Remote Pharmacy Operations Specialist (Prior Authorization)
$20.19 - $28.37 per hourWell Sense Health Plan
Wellsense-Health-Plan is seeking a Pharmacy Operations Specialist to support pharmacy utilization management and prior authorization processes. This full-time remote position requires excellent customer service skills and experience in pharmacy settings. The ideal candidate will process authorization requests, interact with providers and members, and support clinical program implementations. A high school diploma is required, with an associate's or bachelor's degree preferred. The compensation range is $20.19 - $28.37 based on experience and qualifications. #J-18808-Ljbffr
$23 per hour
Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Houston, TX | Full-Time | Starting at $23.00/hr and up Join a mission-driven team making a... ...-time position ideal for candidates local to the area. Remote work possible after initial on-site training. Why Join...Remote workFull timeTemporary workLocal area- ...A healthcare solutions provider is seeking a 340B Pharmacy Operations Specialist to support the 340B Infusion Leakage Program. This role involves... ...and a bachelor's degree in a related field. The position is remote with some travel required, offering a unique opportunity to...Remote work
$17 - $34.15 per hour
...is seeking a customer service representative for a work-from-home position in Hawaii. The role involves processing medication prior authorization referrals and assisting prescriber office staff. Candidates should have a high school diploma, at least one year of customer...Remote workHourly payFull timeWork at officeWork from home- Job Overview The Pharmacy Operations - Access Specialist will have strong knowledge of insurance, revenue cycle... ...training. Coordination and authorization of payer mandated white bagging when... ...Coordinate with outside facilities on prior authorization and access as needed...SuggestedTemporary workWork from homeRelocation package
$33.5k - $47.9k
...JobRx, Inc. is seeking a Pharmacy Prior Authorization Call Center Representative in Connecticut. This role involves supporting the Connecticut Medicaid... ..., and strong communication skills. Work is primarily remote but may require in-office attendance in East Hartford....Remote workWork at officeFlexible hours$17.98 - $32.12 per hour
JobRx, Inc. is seeking a pharmacy technician for a remote role in Massachusetts focused on managing prior authorizations for medications not covered by insurance. This position requires excellent communication and organizational skills, along with at least 1 year of relevant...Remote jobHourly pay- Pharmacy Solutions Group (PSG) is looking for a Prior Authorization Specialist to support remote workflows primarily in West Virginia, Ohio, Indiana, and Maryland. The role involves maintaining authorization workflows, submitting requests to insurance plans, and ensuring...Remote job
- JobRx, Inc. is hiring a Prior Authorization Specialist to manage prior authorization workflows remotely. The role includes submitting authorizations, working with insurance... ...have prior authorization or long-term care pharmacy experience. Benefits include health insurance...Remote job
- CommuniCare Health is seeking a Pharmacy Prior Authorization Specialist for a full-time remote role. This position involves managing the Prior Authorization workflow for facilities in states including Ohio and West Virginia. The successful candidate will submit prior authorizations...Remote jobFull time
- ...healthcare organization in Houston, TX is seeking a full-time Pharmacy Prior Authorization Specialist. This position involves managing insurance pre-... ...claims and terminology. The role offers opportunities for remote work after initial training and includes a...Remote jobFull time
- JobRx, Inc. seeks a Pharmacy Prior Authorization Specialist in Woodridge, IL, to ensure patients receive timely pre-authorizations for medications. This role requires a high school diploma or GED, plus experience in pharmacy or prior authorizations. The ideal candidate...Remote job
- JobRx, Inc. is seeking a Pharmacy Prior Authorization Specialist to join their team in Scottsdale, AZ. This full-time role involves managing prior authorization... ...pharmacy experience and a High School Diploma or GED. Remote work is possible after initial on-site training. The...Remote jobFull time
- Pharmacy Prior Authorization Specialist page is loaded## Pharmacy Prior Authorization Specialistlocations: Pharmacy Solutions Group - Ohiotime type: Full... ...Authorization Manager**Job Type****:** Full-Time - Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland...Remote workFull time
$39k - $48.15k
Pharmacy Operations Support Specialist - St. Louis, Mo page is loaded## Pharmacy Operations Support Specialist - St. Louis, Molocations: Missouritime... ...claims management, formulary management, pharmacy prior authorizations, and assist Medicare Part D Customer Service call...Full timeWork at officeFlexible hours- A regional healthcare provider in Tampa seeks a Pharmacy Billing Specialist who will handle medication billing functions, verify insurance eligibility, and facilitate prior authorizations. The ideal candidate will have an Associate's Degree and experience in healthcare...Remote jobFull timeMonday to Friday
- Job Description - Pharmacy Billing Specialist - Outpatient Specialty (2600019B) The Pharmacy Billing... ...eligibility, facilitating prior authorizations, and collaborating with third‑party... ...Circle, Tampa, 33601 Eligibility for Remote Work Hybrid Remote Job Pharmacy Schedule...Remote workFull timeMonday to FridayShift workDay shift
- The Pharmacy Billing Specialist handles all medication billing functions within Pharmacy Services.... ...insurance eligibility, facilitating prior authorizations, and collaborating with third‑party... ...TGH Main Campus Eligible for Remote Work Hybrid Remote Job Pharmacy Organization...Remote workFull timeMonday to FridayShift workDay shift
$130k - $160k
...from home model. Qualifications Pharmacy Practice Involvement:... ...Facilitate medication access by assisting with prior authorizations, drug therapy appeals, financial assistance... ...range within $130-160K annually. Remote Type Hybrid Work Location...Remote workFull timeWork at officeImmediate startWork from homeFlexible hoursShift work2 days per week1 day per week$55 per hour
...Remote Clinical Pharmacist - Medicare UMJob Summary We are seeking a Remote... ...utilization management requests, including prior authorizations, formulary exceptions, step therapy,... ...pharmacists looking to move away from retail pharmacy into a clinical, work-from-home role....Remote workFull timeContract workTemporary workLive inWork from home$55 per hour
...Fully Remote Clinical Review Pharmacist Well-Known PBM | Offers Benefits | Fully... ...requests, including formulary exceptions, prior authorization, step therapy, and quantity limit... ...Additional Skills & Qualifications Doctor of Pharmacy (PharmD) or Bachelor of Science...Remote workPermanent employmentContract workTemporary workWork from homeMonday to FridayRotating shiftWeekend work- ...activities related to high-cost case management and prior authorization of specialty medications, across pharmacy and medical benefits and specialty and traditional... ...either our Brentwood, TN or St Louis, MO offices. Remote employment also considered. Responsibilities...Remote work
- ...Pharmacist 1 Work Location: Remote Assignment Duration: 3... ...Background & Context: Pharmacy Appeals Department - Dept 2... .... Completes pharmacy operational requirements by organizing... ...to team effort. Reviews prior authorization requests and evaluates approval...Remote workWork at office
$106.2k - $225k
...Utilization Review, Formulary development, and Prior Authorization programs to encourage appropriate, high... ...to formulary decisions made by the Pharmacy and Therapeutics committee. # Assists... ...development core teams. This is a remote role open to qualified candidates...Remote workHourly payFull timeTemporary workLocal areaShift workWeekend work- ...supportive clinical data needed for prior authorization approvals and development... ...registration and all remote pharmacist activity to... ...regulated by each state board of pharmacy and the DEA. Direct... ...observations and recommendations to operational issues, increased...Remote workLocal area
- ...nation's largest rare disease pharmacy, and we put the patient... ...and adherence. Facilitates prior authorizations and enrolls patients in financial... ...: This position operates in a well-lit, mail order distribution... .... Benefits: Hybrid, remote and flexible on-site work...Remote workFull timeTemporary workPart timeLocal areaMonday to FridayFlexible hours
$55 per hour
...Remote Clinical Pharmacist - Medicare UM Job Summary We are seeking a Remote... ...management requests , including prior authorizations, formulary exceptions, step therapy, and... ...looking to move away from retail pharmacy into a clinical, workfromhome role....Remote workFull timeContract workTemporary workLive in$112.5k - $187.5k
...Summary This position is responsible for remote order review and the implementation and maintenance of clinical pharmacy services for practices within The US... ...managed care trends, including step edits, prior authorization workflow and value-based care models a plus...Remote workWork at office- ...classified as hybrid, onsite or remote. While the majority of our... ...once per week Hybrid 2 (Operational Roles such as but not... ...therapies to include review of prior authorization requests according to FEP... ...experience in the managed care pharmacy field Required Education...Remote workFull timeWork experience placementWork at officeFlexible hoursShift work1 day per week
$92.21k - $191.51k
...Location: Remote Position Pay Range: $92,206.40 - $191,505.6... ...flexible, as-needed clinical and operational support for the AON inhouse pharmacy and across the AON network. This... ...recommendations to providers Assist with prior authorization support and formulary...Remote workTemporary workFlexible hours$9.6k
...Category: Pharmacy Job Type: Full time Shift: Rotating... ...Benefits Eligible: Yes Remote Eligible: No Department... ...work methods, technology, and operational systems which improve... ...may include assistance with prior authorizations and provide discharge medication...Remote workHourly payFull timeLocal areaRotating shift
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