Remote Coverage Review Pharmacist - Managed Care
$67.48 per hourLand a Job
- Remote job
Actalent is seeking a Pharmacist for a remote coverage review contract in Tennessee. The role reviews prior authorizations, appeals, and member grievances with compliance to regulations. It requires strong clinical judgment and independent work capability. The position is remote (must reside within 2 hours of Chattanooga, TN), for 3 months, with a Monday–Friday schedule and a pay rate of $67.48 per hour. Health benefits and professional support are available through Actalent. #J-18808-Ljbffr Land a Job
- ...Remote Clinical Review Pharmacist – Work From HomeLeverage your clinical knowledge in a fully remote Clinical... ...physicians, nurses, and utilization-management teams on complex cases.Document... ...utilization management, or managed care preferred. Hospital, ambulatory, and...Remote workWork from homeFlexible hours
- ...Remote DUR Pharmacist Safe & Cost-Effective Medication Use Work From Home Analyze medication use... ...home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists... ...S. pharmacist license. Experience: Managed care, PBM, or health-plan preferred. Hospital...Remote jobWork from home
- ACTalent is seeking a Pharmacist for a remote Coverage Review role in Tennessee, with the candidate expected to review prior authorizations, pharmacy appeals and member grievances, ensuring compliance with regulations. Remote work is offered within 2 hours of Chattanooga...Remote jobContract work
$67.48 per hour
Pharmacist - Coverage Review (Remote) Location: Remote (Must reside within 2 hours of Chattanooga, TN) Duration... ..., appeals, and utilization management processes. Ability to work independently... ...organization Gain experience in managed care and pharmacy coverage review...Remote workContract workTemporary workWork at officeWork from homeMonday to Friday$132.8k - $166k
...digitally connect with care providers, essential... ...Care Supervisor, Pharmacist leads a team of Remote Pharmacists responsible... ...Product, Workforce Management, and other partners... ...and operational coverage. Key Responsibilities... ...involve human review and input. If you have...Remote workWork experience placementLocal areaVisa sponsorship- ...PharmacistMarket leading national managed care organization is looking for Prior Authorization Pharmacists to work remotely! Great opportunity! Duties include: review prior authorization requests and... ...to member benefits and coverage criteria, report to utilization...Remote work
- ...We're hiring a Clinical Pharmacist to join a managed care team reviewing prior authorizations and appeals for specialty, non-specialty, and physician-administered drugs — fully remote. WHAT YOU'LL DO Review and render decisions on authorizations and appeals for specialty...Remote work
$106.2k - $187.5k
...passionate colleagues who care deeply, innovate... ...is a 100% remote role requiring a HIPAA... ...contributor role; Pharmacist will not have any... ...medication review and reconciliation... ...different disease management scenarios beyond dispensing... ..., and vision coverage, paid time off, retirement...Remote workHourly payFull timeTemporary workInternshipLive inLocal areaShift work- ...Remote Case Management PharmacistCoordinate care for complex patients | Work from home support high-risk and complex patients through medication reviews, care coordination, and adherence support — all from... ...remote setting. Ideal for pharmacists who enjoy clinical problem...Remote work
- ...Non-Billable Orientation (NBO) Job - Remote Managed Care PharmacistPharmacist License Required... ...required a few times per year. Managed Care Pharmacist The Clinical Pharmacist Specialist (... ...care coordination, drug utilization review and program development, clinical policy...Remote workLocal areaWeekend work
$60 per hour
...Job Title: Clinical Pharmacist Job Description The Clinical... ...operation of an assigned patient care team. This role manages pharmacy staff, delivers... ...pharmacotherapy review. Responsibilities Provide... ...environment with both in-office and remote responsibilities....Remote workContract workTemporary workWork at officeWork from home- ...Remote Pharmacovigilance Pharmacist Drug Safety From Home Contribute to global patient safety by collecting... ..., ambulatory, community, or managed care backgrounds who have strong attention... ...investigational products. Conduct literature reviews and support safety signal detection...Remote jobWork from homeFlexible hours
$54.1k - $155.54k
...by passionate colleagues who care deeply, innovate with purpose... ...aspects of the utilization/benefit management program. Applies critical... ...clinical judgment to render coverage determination/recommendation/... ...Managed care/utilization review experience Acute care/critical...Remote workHourly payFull timeTemporary workLocal areaWork from homeRotating shift- ...Formulary Management Pharmacist Influence Therapy Access At Scale Shape which... ...challenge and often hybrid or remote flexibility. Key Responsibilities Evaluate and review new drug products for... ...license. Experience: Managed care, PBM, or health-plan ideal. All...Remote work
- ...Remote Managing Pharmacist Hometown Pharmacy is seeking a Remote Managing Pharmacist to provide leadership... ...strengthen teams, and enhance patient care. This is an excellent opportunity... ...standardized pharmacy inspections. Review pharmacy security, medication storage,...Remote jobFull time
- ...and AI. Milu's provider team of pharmacists and nurses helps patients through medication review and reconciliation, care gap identification and closure... ...Review and Medication Therapy Management Pharmacist to join our clinical team. This remote, part-time role is ideal for a...Remote jobPart time
- ...nation’s leading pharmacy care management companies that... ...DetailsThe Clinical Pharmacist is expected to deliver... ...profiles are managed, reviewed and verified. The Pharmacist... ...as needed.This is a remote position.AnewHealth... ..., dental and vision coverage are effective 1st of...Remote workFull timeTemporary workLocal areaFlexible hours
- Remote Order Entry Review Pharmacist we offerpay rate 48/hour, 2 weeks PTO. Schedule Full Time shifts available, Monday through Friday and every other... ...then transition to remote. Specialty Rx is a Long-Term Care pharmacy providing pharmaceutical services to long-term care...Remote jobFull timeLocal areaMonday to FridayShift workWeekend work
- ...Oak Street Health is seeking a Utilization Management Physician Reviewer for a fully remote, full-time role. You will render timely coverage determinations for inpatient and... ...and clinical judgment, coordinating with care teams to ensure appropriate care. The role...Remote workFull time
- ...multi-disciplinary health care and social service... ...is seeking a Clinical Pharmacist to join our integrated... ...primary care providers to manage medications for patients... ...other chronic conditions.Review medication regimens for... ...monitoring (CGM) and remote blood pressure monitoring...Remote workFull time
- Clinical Pharmacist page is loaded## Clinical Pharmacistlocations... ...'s leading pharmacy care management companies that... ...guidelines.* Provides timely review, preparation/... ...engagements.This is a remote position.*AnewHealth offers... ..., dental and vision coverage are effective 1st of...Remote workFull timeTemporary workLocal areaFlexible hours
- ...PRN Clinical Pharmacist Coordinate and help manage clinical programs and initiatives, including but... ...MTM), Annual Wellness Visits, Remote Patient Monitoring, Chronic Care Management, Adherence Programs... ...to, Comprehensive Medication Reviews (CMR), Targeted Medication Reviews...Remote workReliefWork at officeWeekend workAfternoon shift
$108k - $184k
...profits and a unique ability to connect care for those we serve. Looking for a... ...Posting Title Clinical Formulary Management Pharmacist - Remote Job Description The Formulary Pharmacist... ...publications in alignment with drug review committee decisions and client...Remote workFull timeWork at officeLocal areaVisa sponsorshipWork visa- AnewHealth is seeking a Clinical Pharmacist to manage pharmacotherapy outcomes for patients remotely from New Jersey. You will collaborate with physicians and care teams, review medications, and support distribution and labeling under state and federal regulations. Essential...Remote job
- ...Clinical Consulting Pharmacist Please note: This is an after-hours... ...Dragonfly Health is the leading care-at-home data, technology and service... ...and robust analytics to manage DME and pharmaceutical services... ...will do: Provide clinical review and consultation on medication...Remote jobNight shift
$53.8k - $70k
...prioritize preventive care while leveraging... ...medication management services. The Pharmacy... ...elevate to Clinical Pharmacists on the Team.... ...based on profile review or patient interview... ...dental, and vision coverage. Your health matters... ...Additionally, we embrace a remote‑first culture that...Remote jobWork experience placementWork at officeFlexible hours- ...quality pharmaceutical care, the full-time Prior Authorization Pharmacist will conduct clinical reviews of pharmacy prior... ...guidelines while working remotely. Key... ...appeals and communicate coverage decisions to stakeholders... ...authorization or utilization management experience...Remote workFull time
- ...Managed Care Clinical Pharmacist Provides professional consultative services for management of the PHP pharmacy benefit for all product lines.... ...development and maintenance, including drug/therapeutic class reviews for the Pharmacy & Therapeutics (P&T) committee and...Remote workFull timeShift workNight shiftWeekend work
- Walgreens Co. is seeking a Pharmacist to implement healthcare strategies and drive patient... ...from a retail setting. You will manage patient care programs, immunizations, and adherence... ...education and policy adherence. You will review drug histories, provide consultations,...Remote job
$124k - $211k
...unique ability to connect care for those we serve. Looking... ...us. Job Posting Title Pharmacist Account Executive - Remote Job Description The... ...Director is responsible for the management of all client specific... ...experience and skills. To review our Benefits, Incentives...Remote workFull timeWork experience placementLocal areaVisa sponsorshipWork visa
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