Remote Clinical Review Pharmacist - Prior Auth Expert
SmithRx
- Remote job
SmithRx is seeking a Clinical Review Pharmacist to join its remote clinical team. You will review prior authorizations and appeals using current guidelines, support clinical programs, and provide guidance to providers, pharmacies, and members in a fast-paced, collaborative environment. The role requires a PharmD or B.S. in Pharmacy, an active state license, and at least 2 years of pharmacy practice. This is a remote, nationwide position with competitive compensation and benefits. #J-18808-Ljbffr SmithRx
- ...United States is seeking a Utilization Management Pharmacist to review prior authorizations and support clinical programs. This role combines clinical decision-making... ..., ensure regulatory compliance, and provide expert guidance to members, providers, and pharmacies while...Remote job
$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$70 per hour
...Dorsey . Position: Pharmacist Type: Contract... ...0/hour Location: Remote Commitment: 30–40... ...Answer medication-related clinical questions using patient... ...labelling guidelines. Review AI-generated responses... .... Preferred ~ Prior authorisation or speciality...Remote workContract workSummer 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
$64 - $66 per hour
...Job Summary: Joining SmithRx's clinical team, the Clinical Review Pharmacist plays a key role in enhancing clinical... ...with service excellence to review prior authorization requests, support... ...Sheets, and Drive) Location: US - Remote Zone A includes the following locations...Remote workFull timeContract workFlexible hoursWeekend work$135.79k - $178.23k
...'re Oscar. We're hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our... ...pharmacists performing clinical review for prior authorizations... ...: This position is fully remote and open to candidates... ...expansion. Serve as a clinical expert to review, troubleshoot,...Remote workFull timeWork from homeHome office- The Clinical Pharmacy Reviewer (Pharmacist) evaluates complex prior authorization requests, appeals, and medication coverage determinations... .... Acting as a subject matter expert in pharmacy benefit management,... ...Join Dane Street? Collaborative remote culture Professional growth...Remote jobLocal areaWork from home
- LanceSoft is seeking a Pharmacist for a remote assignment across the United States. The role centers on reviewing and completing criteria for prior authorization in line with policy and procedures. The ideal candidate has at least two years of pharmacy experience in PBM...Remote jobFull time
$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 teams...Remote workWork from homeFlexible hours$85 per hour
...AI Evaluation — Pay: $85 / hr — Location: Remote — US-eligible — Contractor Legal Expert (Spanish, Spain) - AI Legal Content Review is a remote review track for evaluating AI... ...equivalent credential in a relevant jurisdiction. Prior experience reviewing AI-assisted legal-...Remote workFor contractors10 hours per week$150 per hour
...covering process improvement, logistics reviews, service-level reviews, capacity planning... ...beneficial but not required. Work Terms Remote independent contractor engagement.... ...may vary according to project needs. No prior AI experience is required. Compensation...Remote workHourly payFor contractorsFlexible hours$100 per hour
...Pay: up to $100/hour In this hourly, remote contractor role, you will work as a Contract Review Subject Matter Expert (SME) to review AI-generated contract analyses and... ...) tools and version control is a plus. ~ Prior experience with AI data training/annotation,...Remote workHourly payContract workTemporary workFor contractorsFor subcontractorImmediate start- ...Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions and treatment plans for safety, appropriateness, and cost-effectiveness...Remote workWork from homeFlexible hours
- ...Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions and treatment plans for safety, appropriateness, and cost...Remote workWork from homeFlexible hours
$105 per hour
...and Jack Dorsey . Position: Prior Authorisation Manager Type:... ...Compensation: $105/hour Location: Remote Role Responsibilities... ...authorisation workflows for medical and clinical services across multiple payer types. Review clinical documentation to assess...Remote workContract workSummer workWork at office- ...Position Title: Clinical Pharmacist 1 Work Location: Remote (Preferred - NC, IN, WA, NH, GA) Assignment... .... Key Responsibilities: Reviews a completed prior authorization request received... ...if they are working in a prior auth role or have worked prior auth...Remote workWork at office
- ...UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation... ...clinicians! About the role The Clinical Pharmacist is responsible for the processing and... ...Management (UM) requests (e.g. prior authorization, step therapy, formulary exceptions...Remote workPermanent employmentContract workLocal area
- MedOp Solutions is seeking a remote Pharmacist to perform complex prior authorization reviews and clinical determinations. You will collaborate with prescribers, conduct peer-to-peer calls, and contribute to quality audits while ensuring safe medication use. The role requires...Remote job
- ...VIVA is seeking a Tech I Prior Auth to handle inbound calls from providers, members, and pharmacies... ...process. The role requires documenting reviews with accuracy and coordinating with pharmacists for escalations. Fully remote with training and shift considerations....Remote workTraineeshipShift work
$90 - $100 per hour
...Position: Healthcare Expert Type: Contract... ...0/hour Location: Remote Commitment: 10 hours... ...Role Responsibilities Review and evaluate written content... ...feedback based on clinical expertise. Identify... ...week Preferred Prior teaching or training experience...Remote workContract workSummer work$53 per hour
...Job Description Remote Prior Authorization Pharmacist (Pharmacist - Prior Auth) Location: Remote (continental... ...based prior authorization (PA) reviews and issue coverage determinations... ...coverage determinations using clinical criteria and plan design Verify...Remote workFull timeLocal areaWork from homeHome officeShift 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- AI Trainer Jobs is seeking a Physics Expert to remotely review AI outputs in gravitation, cosmology and astrophysics. You will reproduce key derivations, assess methodological soundness, and document the correct methods for training data and model improvements. The role...Remote jobHourly payFor contractors
$22 per hour
...hourlyDescription:Responsibilities:The Tech I Prior Auth takes in-bound calls from providers,... ...complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team.The Tech I will also assist with...Remote jobWork at office- AuraOne is seeking a Legal Expert (Spanish, Spain) to review AI-generated legal content remotely as a CONTRACTOR. You will assess citations, jurisdiction, and statutory reasoning for accuracy and policy adherence, providing clear notes and severity tags. Ideal candidates...Remote jobFor contractors10 hours per week
- AuraOne is seeking a Medical Expert (Mandarin Chinese, mainland China) for a remote clinical AI review role as a CONTRACTOR. You will evaluate AI outputs for clinical accuracy, reasoning, dosing logic, and guideline adherence, signing off on outputs after structured review...Remote jobFor contractors
- Mercor seeks a Mandarin-speaking legal professional for a remote, part-time pilot role (about 21 hours/week). You will review and draft tasks in legal contexts, grounded in local practice and terminology. You bring legal practice experience, a mainland China law degree,...Remote jobHourly payPart timeLocal area
$80 - $100 per hour
...practical feedback that improves its quality. What you’ll do Review legal content for accuracy, consistency, and appropriate context... ...would be helpful. About the engagement This is a remote, short-term consulting project involving approximately 20-30 hours...Remote workTemporary workImmediate start$100 - $170 per hour
...$100 - $170/hour \n \n Location: Remote \n \n About the Opportunity \n We... ...improve AI-generated legal content. No prior AI experience is required. \n Key Responsibilities... ...\n \n Conduct detailed contract reviews , identifying risks, ambiguities, and...Remote jobContract workFor contractors$80 - $100 per hour
Leading AI Lab is seeking an experienced legal professional for a remote, short-term consulting engagement to evaluate AI content. You will review material for accuracy and context, identify gaps in reasoning, and provide practical, well-supported feedback that improves...Remote jobHourly payContract workTemporary workImmediate start
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