Remote Medicaid Prior-Authorization Pharmacist
CVS Health
- Remote job
CVS Health in the United States is seeking a Medicaid Prior Authorization Pharmacist to support Medicaid prior authorization programs. This clinical pharmacist role requires an active AZ or TX license in good standing and targets full-time, remote work within the U.S. The position includes working a 10:00 am–6:30 pm AZ time shift (after training), must obtain the secondary license within 90 days, and may involve weekend work. The salary range is substantial with comprehensive CVS Health benefits. #J-18808-Ljbffr CVS Health
- CVS Health is seeking a Medicaid Prior Authorization Pharmacist to support our Medicaid PA program. This fully remote role is open to qualified candidates across the United States and requires active AZ and/or TX pharmacist licensure, with a plan to obtain the other license...Remote jobShift work
- CVS Health is seeking a Medicaid Prior Authorization Pharmacist to support Medicaid Prior Authorization. An active AZ or TX pharmacist license in good... ...to obtain the additional license if needed. This fully remote role is open to qualified candidates across the United...Remote jobShift work
$94.5k - $176k
...next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical Pharmacist Position... ...every 6 weeks and occasional holidays. This is a fully remote position open to qualified candidates within the United...Remote workHourly payFull timeTemporary workLocal areaShift work- ...reviewing and completing criteria based on prior authorization as per policy and procedure.... ...MUST HAVE Managed Care exp and Medicare/Medicaid knowledge. MUST HAVE 6 months of experienced... ...at least two years experience as a pharmacist in Managed care environment. Must...Remote work
- ...reviewing and completing criteria based on prior authorization as per policy and procedure.... ...MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. MUST HAVE 6 months of experienced... ...at least two years experience as a pharmacist in Managed care environment. Must...Remote workContract work
- ...Pharmacist, Prior Authorization (PA) & Appeals The pharmacist, prior authorization (PA) & appeals, is responsible for reviewing and evaluating... ...compliance with state and federal pharmacy laws, Medicare part D, Medicaid, and commercial benefit regulations. Accurately document...Remote work
$90.9k - $129.9k
...learning, and career development.SummaryAs a Pharmacist Advisor at Gainwell, you will provide... ...objectives.In addition to prior authorization activities, this role will support state... ...state and federal regulations, including Medicaid requirementsConduct clinical evaluations...Remote workFull timeFlexible hours$60 - $70 per hour
...Remote Mtm PharmacistThis MTM Pharmacist role focuses on defining and developing standard and custom formularies... ..., improve quality of care for Medicaid and Medicare populations, and... ...pharmacy performance.Monitor and review prior authorization requests to ensure appropriate...Remote workContract workTemporary work$125k - $130k
...The Utilization Management Pharmacist plays a vital role in promoting... ...responsible for reviewing prior authorization requests, supporting... ...Commercial, Exchange, Medicare, and Medicaid plans. Accurately... ...and location of the job. Remote, US Salary Range $125,000—$...Remote workTemporary workLocal areaFlexible hoursWeekend work$44 - $79 per hour
...degree in PharmDActive and unrestricted Pharmacist license in your state of residence1+... ...communication1+ years of experience of prior authorization case review & rendering PA... ...experiencePBM experienceExperience in Medicaid, Commercial (private), and/or Medicare...Remote workHourly payMinimum wageFull timeWork experience placementLocal areaMonday to Friday$44 - $79 per hour
...Pharmacist PA/Appeals - Remote in Vermont & MaineOptum is a global organization that delivers care,... ...Connecting. Growing together.As a Prior Authorization Pharmacist, you will support clinical... ...environmentKnowledge of Medicare Part D, commercial, Medicaid, exchange, or client-specific...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift work$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Salt Lake... ...is a full-time position. Remote work if licensed in State of... ...Collaborate with physicians, pharmacists, and other departments.... ...insurance claims, Medicare, Medicaid, and commercial insurance,...Remote workFull timeTemporary workRelocation package$120k - $125k
...Overview The Clinical Care Pharmacist plays a vital role in ensuring... ...responsible for reviewing prior authorization requests, supporting... ...Location & Schedule Location: Remote Shifts 7a-4p EST 9a-6p EST... ...Commercial, Exchange, Medicare, and Medicaid plans. Accurately document...Remote jobFull timeContract workShift workWeekend work- ...clinicians!About the RoleThe Clinical Pharmacist is responsible for the processing and... ...Utilization Management (UM) requests (e.g. prior authorization, step therapy, formulary exceptions)... ....Positions are available in Medicare, Medicaid, and Commercial lines of business.What...Remote workPermanent employmentContract workLocal area
- ...Position Title: Clinical Pharmacist 1 Work Location: Remote Assignment Duration: 3 Months Work... ...the Role * Reviews a completed prior authorization request received from the... ...care, understanding of Medicare/Medicaid law Disqualifiers: n/a Performance...Remote workWork at office
- Gainwell Technologies is hiring a Pharmacy Prior Authorization Call Center Representative (Remote CT) to support the Connecticut Medicaid account in a fast-paced, high-volume environment. You will handle pharmacy claims and prior authorization inquiries, resolving issues...Remote jobRotating shift
- ...work, then this is the place for you. Remote after training. Must live in Oklahoma... ...rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections... ...facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and...Remote workFull timeTemporary workLive inWork at officeFlexible hours
$75 per hour
...Jack Dorsey . Position: Pharmacy Prior Authorization & Specialty-Medication Access Specialist... ...Compensation: $75/hour Location: Remote Role Responsibilities Process and... ...commercial, Medicare Part D , and Medicaid payers. Review clinical documentation...Remote workContract workSummer work- ...Staff Pharmacist – Independent Pharmacy & Primary Care ServicesBenson, NC | Full-Time... ...medication affordability programs and prior authorization support.Promote medication adherence through... ...in:Chronic Care Management (CCM)Remote Patient Monitoring (RPM)Medication optimization...Remote workFull timeTemporary workWork at officeMonday to Friday
- ...Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start Dates! Pay Rate: 53.00 per hour depending... ...:30am-8pm CST Job Description: Evaluate and review all prior authorization requests and render coverage determinations based on clinical...Remote workHourly payFull timeWork at officeWork from homeHome officeMonday to Friday
- ...Facilitate medication access by assisting with prior authorizations, drug therapy appeals, financial... ...medication needs or,Clinical Pharmacist hospital practice experience (2 years)... ...for monthly or weekly onsite attendance.Remote TypeHybridWork Location31 North AvenueScheduled...Remote workFull timeImmediate startFlexible hours2 days per week1 day per week
- ...Remote Case Management Pharmacist - Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients through medication... ...concerns, or potential interactions. Support prior-authorization and appeals processes when needed. Educate...Remote workWork from home
$53 - $57 per hour
...Role:Clinical Pharmacist Advisor (Medicare) Location:Remote (Work From Home) — anywhere in the U.S.(must hold an active pharmacist license in your... ...Preferred Skills Experience inPBM / Medicare Part D / prior authorization / coverage determinations Strong documentation and...Remote workWork from homeMonday to FridayShift work- ...Remote Prior Authorization PharmacistTransition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help patients get the therapies they need — with predictable schedules...Remote workWork from homeFlexible hoursAfternoon shift
- ...from Managed Staffing, Inc. Looking for Pharmacist with 2 years’ recent experience reviewing and processing prior authorizations against health plan criteria for a determination... .... Duties: This position is a 100% remote, work from home opportunity and will not be...Remote workContract workWork from home
- A healthcare management company is seeking a Remote Coverage Review Pharmacist located in Tennessee. This role requires a Doctor of Pharmacy... ...will be responsible for reviewing medication-related prior authorizations, appeals, and grievances, working independently or in...Remote work
- ...Medication Access / Patient Support Pharmacist Miami, FL Medication Access Pharmacist – Help Patients Start Therapy On Time | Remote Options Available Serve as a patient advocate by navigating prior authorizations, insurance requirements, and financial assistance programs...Remote work
- ...Job Title: Pharmacist Location: Remote Duration: 12+ months contract Job Description: ~ As an RPh Advisor you will be directly... ...progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests (50%)...Remote workContract work
- ...It is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases...Remote work
- ...Job Summary: The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective...Remote workWork experience placement
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