Remote Pharmacist: Prior Authorization Specialist
A-Line Staffing Solutions (old)
A-Line Staffing Solutions is seeking a remote Pharmacist to perform prior authorization reviews and determine coverage using plan criteria. You will collaborate with the team to gather clinical data, communicate decisions to providers, and ensure PHI/privacy standards are maintained.
Requires an active Pharmacist license and prior authorization experience; high-speed internet, a private workspace, and smartphone access are mandatory for a 100% remote role across the continental U.S.
#J-18808-Ljbffr- ...A-Line Staffing Solutions is hiring licensed pharmacists for Remote Prior Authorization roles. These full-time, 40-hour/week positions are work-from-home opportunities with November start dates and various scheduling options to fit availability. Ideal candidates hold...Remote workFull timeWork from home
$95k - $110k
...Baltimore, Maryland, United States, Washington, District of Columbia, United States Functional Area: Sales Working Model: Remote Days of Work: Friday, Thursday, Wednesday, Tuesday, Monday Shift: 5X8 Relocation Available: No Requisition ID: 14531...Remote workContract workSeasonal workRelocationShift work- ...Lumicera is hiring a part-time Pharmacist, Patient Consultation Services to provide telephonic clinical consultations for specialty pharmacy patients. You will perform patient assessments, conduct medication reconciliation, identify adherence barriers, and educate patients...Remote workPart time
- ...About the Job Staff Pharmacist - Independent Pharmacy & Primary Care Services Benson... ...medication affordability programs and prior authorization support. Promote medication... ...Chronic Care Management (CCM). Remote Patient Monitoring (RPM). Medication...Remote workFull timeTemporary workWork at officeMonday to Friday
$78.17 - $105.04 per hour
...being of the communities we serve. Pediatric Cardiac ICU Pharmacist Specialist FTE: 1.0 Shift: Day Schedule: rotating every... ...with MHS specialty pharmacy resources You will process prior authorization (PA) requests from specialty clinics You will determine...SuggestedContract workFlexible hoursRotating shift- ...A healthcare services provider is seeking a remote Pharmacy Technician to contribute to pharmacy utilization management. Responsibilities include screening prior authorization requests, collaborating with healthcare professionals, and ensuring compliance with regulatory...Remote work
- ...Position Title: Pharmacist Location: Remote EST Duration: 3 Months Schedule: Mon - Fri 8:00 AM - 5:00 PM.... ...As a licensed healthcare professional employed in the Prior Authorization Department the primary responsibility of Pharmacist (...Remote work
- ...Oregon is seeking a Healthcare Services associate to support the Medical Management team. You will review referrals, determine prior authorization requirements, and educate members and providers on processes. This is a FT work-from-home role. The position requires 1-2...Remote workWork at officeWork from home
$53 per hour
...Responsibilities Review and process prior authorization requests for medications Apply... ...Requirements Active, unrestricted Pharmacist license in any U.S. state (multi-state... ...Comfortable working independently in a remote setting Reliable high-speed internet...Remote workHourly payFull timeLocal areaWork from homeMonday to FridayAll shifts- ...Remote Case Management Pharmacist - Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients through medication... ...concerns, or potential interactions. Support prior-authorization and appeals processes when needed. Educate...Remote workWork from home
$53 per hour
...Remote Pharmacist (Work From Home) – Prior Authorization / Coverage Determination We’re hiring experienced Remote Pharmacists to complete clinical prior authorization reviews and make coverage determinations using plan criteria. Pay: $53/hr Location: 100% Remote...Remote workWork from home- ...Actalent in Orlando, FL is seeking a dedicated Pharmacy Technician to support Medicare/Medicaid prior authorizations in a remote MedPharm environment. You will handle intake and perform technical review tasks. Responsibilities include reviewing PA cases, determining coverage...Remote work
- ...Actalent is seeking a Certified Pharmacy Technician for a fully remote role handling prior authorization requests from prescribers in a call center setting. The position is Contract to Hire and based out of Eagan, MN, with 8-hour shifts from 7:15am CST to 9pm CST, five...Remote workContract workShift work
- ...Diverse Lynx LLC is seeking a detail-oriented Prior Authorization Specialist to support provider enablement activities in a remote, work-from-home environment. The role focuses on pre-authorization processes and administrative support in healthcare operations. Ideal candidates...Remote workFull timeWork from homeShift workWeekend work
$130k
...Utilization Management Pharmacist (temp-to-hire) Remote About Judi Health Judi Health is a health technology company providing benefit... ...use. This position is responsible for reviewing prior authorization requests, supporting clinical programs, and providing...Remote workTemporary workLocal areaFlexible hoursShift workWeekend work$55.28 - $57.69 per hour
...Provide clinical review and consultation on medication requests, prior authorizations, and benefit determinations. Evaluate therapy... ...required; PharmD preferred ~ Full, current, and unrestricted pharmacist license in PA, TN ~ Ability to obtain additional state licensure...Remote jobRelocation packageShift work$135.79k - $178.23k
...Description Hi, we're Oscar. We're hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. Oscar... ...Management. Work Location: This position is fully remote and open to candidates residing in the U.S.,...Remote workFull timeWork from homeHome office- ...Ambulatory Oncology Clinical Pharmacist Specialist The Ambulatory Oncology Clinical Pharmacist Specialist is an integral member... ...dosing parameters, and supportive care requirements prior to treatment authorization. Participate in formulary reviews, medication-use...Local areaShift workWeekend work
$120k - $125k
...Position Overview The Clinical Care Pharmacist plays a vital role in ensuring safe,... ...position is responsible for reviewing prior authorization requests, supporting clinical programs... ...Location & Schedule Location: Remote Shifts ~7a-4p EST ~9a-6p EST...Remote workFull timeContract workShift workWeekend work- ...VIVA USA INC is seeking a Pharmacy Technician for a fully remote role in the United States. You will handle inbound calls from members... .../denials, and escalate complex clinical questions to a pharmacist. Requirements include 1 year in a healthcare call center, pharmacy...Remote workShift work
$101.34k - $126.67k
....g. M-F 8am to 5pm) M-F 8am to 5pm Remote Work Notification ATTENTION: Navitus... ...Navitus Health Solutions is seeking a Pharmacist, Population Health to join our team!... ...Coverage Determination (Certification, Prior Authorization, Medical Exception, Exception to Coverage...Remote workFull timeFlexible hours$116.3k - $193.9k
...Integrated Dispensing (MID) Pharmacist oversees oral therapy specialty... ...and proper physician authorization. Checks all orders for insurance... ...Knowledge of medication access, prior authorization, payer requirements... ...Environment ~ Primarily a remote or general office environment...Remote workFull timeWork at office$750 per month
...with disabilities. Compensation & Remote Work STAR Bonus % (At Risk Maximum)... ...Wisconsin. Responsibilities The Pharmacist, Population Health will be responsible... ...Coverage Determination (Certification, Prior Authorization, Medical Exception, Exception to Coverage...Remote workFlexible hours$113.7k - $162.4k
...As a Preferred Drug List (PDL) Pharmacist supporting the Gainwell Pricing and Contracting... ...changes in the drug market, develop prior authorization criteria, support therapeutic class... ...in this role This position is remote. Work hours: Eastern Time Zone...Remote workFull timeFlexible hours$122k - $128k
...Description Job Description Clinical Pharmacist Job Purpose: Provide integrated... ...supportive clinical data needed for prior authorization approvals and development of care plan... ...Maintaining current registration and all remote pharmacist activity to comply with...Remote workWork at officeLocal area$101.34k - $126.67k
...M-F between 8AM-7PM CT Rotating holidays and weekends Remote Work Notification ATTENTION: Navitus is only able to... .... Overview Navitus Health Solutions is seeking a Pharmacist I, Clinical Prior Authorization to join our team! The Pharmacist I, Clinical Prior...Remote workFull timeWork experience placementFlexible hours- ...CredSpun LLC is seeking a remote Prior Authorization Specialist to manage the end-to-end process of prior authorizations for behavioral health services. You will determine which services require authorization, submit documentation, and monitor follow-ups to ensure timely...Remote work
- ...Managing insurance authorizations for mental health and substance use treatment,... ...Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support... ...necessity criteria while working remotely. Key responsibilities Verify insurance...Remote workFull time
- Market leading national managed care organization is looking for Prior Authorization Pharmacists to work remotely! Great opportunity, please call us today! Duties: - Review prior authorization requests and make determinations for drug products according to member...Remote workTemporary workWork experience placementShift work
- ...University of Utah Health seeks a primarily remote role to secure outpatient accounts through insurance verification and prior authorization. You will work with physicians, nurses, and financial advocates to resolve authorization issues and ensure access to care. Responsibilities...Remote work
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