Remote Prior Authorization Pharmacist — Managed Care Specialist
Pharmacy Careers
- Remote job
Pharmacy Careers is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to therapies. This remote role supports a managed care environment and emphasizes evidence-based determinations. The position requires a PharmD or Bachelor of Pharmacy with a U.S. license, strong clinical review, and clear communication skills to collaborate with providers and patients. #J-18808-Ljbffr Pharmacy Careers
- ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...Remote workWork from homeFlexible hours
$53 per hour
...Job Description Remote Prior Authorization Pharmacist (Pharmacist - Prior Auth) Location: Remote (continental U.S.; not available... ...programs. This is a great fit for pharmacists with PBM / managed care / health plan experience who are comfortable working...Remote workFull timeLocal areaWork from homeHome officeShift work$130k
...Utilization Management Pharmacist (temp-to-hire) Remote About Judi Health Judi Health is a health technology... ...leveraging advanced AI-powered care delivery, Judi Health helps... ...position is responsible for reviewing prior authorization requests, supporting clinical...Remote workTemporary workLocal areaFlexible hoursShift workWeekend work- Pharmacy Careers seeks a Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access... ...transitioning from retail or hospital settings into managed care. Responsibilities include reviewing requests, applying...Remote jobWork from home
- ...Case Management Pharmacist – Coordinate Care and Improve Patient Outcomes A confidential managed care... ...potential drug interactions. Support prior authorization and appeals processes when needed... ...offer hybrid or fully remote work options. Rewards: Competitive...Remote work
- Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote... ...roles. Direct impact on patient access while building managed-care expertise. Competitive salary + benefits + clear...Remote jobWork from homeFlexible hoursAfternoon shift
$144k - $170k
...specialized, value-based cancer care in the community setting.... ...Oncology, our Utilization Management Pharmacists are clinical leaders who... ...the future of oncology. REMOTE WORK FROM HOME JOB PURPOSE... ..., reduce avoidable prior authorization friction, and support value...Remote jobWork at officeWork from home- ...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... ...with prior authorization or Long-Term Care pharmacy experience, offering comprehensive...Remote workFull time
- Liviniti, LLC is seeking a Prior Authorization Pharmacist in Atlanta, GA. This full-time role manages PA workflows, collaborates with clinical... ...BS Pharm or PharmD and managed care experience are required, with PAHub experience preferred. Remote work options are available to...Remote jobFull time
- Pharmacy Careers seeks a Case Management Pharmacist to coordinate care for patients with complex medication... ...therapy, conduct reviews, and support prior authorizations, while educating patients and... ...disease management. Hybrid or remote work options are available, with...Remote job
- ...position. Reporting to the Manager of Clinical Pharmacy, the... ...Clinical Utilization Management Pharmacist is primarily responsible for... ...2. Two (2) years of managed care experience. PREFERRED... ...may be assigned. 1. Make prior authorization and step therapy determinations...Remote workWork at officeShift work
$113.7k - $162.4k
...Preferred Drug List (PDL) Pharmacist supports the clinical... ...business. This role manages the implementation,... ...PDL-related prior authorization criteria; identifying... ...management or managed care Experience working in... ...be eligible for this remote position. 0-10% of travel...Remote workFull timeWork at officeFlexible hours$55.28 - $57.69 per hour
...Dragonfly Health is the leading care-at-home data, technology and... ...and robust analytics to manage DME and pharmaceutical services... ...on medication requests, prior authorizations, and benefit determinations.... ..., current, and unrestricted pharmacist license in PA, TN, and/or OH...Remote workRelocation packageMonday to FridayShift work- ...Cancer Center is seeking a Pharmacy Prior Authorization Coordinator (Pharmacy Technician III) to manage authorizations and patient... ...schedule and potential hybrid or remote arrangements. The position... ...collaboration with the pharmacy and care teams, and efficient billing...Remote workMonday to Friday
- ...Summary The Clinical Pharmacist I is a volume-driven... ...of initial prior authorization (PA) requests. Operating... ...the Pharmacy Support Specialist (PSS) team. Essential... ...knowledge of modern managed care trends, evolving... ...case reviews. Remote Productivity: Self-motivated...Remote work
- 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
- ...-disciplinary health care and social service agency... ...seeking a Clinical Pharmacist to join our... ...primary care providers to manage medications for patients... ...monitoring (CGM) and remote blood pressure monitoring... ...with complex prior authorizations, formulary restrictions...Remote workFull time
- ...to a hybrid model, allowing for remote work at least one day per week. The Ambulatory Care - Primary Care and Drug Therapy Management Clinical Pharmacist at the Cedars-Sinai Medical... ...process of completing medication prior authorizations as needed. Documents patient encounters...Remote workFull time1 day per week
$50 - $60 per hour
...seeking a Clinical Pharmacist to join a leading healthcare... ...organization for an remote contract opportunity... ...pharmacy utilization management activities, evaluate... ...: • Evaluate prior authorization and coverage review requests... ...Company, Managed Care Organization, or...Remote workHourly payLong term contractContract work- ...Clinical Pharmacist OncoHealth is a leading digital... ...review and virtual care across all cancer types... ...review process for prior authorizations, building/maintaining... ...services. This is a remote opportunity with a designated... ...oncology setting, managed care, or relevant...Remote workLocal area
$49.06 - $61.33 per hour
...Benefits Eligible: Yes Remote Eligible: No... ...know world-renowned care begins with world-class... ...appropriate diabetes management and education protocols... .... *Assist with prior authorizations for diabetes medications... ...Care and Education Specialist by Certification Board...Remote workHourly payFull timeLocal areaShift work$22 - $25 per hour
...provider of Revenue Cycle Management (RCM) and Risk... ...The Pharmacy Intake Specialist is responsible for receiving... ...clarifications, prior authorizations, and required... .... Collaborate with pharmacists, billing specialists... ...- 25 USD per hour (Remote (United States)) #J...Remote workHourly pay- ...'s largest, most innovative long-term care pharmacy services providers, there is... ...Pharmacy? We're reimagining medication management and transforming care. Our core focus... ...rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections...Remote workFull timeTemporary workWork at officeWork from homeMonday to FridayFlexible hoursShift work
$80.22 per hour
...our team as a Per Diem Pharmacist at Salud Medical Center... ...difference beyond medical care! What does it mean to... ...via chronic refill authorization, therapeutic interchanges, and prior authorization completions... ...opportunity for clinical visits managing diabetes, hypertension,...Daily paidPart timeWork experience placementMonday to FridayShift work- ...Oscar. We're hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. Oscar is the first... ...Location: This position is fully remote and open to candidates... ...years of experience in managed care performing clinical review/...Remote workFull timeWork from homeHome office
- Oscar is hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. This role leads a team of pharmacists performing clinical... ...decision making. The position is fully remote in the U.S. (excluding certain states) with...Remote job
- ...Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start Dates... ...: Evaluate and review all prior authorization requests and render coverage determinations... ...agreed-upon approval & denial management processes. As an RPh Advisor you will...Remote workHourly payFull timeWork at officeWork from homeHome officeMonday to Friday
- ...Prairie Band Health Services is in need of Remote Pharmacists to provide future services. With flexible scheduling, great compensation... ...familiar with VA formulary and restrictions including Prior Authorization requirements and Criteria for use of non-formulary drugs....Remote workFull timePart timeFor contractorsReliefLocal areaWork from homeFlexible hours
- ...Our client, a Retail Pharmacy company, is looking for a Pharmacist for their Remote location. Responsibilities: This... ...responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. This position is responsible...Remote work
- ...To support a growing clinical team, the contract-to-hire Remote Prior Authorization Pharmacist will review clinical criteria for prior authorization decisions, communicate with patients and prescribers, and ensure prescription accuracy while working remotely during set...Remote workContract work
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