Remote Clinical Pharmacist, Utilization & Prior Authorization
$91.7k - $163.7kUnitedHealth Group
- Remote job
UnitedHealth Group is looking for a Clinical Pharmacist who will improve patient care by conducting utilization management functions for value-based patients. The role involves evaluating medication utilization and prior authorization requests for specialty medications. With the flexibility to work remotely across the U.S., applicants must have a PharmD and a California pharmacist license. Salary ranges from $91,700 to $163,700 annually based on experience and qualifications. #J-18808-Ljbffr UnitedHealth Group
$91.7k - $163.7k
...Clinical Pharmacist Optum is a global organization that delivers care... ...outcomes through completion of utilization management functions for... ...utilization and prior authorization requests for specialty oncology... ...enjoy the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday- ...Clinical Pharmacist - Utilization Management Archimedes Location US- ID 2026-... ...Position Type Full-Time Remote No Company Archimedes... ...to high-cost case management and prior authorization of specialty medications, across pharmacy...Remote workFull timeWork at office
$89.9k - $160.6k
...OverviewJoin to apply for the Clinical Pharmacist Utilization Management - Remote PST role at OptumOptum is a global organization that delivers care,... ...responsible for evaluating medication utilization and prior authorization requests for specialty oncology and non-oncology...Remote workMinimum wageFull timeWork experience placementLocal areaMonday to Friday$55 per hour
...Actalent is seeking a Clinical Pharmacist for a fully remote role to review utilization management requests. This position requires a PharmD or BS in Pharmacy and a current pharmacist license. Your responsibilities include evaluating requests, determining coverage approvals...Remote work$55 per hour
...Actalent is seeking a dedicated Clinical Pharmacist to join our team in a fully remote capacity, responsible for reviewing utilization management requests. The ideal candidate will have a PharmD and at least two years of clinical pharmacy experience. This position requires...Remote work- ...Actalent is seeking a Clinical Review Pharmacist for a fully remote contract position based in Salt Lake City, UT. Candidates will evaluate Utilization Management requests, consulting with healthcare providers and ensuring adherence to formularies. Required qualifications...Remote workContract work
- ...Actalent is seeking a dedicated Clinical Pharmacist to join our remote team in Oklahoma City. This role involves reviewing utilization management requests and requires precision, clinical judgment, and effective communication. The ideal candidate holds a PharmD or a BS...Remote work
- ...Clinical Pharmacist Schedule: Monday – Friday | 8:00 AM – 5:00 PM Hours... ...appropriate medication use Utilize analytics to identify medication... ...Managed Care, PBM, Prior Authorization, or Utilization Review experience... ...Strong collaboration and remote work capabilities...Remote workContract workMonday to Friday
$55 per hour
...Actalent is seeking a dedicated Clinical Pharmacist for a fully remote position. You will be responsible for reviewing utilization management requests and making clinical decisions based on specific criteria. The ideal candidate needs to have a Doctor of Pharmacy (PharmD...Remote work- ...Clinical Pharmacist Location: Remote Duration: 06/22/2026 – 12/31/2026 Pay Rate: $50/hr on W2 - $55 an... ...ensuring appropriate medication utilization through comprehensive clinical review... ...care, PBM, utilization review, prior authorization, or workers’ compensation pharmacy...Remote work
- ...Position Title: Clinical Pharmacist 1 Work Location: Remote Assignment Duration: 3 months Work Schedule... ...to team effort. Reviews prior authorization requests and evaluates approval... ...Compiles and analyzes drug utilization data. Supports formulary decisions...Remote workWork at office
- ...Position Work Mode: 100% Remote - in the U.S. SHIFT: Mon... ...247 Review completed prior authorization requests received from the... ...request using professional clinical judgment on a case-by-case... ...reporting purposes, including drug utilization of non-formulary drugs and...Remote workWork at officeShift work
- ...Actalent is seeking a Remote Clinical Pharmacist in Houston, TX, responsible for reviewing utilization management requests and making clinical decisions. The role requires strong communication skills and the ability to prioritize tasks. A PharmD or Bachelor of Science...Remote workContract work
$130k - $160k
...ensure safe, effective utilization that is tailored to... ...disease areas depending on clinic needs. Work with... ...by assisting with prior authorizations, drug therapy appeals... ...needs or, Clinical Pharmacist hospital practice experience... ...K annually. Remote Type Hybrid...Remote workFull timeWork at officeImmediate startWork from homeFlexible hoursShift work2 days per week1 day per week$92.21k - $191.51k
...Location: Remote Position Pay Range: $92,206.40... ...Summary The Specialty Clinical Pharmacist provides day-to-day clinical... ...providers Assist with prior authorization support and formulary initiatives... ...& Counseling Utilize the company's adherence program...Remote work$55 - $60 per hour
...UNITAS provides clinical staffing and consulting solutions... ...The Clinical Pharmacist is responsible for the... ...processing and documenting of Utilization Management (UM) requests (e.g. prior authorization, step therapy,... ...range for this role is: 55 - 60 USD per hour (Remote)Remote workHourly payPermanent employmentContract workLocal area$104k - $143k
...part of our caring community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical... ...reviews for prescriptions requiring pre-authorization. The Utilization Management Clinical... ...season Travel: While this is a remote position, occasional travel to Humana...Remote workDaily paidFull timeContract workApprenticeshipMonday to FridayFlexible hoursShift workWeekend work$106.2k - $225k
...Position SummaryThe Clinical Pharmacist - AMA Dual will be a multi-dimensional... ...Health Management (IDT), Drug Utilization Review, Formulary development, and Prior Authorization programs to encourage... ...program development core teams.Remote role open to qualified candidates...Remote workHourly payFull timeTemporary workLocal areaShift workWeekend work$106.2k - $225k
...Position Summary The Clinical Pharmacist - AMA Dual will be a multi-dimensional... ...Management (IDT), Drug Utilization Review, Formulary development, and Prior Authorization programs to encourage appropriate... ...development core teams. Remote role open to qualified...Remote workHourly payFull timeTemporary workLocal areaShift workWeekend work- ...Supervisor Purpose: The Clinical Pharmacist manages the drug... ...adherence. Facilitates prior authorizations and enrolls patients in financial... ...lift up to 20 pounds; and utilize the computer and bar code... ...Benefits: Hybrid, remote and flexible on-site work...Remote workFull timeTemporary workPart timeLocal areaMonday to FridayFlexible hours
$55 - $60 per hour
...Description We are seeking an experienced and clinically driven Managed Care Pharmacist to join a remote healthcare team supporting medication... ...managed care experience, expertise in prior authorizations and drug utilization review, and the ability to collaborate with...Remote workHourly payContract workLocal areaMonday to FridayShift work$150k - $155k
...Clinical Pharmacist - VytlOne Specialty-Remote VytlOne is currently seeking an experienced Clinical Pharmacist... .... Conduct/Review Drug Utilization Reviews to check for drug duplication... ...predetermined criteria. Review prior authorization requests using predetermined criteria...Remote workTemporary workWork at office$50k
...patient care within a clinic and infusion room... ...patients and provides remote services to the infusion... ..., guidelines (i.e. prior authorization, reimbursement optimization... ...and reviews drug utilization, stores prescription... ...Certifications: Registered Pharmacist (RPh) license...Remote workBank staffFlexible hours$120k - $128k
...Remote Job Purpose Provide integrated support to patients... ...for supportive clinical data needed for prior authorization approvals and development... ...limited to comprehensive pharmacist consultation, motivational... ...proactive management care utilization within each specialty as...Remote workLocal area$9.6k
...Benefits Eligible: Yes Remote Eligible: No... ...health care team, the clinical pharmacist provides consistent clinical... ...care for children. Prior experience in... ...assistance with prior authorizations and provide discharge... ...technical equipment utilized in pharmacy PHYSICAL...Remote workHourly payFull timeLocal areaRotating shift$97.8k - $133.46k
...Pharmacy Clinical Management Support Horizon Blue Cross Blue... ...medication therapy management, utilization management, research and... ...activities. Supports prior authorization program by handling prior authorization... ...by other clinical Pharmacists for the residents and...Remote workLive inLocal area$55 per hour
...Actalent is hiring for Remote Clinical Pharmacist! We are seeking a dedicated Clinical Pharmacist... ...will be responsible for reviewing utilization management requests and making... ...requests, including formulary exceptions, prior authorization, step therapy, and quantity limit...Remote workContract workTemporary workImmediate start- ...as hybrid, onsite or remote. While the majority of... ...the job Provide utilization and drug interaction... ...to include review of prior authorization requests according to... ...more as a practicing pharmacist 3 years or more experience... .... Act as a clinical resource to FEP internal...Remote workFull timeWork experience placementWork at officeFlexible hoursShift work1 day per week
$122k - $128k
...Clinical Pharmacist Job Purpose: Provide integrated support to... ...clinical data needed for prior authorization approvals and development... ...proactive management care utilization within each specialty as per... ...current registration and all remote pharmacist activity to...Remote workLocal area$40k
...Health Transformation Clinical Pharmacist - Ambulatory & Specialty Services... ...optimization. Utilize telehealth, mobile integrated... ...care transitions. Support prior authorizations, specialty medication onboarding... ...• Hybrid (on-site/remote) schedule possible • Weekdays...Remote workFull timeTemporary workLocal areaFlexible hoursShift workAfternoon shiftEarly shiftWeekday work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical Pharmacist, Utilization & Prior Authorization. Be the first to apply!
- part time remote customer service Los Alamitos, CA
- remote healthcare Los Alamitos, CA
- fully remote Los Alamitos, CA
- remote programmer Los Alamitos, CA
- part time remote work from home Los Alamitos, CA
- remote data entry part time Los Alamitos, CA
- remote work Los Alamitos, CA
- remote health insurance Los Alamitos, CA
- remote Los Alamitos, CA
- medical review nurse remote Los Alamitos, CA


