Remote Appeals Pharmacist — Fair Medication Access
Pharmacy Careers
- Remote job
Pharmacy Careers seeks a Remote Appeals Pharmacist to review medication coverage appeals from home or hybrid settings. You will apply evidence-based guidelines, draft clinical rationales, and collaborate with clinicians to ensure fair access for members. This fully remote role emphasizes strong documentation, regulatory attention, and a commitment to managed care principles. A PharmD or equivalent, and experience in managed care are preferred, with competitive salary and growth opportunities #J-18808-Ljbffr Pharmacy Careers
- Pharmacy Careers is seeking a Remote Appeals Pharmacist to ensure fair access to medications. You will review clinical documentation for coverage appeals from home and provide evidence-based determinations. This role supports managed care through strong documentation,...Remote jobWork from home
- Pharmacy Careers is seeking a fully remote Appeals Pharmacist to review medication coverage appeals and provide evidence-based determinations from home... ...clinical writing and regulatory compliance helps ensure fair access for members. The role supports remote or hybrid...Remote jobWork from home
- Pharmacy Careers is seeking a Remote Appeals Pharmacist focused on fair medication access. This fully remote or hybrid role involves reviewing medication coverage appeals, applying evidence-based guidelines, and writing clear clinical rationales for determinations. You...Remote job
- ...Remote Appeals Pharmacist – Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair...Remote workWork from home
- ...to improve lives. ABOUT THE POSITION (Remote, Occasional Travel Required) The Pharmacist Manager, Medication Access Strategy and Operations provides strategic, operational... ..., including medical necessity evaluations, appeals, and reimbursement pathways. Serves as...Remote workFull timeWork at office
$44 - $79 per hour
...Pharmacist At UnitedHealthcare, we're simplifying the... ...documentation, accesses clinical criteria and... ...physicians regarding use of medications, potential drug interactions... ...clinical status for appeals requests Conduct... ...to the San Francisco Fair Chance Ordinance, we will...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to Friday$40.87 - $80.43 per hour
...Pharmacist At UnitedHealthcare, we're simplifying the... ...flexibility to work remotely* from anywhere within... ...clinical documentation, accesses clinical criteria and... ...physicians regarding use of medications, potential drug... ...and clinical status for appeals requests Conduct Quality...Remote jobHourly payWork experience placement$44 - $79 per hour
...Senior Pharmacy PA/Appeals Technician Optum is a global organization... ...formulary and non-formulary medications, while ensuring a high level... ...from providers' offices and pharmacists. The technician must provide... ...Candidates must have access to internet that can hard wired...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hoursShift work$44 - $79 per hour
...Pharmacist PA/Appeals - Remote in Vermont & Maine Optum is a global organization that delivers care... ...and case-management tools to research medication information, verify benefit details,... ...Reliable high-speed home internet access, with the ability to use a hard-wired...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift work$120k - $130k
...Remote Clinical Pharmacist – HEDIS Medication Adherence Full-time WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare... ...smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$20.53 - $33.9 per hour
...Refer a Friend Back Remote Work from Home Share This... ...Hopkins Medicine, we have access to the most innovative treatments... ...the direct supervision of pharmacists and alongside other skilled technicians... ...of tasks aimed at supporting medication preparation, packaging,...Remote workFull timeLocal areaWork from homeRotating shift$38.04 - $51.35 per hour
...Medication Access Specialist The Medication Access Specialist is responsible for supporting ambulatory care pharmacy programs that support... ..., Surescripts, etc) Experience collaborating with pharmacists, providers, and insurance companies to resolve access barriers...Hourly payFull timeTemporary workLocal areaShift work- ...Indianapolis. FLSA StatusNon-ExemptJob Role SummaryThe Pharmacy Medication Access Specialist II is responsible for improving patient access to... ...with care teams (physicians, nurses, clinical specialists, pharmacists, social workers, precertification analysts) to ensure...Full timeInternshipLocal areaShift work
$135k - $145k
...decisions/recommendations for provider/member submitted appeals and grievances for medically administered medications as well as pharmacy related... ...or Pharm D License: Current license to practice as pharmacist in Massachusetts without restriction Experience: 3 years...Remote jobLocal area$144.5k - $258.3k
...LOCATION: Remote U.S. locations _* Please... ...consistency, accuracy, and accessibility to information... ...and their appeal to selected segments... ...Certified Specialty Pharmacist (CSP) credential a... ...To maintain a fair and genuine hiring... ...but not limited to: Medical, Dental, & Vision...Remote workWork at office$248.5k - $373k
...00.00 - $373,000.00Job Area: Medical & Clinical OperationsCompany:... ...enjoy the flexibility to work remotely * from anywhere within the U.... ...Primary Responsibilities:The Appeals and Grievances Medical... ...network management staff regarding access, availability, network, and quality...Remote workMinimum wageWork experience placementLocal areaWork from home$100k - $160k
...Market Access Medical WriterNew York, New York, United StatesSenior Medical Writer and Medical Writer, Market AccessCraft compelling, data-driven content that shapes market access strategy. Remote position (EST hours).Join a fast-growing, high-impact division within an...Remote workFlexible hours- ...JOB DESCRIPTIONThe Clinical Practice Pharmacist provides advanced medication therapy management and direct or... ..., prior authorization or medication access programs, and revenue integrity functions... ...billing/revenue cycle team to appeal denied claims where appropriate.Assist...Contract workFor contractorsSecond jobLocal area
$57 - $65 per hour
...A healthcare technology company is looking for a Utah-licensed Clinical Pharmacist to optimize patient outcomes using its software platform. This role involves providing medication therapy consultations, supervising the Clinical Care support team, and working collaboratively...Remote workHourly pay- SetPoint Medical’s Market Access Specialist will facilitate patient access to support... ...process. This position is remote and will report to the... ...Coordinate the pre-service appeals process, including composition... ...include external review, state fair hearing, and ALJ. Awareness...Remote work
- ...drive groundbreaking medical discoveries and invite... ...professionals to provide access to specialty... ...authorizations, drug therapy appeals, financial assistance,... ...medication needs or,Clinical Pharmacist hospital practice... ...onsite attendance.Remote TypeHybridWork Location...Remote workFull timeImmediate startWork from homeFlexible hours2 days per week1 day per week
- ...physician leader to conduct case reviews for appeals and grievances across multiple health... ...regulatory responses, collaboration with medical directors, and guidance on benefit interpretations... ...meetings and advisory tasks to improve access, quality, and outcomes. Qualified...Remote job
- Job Title: Patient Access - Medical Virtual Assistant Company: Neolytix Work Set up: Remote Employment Type: Full-time About this Position Tired of just doing a part of the job and not seeing the impact of your work? Here at Neolytix, we believe in the growth of each and...Remote jobFull timeWork at officeWork from home
$45 per hour
SPECTRAFORCE is seeking a Clinical Appeals Specialist to handle member-generated appeal processes remotely from California. The role involves reviewing medical records and ensuring compliance with clinical policies. Ideal candidates will have strong managed care and clinical...Remote jobHourly pay$75 per hour
...Pharmacy Prior Authorization & Specialty-Medication Access Specialist Type: Contract Compensation: $75/hour Location: Remote Role Responsibilities Process and... ...timely medication authorisations. Manage appeals for denied pharmacy authorisations,...Remote workContract workSummer work$21.67 - $27.09 per hour
...technology and automated equipment, obtain medication histories, or initiate application... ...knowledge of payer guidelines. Assists pharmacists in the preparation and distribution of medications... ...medications. Assists with medication access and affordability needs. Participate...Flexible hoursShift work$135k
*Pharmacist In Charge* House Rx is on a mission to make specialty medications more accessible and affordable for patients. We're looking for a Clinical... ..., including composing appeal letters and seeking any... ...matter how radical. We are a remote-first company, however...Remote workFull timeWork from homeRelocationRelocation package- Compass Health Network in Raymore, MO is seeking a Pharmacist to ensure safe and effective medication use for inpatients and outpatients. You will guide clinical... ..., oversee daily pharmacy operations, and support access to medications in rural communities. The role offers...Full timeTemporary workPart timeMonday to FridayFlexible hours
- ...Specialty Pharmacist Full Time Springfield, Ohio... ...to radically improve access and outcomes for the most... ...evidence‑based medication or dosage adjustments.... ...prior authorizations, and appeals. Maintain strict documentation... ...support or cross‑site remote assistance, ensuring...Remote workFull timeTemporary workWork experience placement
- Pharmacy Careers is seeking an MTM Pharmacist to join our growing team. Conduct comprehensive medication reviews, coach patients on adherence, and improve outcomes—often from home or with flexible hybrid schedules. Eligible candidates hold a PharmD or Bachelor of Pharmacy...Remote jobFlexible hours
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