Remote Prior Authorization Pharmacist — Clinical Expert
Elevance Health
Overland Park, KS
- Remote job
Elevance Health is seeking a Prior Authorization Clinical Pharmacist for virtual/hybrid work in the United States. The role focuses on evaluating pharmaceutical utilization to ensure safe, effective, and cost-efficient care, supporting DUR, DIS, and formulary management. In-person training sessions are required, with alternate locations considered for commuting distance. The pharmacist will present drug monographs to the Pharmacy and Therapeutics Committee and may review coverage decisions based #J-18808-Ljbffr Elevance Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Prior Authorization Pharmacist — Clinical Expert in Overland Park, KS vacancy
- CVS Health is seeking a Clinical Pharmacist to join the Prior Authorization team. This remote role, open to the United States, focuses on processing referrals, evaluating requests, and communicating outcomes to providers and plans. The position requires 2 years of PBM pharmacy...Remote job
- Point32Health is looking for a Clinical Pharmacist to manage pharmacy prior authorization requests. This role involves reviewing cases, communicating with healthcare providers, and ensuring compliance with regulatory standards. The ideal candidate will hold a PharmD or...Remote job
- ...established industry player is seeking a dedicated Pharmacist to join their remote team. This role involves evaluating prior authorization requests, collaborating with healthcare... ...candidate will have a strong background in clinical pharmacy, excellent communication skills,...Remote jobWork from home
$120k - $125k
A healthcare company is seeking a Clinical Care Pharmacist to excel in safe medication use, review prior authorizations, and support clinical programs. This remote role requires a PharmD degree and 2 years of pharmacy practice experience, alongside strong communication...Remote job- 24-MAG LLC is seeking experienced pharmacists for a specialized, part-time remote consulting role focused on clinical medication review, drug interactions, dosing, contraindications, and Lexidrug guidance. You will evaluate medication lists, patient charts, and dosing decisions...Remote jobPart time
- Guidehealth, a remote-first health data company, is seeking a Clinical Pharmacist with a PharmD to lead HEDIS medication adherence initiatives. The role focuses on improving adherence rates to antihypertensive, lipid-lowering, and diabetes therapies, and ensuring alignment...Remote job
- Elevance Health seeks a Prior Authorization Clinical Pharmacist to evaluate and manage pharmaceutical use, ensuring safe, effective, and cost-efficient therapy. This virtual-full-time role supports DUR, DIS, and formulary programs while aligning with hybrid work policies...Full time
- ...nurses, business people, tech experts, researchers, and systems... ..., and much more.The Clinical Pharmacist II for COMM/Exchange will... ...managed care programs such as prior authorization and quantity limitations programs... ...position is eligible for remote work from approved U.S....Remote workFull timeWork at officeMonday to FridayFlexible hours
$122k - $128k
Clinical PharmacistJob Purpose:Provide integrated support to patients... ...clinical data needed for prior authorization approvals and development... ...limited to comprehensive pharmacist consultation, motivational... ...current registration and all remote pharmacist activity to...Remote workWork at officeLocal area- ...Work Mode: 100% Remote - Open to any time zone EXCEPT PST Shift: 9 AM - 6 PM local... ...Responsibilities: Develop clinical criteria for medications, recommend plan... ...programs to be initiated Monitor prior authorization requests Provide clinical support...Remote workLocal areaShift work
Axelon
Tampa, FL16 hours ago - Dragonfly Health is seeking a Clinical Consulting Pharmacist to provide remote clinical review and consultation on medication requests, prior authorizations, and benefit determinations. The role supports complex case reviews, therapy optimization, and cost-effective prescribing...Remote jobWork from home
- ...– Dept 247 Location: 100% Remote - National SHIFT: 9am – 6pm EST... ...volume Reviews a completed prior authorization request received from the provider... ...request using professional clinical judgment on a case by case basis. A pharmacist will review medication...Remote workShift work
Axelon
United States3 days ago - ...Position Title: Clinical Pharmacist 1 Work Location: Remote Assignment Duration: 3 Months Work Schedule: 9am - 6pm EST No OT Position... ...Typical Day in the Role * Reviews a completed prior authorization request received from the provider and/or reviews...Remote workWork at office
Spectraforce Technologies
Houston, TX3 days ago - ...Clinical Pharmacist - Prior Authorization Pharmacist Clinical ****Seeking Pharmacists who are licensed in North Carolina or Kansas!***** LOCATION: This position is virtual eligible. You should be within a reasonable distance of one of our offices. HOURS: General...Remote workFull timeContract workWork experience placementMonday to Friday
Elevance Health
United States3 days ago - ...Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for... ...serving as a subject matter expert for pharmacy utilization management... ...may be assigned. 1. Make prior authorization and step therapy...Remote workWork at officeShift work
WVU Medicine
United States3 days ago - ...Clinical Pharmacist DotHouse Health is a diverse, multi-disciplinary health care and social... ...continuous glucose monitoring (CGM) and remote blood pressure monitoring, and... ...medication access by assisting with complex prior authorizations, formulary restrictions, medication...Remote workFull time
DotHouse Health
Dorchester Center, MA3 days ago $99k - $129k
...Pharmacist - Prior Authorization At our company, we move fast, adapt quickly, and turn challenges into... ...Under the direction of the Manager, Clinical Services, the Prior Authorization Clinical... ...and meet daily deadlines. Remote Work Requirements To ensure...Remote workWork at officeLocal areaWellDyne
United States3 days ago- CVS Health is seeking a Clinical Pharmacist to join the Prior Authorization team in a remote role within the United States. The candidate must hold an active North Carolina pharmacist license and have prior authorization experience with Caremark PBM. Responsibilities include...Remote job
$57 per hour
ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts...Remote jobHourly payWork from homeFlexible hours$80k - $120k
...Clinical Expert, Care Team Operations (RN) Remote Thesis is building the AI-powered care team platform for infinitely scalable clinical capacity... ...condition management and care gap outreach to complex prior authorizations and clinical documentation improvement. In this...Remote work$127k - $133k
...Ambulatory Clinical Pharmacist Remote Job Purpose: Provide integrated support to patients and physicians by providing a hands-... ...and workflows with supporting roles handling complex prior authorizations/appeals by providing clinical justification for medication...Remote workWork at officeLocal areaShields Health Solutions LLC
United States2 days ago$45.43 - $76.15 per hour
...a time. Position Summary This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior... ...availability as needed. This is a remote role open to qualified candidates within the United...Remote workHourly payFull timeTemporary workWork at officeLocal areaFlexible hoursShift workCVS Health
United States4 days ago- VytlOne is seeking a Clinical Pharmacist for their remote specialty pharmacy operations in the United States. The role focuses on clinical review, patient counseling, prior authorization support, and collaboration with providers to improve outcomes. The pharmacist will...Remote job
- Spectraforce Technologies is seeking a Clinical Pharmacist 1 for a remote 6-month assignment. The role supports Medicaid, Medicare and Health... ...potential overtime. You will define formularies, review prior authorization requests, and assist internal teams while ensuring...Remote job
- Motion Recruitment is actively hiring a remote Clinical Pharmacist in North Carolina. This position is a 6-month W2 contract, requiring a... ...10 AM - 7 PM shift. Responsibilities include reviewing prior authorization requests, tracking compliance, making outreach to Medicare...Remote jobContract workShift work
- ...Possibly 4/20/2026 Summary Location: 100% Remote Shift: Mon - Fri 10am - 6:30pm EST,... ...Responsibilities Review 140 to 160 clinical prior authorizations or coverage determinations daily.... ...degree or PharmD Required: Current state pharmacist license Years of experience required:...Remote workShift workWeekend work
- ...Clinical Pharmacist UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent... ...of Utilization Management (UM) requests (e.g. prior authorization, step therapy, formulary exceptions) for delegated products...Remote jobPermanent employmentContract workLocal area
$60 - $65 per hour
...Clinical Pharmacist I Duration: Contract (3 Months) Location: Remote Schedule: Monday Friday | 9:00 AM 6:00 PM EST Pay Range: $60 - 65/hourly Job Summary... ...Appeals team. In this role, you will review prior authorization and appeal requests to help ensure members receive...Remote workHourly payContract workWork at officeMonday to Friday- ...Title: Clinical Pharmacist Location: Fully Remote Duration: 3months Schedule: 1 st (9am to 6pm EST) No OT XXXX: XXXXXXXXXXX0 to... ...Typical day in a role: Reviews a completed prior authorization request received from the provider and/or reviews...Remote workWork at office
Pacer Group
Texas2 days ago $55.28 - $57.69 per hour
...Clinical Consulting Pharmacist Schedule: Monday - Friday, 2:30PM - 11:00PM EST Must reside in PA or TN to be considered. Dragonfly... ...clinical review and consultation on medication requests, prior authorizations, and benefit determinations. Evaluate therapy...Remote jobRelocation packageMonday to FridayShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Prior Authorization Pharmacist — Clinical Expert. Be the first to apply!
Related searches
- research pharmacist Overland Park, KS
- government pharmacist Overland Park, KS
- pharmacist long term care Overland Park, KS
- pharmacist Overland Park, KS
- retail pharmacist Overland Park, KS
- oncology pharmacist Overland Park, KS
- work from home pharmacist part time Overland Park, KS
- production pharmacist Overland Park, KS
- cardiology pharmacist Overland Park, KS
- pharmacist full time Overland Park, KS