Clinical Pharmacist Supervisor - Prior Authorization

Flexible / Remote•Remote

Full-timeRemote$135,792.00 - $178,227.00 per yearremotejobsorg

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About this role

Hi, we're Oscar. We're hiring a Clinical Pharmacist Supervisor

Prior Authorization to join our Pharmacy Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family. About the role: The Clinical Pharmacist Supervisor
Prior Authorization oversees a team of pharmacists performing clinical review for prior authorizations and appeals. This role will drive operational excellence, foster team development, and ensure sound, evidence-based clinical decision-making to consistently meet organizational performance objectives, regulatory standards, and quality goals. You will report into the Manager, Pharmacy Utilization Management. Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $135,792.00 - $178,227.00 per year. The base pay for this role in all other locations is: $122,212.00 - $160,404.00 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities

Manage daily workflows, queue monitoring, and scheduling to ensure the pharmacist team consistently meets clinical accuracy standards and response timelines.
Monitor productivity and quality metrics, providing routine 1-on-1 coaching, performance reviews, and cross-training to help team members build clinical skills, step into expanded roles, and prepare for market expansion.
Serve as a clinical expert to review, troubleshoot, and resolve complex, high-priority prior authorization cases and appeals.
Collaborate with the Clinical Quality team on routine reviews, using audit findings to deliver constructive coaching, training, and performance support.
Proactively identify and implement process improvements, and resolve day-to-day challenges to keep the team operating efficiently.
Partner with cross-functional leadership to develop, update, and organize job aids and team training resources.
Participate in a rotated weekend and holiday on-call schedule to monitor queues and offer team support when needed.
Compliance with all applicable laws and regulations
Other duties as assigned Requirements:
Doctor of Pharmacy Degree.
Active, unrestricted pharmacist license.
4+ years of experience in managed care performing clinical review/utilization management.
1+ year(s) of people or project management experience. Bonus points:
Experience managing a team of clinical pharmacists performing clinical review/utilization management operations.

Posting details

Remote

Yes

Employment type

Full-time

Workplace type

Remote

Source

remotejobsorg

First seen

9/10/2026, 2:10:29 PM

Last seen

9/10/2026, 2:10:29 PM