Remote Clinical Pharmacy Specialist — Coverage Review
BlueCross BlueShield of Tennessee
- Remote job
BCBST BlueCross BlueShield of Tennessee, Inc. is seeking a Clinical Pharmacy Specialist to support Medicare and D-SNP coverage review activities, ensuring members have timely access to pharmacy benefits and services. This remote-friendly role collaborates with pharmacists and providers to manage cases and decisions impacting member care. The ideal candidate brings Medicare/Medicaid or managed care experience, strong computer skills, and attention to detail in a remote environment. #J-18808-Ljbffr BlueCross BlueShield of Tennessee
- ...what it means to be a pharmacy for people with... ...Overview The Clinical Pharmacy Specialist executes patient-facing... ...closeout. ~ Review assigned cases for... ...documentation, coverage coordination, or disconnected... ...in an office and remote-work setting, based...Remote workFull timeWork at officeWork from home
- Remote USA, TN, Chattanooga, Remote Full time R-51453 We are hiring a Clinical Pharmacy Specialist at BCBST! In this role, you will support Medicare and D-SNP coverage review activities, helping ensure members receive timely and appropriate access to pharmacy benefits...Remote workFull timeWork at officeWork from homeRelocation packageMonday to FridayNight shiftWeekend workAfternoon shift
$22.38 - $25.42 per hour
...Waymark. About this role The Pharmacy Student Clinical Support Specialist is a unique, remote clinical position designed for... ...team, initiating deep-dive chart reviews to help inform interdisciplinary... .... Medical, Vision, and Dental Coverage: Comprehensive plans to keep you...Remote workInternshipWork from homeHome officeWeekend workAfternoon shift- ...0.1 FTE) to support SHARP, Peer Review and Medication Safety. In partnership with KPWA Pharmacy staff, you will review select new... ...options with the member’s specialist, aligning with KP clinical pathways. You will adjudicate coverage requests, applying standard criteria...SuggestedPart time
- ...society.Job SummaryAs a Clinical Pharmacist, you... ...the Department of Pharmacy Hematology/... ...contribute to formulary review and maintenanceYou... ...dental and vision coverage for dependents and... ...hybrid or mobile/remote work mode are at... ...TitleClinical Pharmacist Specialist - Ambulatory Solid...Remote workFull timeMonday to FridayDay shift
- ...implementation and monitoring of clinical pharmacy services in Solid... ...depending on cross-coverage needs.... ...for hybrid or mobile/remote work mode are at the... ...Work agreements are reviewed annually at a minimum... ...TitleClinical Pharmacist Specialist - Solid Organ TransplantJob...Remote workFull timeLocal areaRotating shiftDay shift
$49.92k - $52k
...looking for! New England Life Care currently has a Remote Clinical Review Specialist opportunity available. This is a remote position with an... ...provide clinical information as required in order to confirm coverage for each patient. Benefits : Career Ladder...Remote workFull timeTemporary workLive inLocal areaMonday to Friday$145k - $180k
...Job Description Job Description Clinical Pharmacy Specialist Join our Shields team today! Shields... ...medication management. You'll work remotely, collaborating directly with care teams... ...have certain privacy rights. Please review our: California Workforce Privacy...Remote workHourly payTemporary workWork at officeLocal areaRelocation package$127.99k - $162.32k
...you're making a difference in people's lives. Clinical Pharmacy Specialist - Ambulatory Cardiology. This role is Remote / Hybrid with on-site required in Burlington, MA... ...drug monitoring and adverse effect management, review of medication profiles and the patient medical...Remote jobWork experience placementWork at officeMonday to FridayDay shift- A health accreditation organization is seeking a Part-Time Clinical Review Specialist who will play a key role in supporting accreditation processes... ...and a background in quality assurance. This role is fully remote, allowing candidates from anywhere in the United States to...Remote workPart time
- ...Health Care Oncology clinics throughout the state of... ...educator for Doctor of Pharmacy students and pharmacy... ...position is posted as remote hybrid or in-person. Remote... ...arrangements will be reviewed annually and must... ...7 days a week on-call coverage for Ambulatory Care Specialty...Remote workFull time
- ...Justice Department (TJJD).JOB SUMMARY:The Pharmacy Clinical Practice Specialist (PCPS) for the Texas Department of... ...approximately 50% of work performed remotely. Hybrid work arrangements are... ...clinical practice guidelinesUtilization review and monitoring of prescribing...Remote workFor contractorsWork experience placementLocal areaShift workWeekend work
$148.3k - $214.93k
...StateNorfolk, VAWork ShiftMultiple shifts availableOverview:Title: Clinical Pharmacy Specialist - Specialty PharmacyLocation: Norfolk General Hospital,... ...-free environment.For positions that are available as remote work,Sentara Health employs associates in the following...Remote workFull timeTemporary workLocal areaShift work$60.09 - $83.87 per hour
...hiring a full-time Weight Management Clinical Pharmacy Specialist in our Pharmacist Care Clinic at UC Medical... ...The practitioner is responsible for reviewing pharmaceutical care provided during... ...initiatives, assisting in coverage of central and decentralized pharmacists...Full timeTemporary workLocal areaRelocation packageShift workDay shift- ...Work Shifts (United States of America)Clinical Pharmacy Specialist - Oncology - St. Elizabeth Youngstown... ...disease preventionPerform medication reviews and medication therapy management to... ...Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance,...Full timeTemporary workAll shiftsShift workAfternoon shift
- ...professionals to join our telework team as 1099 independent contractors in the field of Physical Medicine & Rehabilitation. You will review clinical cases, prepare clinical summaries, and participate in peer communications, with an initial 1-year term. This part-time role...Remote jobPart timeFor contractors
- ...healthcare accrediting organization is looking for a Full-time Clinical Review Specialist who will support the accreditation process for community... .... Strong communication skills and the ability to work remotely are essential. Traveling 15-20% will be required. #J-18808...Remote jobFull time
- ...Job Description Job Title: Clinical Pharmacist – Bone Marrow Transplant (BMT) Pharmacy Services Position Type: Full... ...and/or outpatient settings. Review, verify, and optimize medication... ...order verification and coverage during rotating weekends. Collaborate...Full timeTraineeshipRotating shiftDay shift
- ...The Clinical Pharmacy Reviewer (Pharmacist) evaluates complex prior authorization requests, appeals, and medication coverage determinations to ensure clinical appropriateness and compliance... ...Join Dane Street? Collaborative remote culture Professional growth opportunities...Remote workContract workLocal areaWork from home
- ...currently recruiting a personable and detail-oriented Full-time Clinical Review Specialist to perform the associated duties which support and... ...Must be willing to travel (15-20%) This position is 100% remote and can be located anywhere nationwide. In order to be considered...Remote workFull timeWork at office
$86.8k - $115k
...learning, and career development. Summary The Clinical Policy Specialist – Itemized Bill Review is responsible for the development, enhancement, and... .... What you should expect in this role ~ Remote opportunity within the U.S. Applications will...Remote workFull timeFlexible hours- ...Managed Medical Review Organization is seeking a Registered Nurse to join the team in a remote, home-office setting. The role emphasizes telephonic communication, patient data documentation, and clinical review experience, with no face-to-face patient contact. The RN...Remote workHome office
- ...Acute Care Pharmacist Specialist Innovation and... ...staff. Our Pharmacy team members play... ...working in an oncology clinical pharmacist role. This... ...hours (on call coverage) roughly one weekend... ...patient, where remote nurses have the ability... ...applicable. 3. Reviews and evaluates...Remote workInternshipLocal areaMonday to FridayWeekend workDay shiftWeekday work
- AuraOne is seeking a Medical Revenue Manager to remotely evaluate AI outputs touching clinical review. You will review clinical reasoning, dosing logic, and guideline adherence, flag patient-safety issues, and document corrected reasoning to help close gaps in modeling....Remote job
- AI Trainer Jobs is seeking an Emergency Response Specialist for a remote clinical-review track evaluating AI outputs touching clinical review. Reviewers grade differential reasoning, dosing logic, and guideline adherence; flag patient-safety issues; and document corrected...Remote job
$62.19 - $87.07 per hour
...Description Pharmacist Clinical Specialist - General Hematology... ...: UCH Amb HOPD Pharmacy (Oncology) Work Schedule... ...offer a hybrid or remote option Summary:... ...care. Provides cross-coverage for malignant hematology... ...of living. Market reviews: All UCHealth...Remote workFull timeTemporary workWork experience placementLocal areaFlexible hoursShift work$75 - $110 per hour
AuraOne seeks Clinical Review contractors to evaluate AI outputs in Travel, Hospitality & Culinary Expert track. Work remote with US eligibility; hourly pay between $75 and $110 and contractor arrangement. You will review and document corrected reasoning to support model...Remote jobHourly payFor contractors10 hours per week- AuraOne is seeking a Clinical & Health Care Operations Reviewer for a remote clinical-review track assessing AI outputs touching clinical review. Reviewers grade differential reasoning, dosing logic, and guideline adherence; flag patient-safety issues; and document corrected...Remote job
$63.45 - $95.2 per hour
...Department: 38590 API Specialty Pharmacy - Retail Pharmacy Status:... ...onsite, ability to work remote becomes available. Pay... ...appropriate format. Reviews and accurately interprets medication... ...is a national leader in clinical innovation, health outcomes,...Remote workDaily paidFull timeTemporary workPart timeWork at officeLocal areaFlexible hoursShift work- ...Floor Primary Purpose Provides specialized integrated clinical pharmacy services for an assigned area. Provides leadership in education... .../order preparation including specialty orders. Submits/reviews standardized medication order/sets according to clinical guidelines...Local area
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