Texas Licensed Prior Authorization Pharmacist

To support a respected healthcare organization, the full-time Texas Licensed Prior Authorization Pharmacist will review prior authorization requests, verify coverage, and communicate determinations while working remotely. Key responsibilities Review prior authorization requests and make coverage determinations based on clinical criteria and plan design Communicate approvals and denials to providers, members, and stakeholders in a timely manner Collaborate with the prior authorization team to gather necessary documentation and resolve escalations Required qualifications Active Pharmacist license applicable to the role must be included at the top of the resume Prior authorization experience strongly preferred, ideally with 2+ years in the field Experience in PBM, Managed Care, or Health Plans is strongly preferred; Specialty Pharmacy experience is a plus High school diploma or GED verifiable Comfortable handling high call volumes, approximately 50 calls and 40 PA cases per day