Remote Clinical Review Pharmacist — PBM & Appeals Expert
SmithRx
SmithRx is seeking a Clinical Review Pharmacist to review prior authorization requests, support clinical programs, and guide providers, pharmacies, and members in a fast-paced, remote setting.
The role requires PharmD or B.S. Pharm, active licensure, and 2+ years of pharmacy experience, with strong communication and regulatory knowledge. Zone-based pay applies, with a structured benefits package.
#J-18808-Ljbffr$64 - $66 per hour
...Remote Who We Are: SmithRx is a rapidly growing, venture... ...Benefit Management (PBM) sector by building a next... ...: Joining SmithRx’s clinical team, the Clinical Review Pharmacist plays a key role in enhancing... ...prior authorizations and appeals using clinical guidelines...Remote workFull timeContract workFlexible hoursWeekend work- ...The Clinical Pharmacy Reviewer (Pharmacist) evaluates complex prior authorization requests, appeals, and medication coverage determinations... ...a subject matter expert in pharmacy benefit... ...within a PBM environment. Preferred... ...? Collaborative remote culture Professional...Remote workContract workLocal areaWork from home
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...Clinical Pharmacist, PBM Utilization Management We are seeking a Clinical Pharmacist, PBM Utilization Management to develop utilization... ...that govern specialty coverage, run clinical drug reviews, adjudicate appeals for clinical appropriateness, and build the monographs...Hourly payFull timeMonday to Friday$57 per hour
...ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts...Remote workHourly payWork from homeFlexible hours- ...The Work You will use clinical judgment to review and improve healthcare AI training data. The work... ...residents may also be considered. Remote contractor work for candidates located... ...and rating model outputs. Clinical experts help make these systems more accurate...Remote workPart timeFor contractors
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...Jack Dorsey . Position: Pharmacist Type: Contract Compensation... ...: $70/hour Location: Remote Commitment: 30–40 hours/... ...Answer medication-related clinical questions using patient... ...and labelling guidelines. Review AI-generated responses for clinical...Remote workContract workSummer work$100 per hour
A healthcare consulting company is seeking a Sr. Clinical Recruiter to join their Medical Consultant panel as an Expert Medical Independent Reviewer. This remote position requires Nurse Practitioners with at least 20 hours of direct patient care monthly, specifically in...Remote work$32 - $55 per hour
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...quality domain input that helps train and evaluate AI systems. This remote contract role focuses on reconstructing and refining executive-... ...and the rationale for retaining effective original elements. Review and improve executive materials including property performance...Remote workHourly payContract workFor contractorsFlexible hours$150 per hour
...Rebuild business slides covering process improvement, logistics reviews, service-level reviews, capacity planning, and related... ...rubric development is beneficial but not required. Work Terms Remote independent contractor engagement. Flexible, project-based work...Remote workHourly payFor contractorsFlexible hours$57 per hour
...Clinical Pharmacist Reviewer – Work From Home (MA) – Earn Up To $57/hr Remote position supporting clinical pharmacy services Competitive pay with room for career growth Help improve prior authorization & medication approval processes Work with top healthcare...Remote workWork from homeFlexible hours- A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves... ...of experience in utilization review and significant clinical experience in an acute setting. Strong written and verbal...Remote work
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...facing presentations, including new-business pitches, campaign reviews, or strategic brand decks. Advanced Microsoft PowerPoint, slide... ...training models is helpful but not required. Work Terms Remote, independent contractor engagement. Each reviewed and...Remote workHourly payFor contractors$30 per hour
...Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: Image Caption Review - English Generalist Type: Contract Compensation: $30/hour Location: Remote Role Responsibilities Review AI-generated image captions in English for accuracy...Remote workContract workSummer work- ...Overview We are looking for Humanities Experts to join our team and contribute their... ...quality AI systems. In this role, you will review questions and answers across a range of... ...and manage responsibilities in a remote environment. Responsibilities Review...Remote workTemporary workFor contractors
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Gainwell Technologies LLC is seeking a Nurse Reviewer (RN) to perform clinical reviews remotely in the United States. Responsibilities include reviewing medical records, documenting findings, and supporting decision-making within healthcare guidelines. Candidates must...Remote workFull time- ...Inc. uses objective clinical data to help... ...Summary The Clinical Pharmacist Operations Manager... ...authorization and appeals workflows. In... ...teams and clinical review queues. Escalation... ..., or specialized PBM claim processing architectures... ...leading remote or hybrid clinical...Remote workShift work
$45 - $55 per hour
...Bring your expertise as a Clinical Pharmacist to an organization where your... ...access to their medications by reviewing prior authorizations and... ...country. Benefits & Extras: Fully remote opportunity with... ...incoverage determination and PBM systems Compensation: $45–$5...Remote workWeekend work$50 - $60 per hour
...Piper Companies is seeking a Clinical Pharmacist to join a leading healthcare... ...services organization for an remote contract opportunity based in... ...authorization and coverage review requests by applying clinical... ...pharmacy, healthcare payer, PBM, utilization review, clinical...Remote workHourly payLong term contractContract work- ...UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent recruiting, consulting... ...because we are clinicians! About the role The Clinical Pharmacist is responsible for the processing and documenting of Utilization...Remote workPermanent employmentContract workLocal area
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...DAngelo Larry Summers and Jack Dorsey . Position: Legal Expert Litigation Type: Contract Compensation: $120/hour Location: Remote Role Responsibilities Review published legal-benchmark tasks in litigation and dispute...Remote workFull timeContract workSummer work- ...Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible... ...drug utilization review for initial determinations and/or appeals for our ASO clients, Medicare... ...as a subject matter expert for pharmacy utilization...Remote workWork at officeShift work
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