job Title: Prior Authorization Clinical Pharmacist
Job Location: Remote, USA
Work Model: Remote
Shift: Monday-Fri from 10:00 am to 6:30 pm AZ time
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 7
Min Hourly Rate($): 60.00
Max Hourly Rate($): 65.00
Must Have Skills/Attributes: Clinical, Pharmaceutical, Production Support
Experience Desired:
Experience working as a pharmacist (2+ yrs),
Supporting client Medicaid Prior Authorization (2+ yrs),
Experience with clinical decision-making using evidence-based clinical guidelines and criteria (2+ yrs)
Required Minimum Education: Bachelor’s Degree
Preferred Education: Ph.D / Doctorate
Required Certifications/Licenses: Active & unrestricted pharmacist license in Arizona or Texas in good standing
**C2C is not available**
Job Description
Required Education
• Bachelor’s Degree in Pharmacy
Preferred Education
• Doctor of Pharmacy (Pharm.D.)
Required License/Certification
• Active, unrestricted pharmacist license in Arizona or Texas, in good standing
Required Experience
• At least 2 years of experience working as a pharmacist
• Clinical Pharmacist Position supporting client Medicaid Prior Authorization
• Experience with clinical decision-making using evidence-based clinical guidelines and criteria
• Experience utilizing formularies and preferred drug lists
• Experience working in a high-production team environment
• Knowledge of clinical program components, formulary designs, and prescription benefit trends
Prior Authorization Pharmacist Overview
• The Prior Authorization Pharmacist is responsible for reviewing, assessing, and adjudicating medication prior authorization requests to ensure medical necessity, clinical appropriateness, and formulary compliance
• This role applies evidence-based clinical guidelines, drug compendia, FDA labeling, and plan-specific criteria to support safe, effective, and cost-efficient medication therapy
• The pharmacist evaluates patient-specific clinical factors and makes authorization decisions while balancing optimal patient outcomes with utilization management objectives
• This position collaborates with pharmacy technicians, nurses, medical directors, and other clinical staff to resolve complex cases and support escalated reviews
• The role ensures compliance with applicable state and federal regulations, accreditation standards, and internal quality requirements while meeting productivity, turnaround time, and documentation standards
Job Duties
• Review, assess, and adjudicate medication prior authorization requests for medical necessity, clinical appropriateness, and formulary compliance
• Apply evidence-based clinical guidelines, drug compendia, FDA labeling, and plan-specific criteria to authorization decisions
• Evaluate patient-specific factors, including diagnosis, laboratory results, prior therapy, dosing, contraindications, and comorbid conditions
• Authorize, modify, or deny medication requests and document clinical rationale clearly and accurately
• Collaborate with pharmacy technicians, nurses, medical directors, and other clinical staff to resolve complex cases
• Support peer-to-peer reviews and prepare clinical summaries when escalation is required
• Ensure compliance with state and federal regulations, accreditation standards such as NCQA and URAC, and internal audit requirements
• Maintain productivity, turnaround time, and quality benchmarks for prior authorization processing
• Document all activities accurately within prior authorization and pharmacy management systems - **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.).
I have been very pleased with my experience with Rose International. Everyone that I encountered was very helpful and courteous.
Stephanie, 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 is an assembly of people grounded in honesty, truth and dignity for all of its employees and contractors.
Samba, Consultant
The interactions that I have had with your representatives have always been prompt and very professional. I am very pleased and impressed with your company and services.
Sioe, Consultant
Working for Rose International was the most pleasant assignment I have ever had. They were always on top of situations when necessary, and very helpful. I was very proud to be an employee of Rose International, and would recommend anyone to try to work with them.
Melvon, Consultant
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