Pharmacist – Prior Authorization (Fully Remote) at LanceSoft, Inc. | Torre

Pharmacist – Prior Authorization (Fully Remote)

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Freelance
Recurrent (~40 hours per week)
Provide your expected compensation while applying
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Remote (for United States residents)
Shared by
Geraldine Tovitto
29 days ago

Responsibilities


What You'll DoConduct clinical and criteria-based Prior Authorization reviewsMake coverage determinations based on clinical criteria & plan designReview clinical/medical data and pharmacy guidelinesCommunicate with physicians, providers, technicians, and membersHandle inbound & outbound calls regarding PA requestsSupport Specialty & Non-Specialty Pharmacy programsMaintain knowledge of drug and disease statesProvide after-hours/on-call pharmacist support as neededRequirementsActive Pharmacist License – REQUIREDBS Pharmacy – REQUIREDPharmD preferred1–3 years pharmacy experience required2+ years Prior Authorization experience preferredPBM / Managed Care / Health Plan experience strongly preferredSpecialty Pharmacy experience is a plusStrong clinical, communication & documentation skillsComfortable handling high-volume PA cases and provider callsProven remote-work experienceMust be available for the complete training periodComfortable working one weekend day per weekRemote Work RequirementsHigh-speed broadband requiredMinimum 25 Mbps download / 3 Mbps uploadPrivate, secure, dedicated workspaceSmartphone required for VPN authenticationInternet provider + speed details requiredInternet speed test screenshot must be placed at the top of the resumeActive Pharmacist License must be listed at the top of the resumeCandidate questionnaire must be completedTraining: Nov 9 – Dec 4, 2026Available SchedulesSun–Thurs: 10:30 AM–7:00 PM CST; 11:00 AM–7:30 PM CSTTues–Sat: 11:30 AM–8:00 PM CSTMonday–Friday | 8:00 AM–4:30 PM CSTContract: Nov 9, 2026 – Oct 9, 2027Exclusions: Colorado & New MexicoHours: 40 hrs/weekOpenings: 36Important: Candidates previously rejected for CVSJP00106256 should not be resubmitted.