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Clinical Pharmacist - Prior Authorization

100% Remote (Within US)

6.0 Months

Full-Time $17-$22/hr

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Posted: Jun 12, 2026

Ref: KBRICP12

Position Overview

Position Summary
The Prior Authorization Pharmacist is responsible for reviewing and evaluating medication prior authorization requests to ensure appropriate, safe, and cost-effective therapy in accordance with clinical guidelines, regulatory requirements, and organizational policies. This role applies clinical judgement to support optimal patient outcomes while balancing utilization management objectives.

Duties
Review, assess, 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 (e.g. NCQA, 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.

Experience
Active and unrestricted AZ or TX pharmacist license.
Experience with clinical decision-making while applying evidence based clinical guidelines/criteria; utilizing formularies/preferred drug lists.
Experience working in a high production team environment.
3+ years experience working as a pharmacist.
Knowledge of clinical program components, formulary designs, and prescription benefit trends.

Education
Bachelor's degree in pharmacy or Pharm D. required with at least two years experience as a pharmacist. Must have an active license in good standing.

An active AZ or TX pharmacist license that is in good standing is required.

Notes:
Remote
Mon-Fri from 10:00 am - 6:30 pm shift AZ time (post training).
The training schedule is: 8:00 am - 4:30 pm AZT (8 weeks).
Must be ok with these hours (AZT time zone)

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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Competitive Benefits

Your well-being Matters

Health & Future Fully Covered

At VIVA, employee well-being is paramount. Our comprehensive benefits package ensures your health, financial security, and quality of life are always prioritized.

Health Insurance

VIVA provides employees access to a comprehensive group health insurance plan (Medical, Dental, Vision, Basic Life, Term Life, and Accidental Death) through our flexible PPO plan-allowing you the freedom to choose healthcare providers.

401(k) Retirement Planning

Plan securely for your future with automatic payroll deductions into a tax-advantaged 401(k) retirement plan, including employer-matching contributions for eligible employees.

Performance Bonuses & Referrals

Earn performance-based bonuses and generous referral incentives of up to $500 when recommending talented candidates who become part of the VIVA family.

Biweekly Direct Deposit

Enjoy timely and convenient payroll with biweekly direct deposit to your chosen financial institution. Biweekly Direct Deposit

VIVA Perks Program

Access exclusive employee discounts and savings on electronics, travel, groceries, apparel, and more through our dedicated VIVA Perks Program.

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