Remote Clinical Pharmacist — Prior Authorization Expert
$70 - $71 per hourEPITEC
- Remote job
EPITEC is seeking a Remote Clinical Pharmacist – Prior Authorization Reviewer to support Medicare pharmacy operations from Detroit, MI, with occasional in‑office days. The role handles prior authorization requests, applies CMS rules, and collaborates with providers and internal teams. Schedule Monday–Friday, 9:00 AM–5:30 PM; pay range $70-71 per hour; W2; remote with some in-office requirements. Requires PharmD with PBM PA experience, strong clinical judgment, and proficiency in Microsoft #J-18808-Ljbffr EPITEC
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- ...Join Mount Sinai Medical Center of Florida, Inc. as an Oncology Clinical Pharmacy Specialist, leveraging your expertise in Epic and... ...teams. Applicants should possess a Pharm.D. and a registered pharmacist license in Florida, with preferred Board Certification. We are...Remote work
$60 per hour
...Hybrid- Half Onsite/Half Remote after training, 40 hours per week. Job Highlights 100% Remote... ...pm EST / 7:30am - 4pm PST Job Requirements: Pharmacist license in state of residence, active and in good standing Prior authorization experience in PBM or managed care...Remote workHourly payPermanent employmentContract workWork from homeMonday to Friday- .../20/2026 Summary Location: 100% Remote Shift: Mon - Fri 10am - 6:30pm EST... ...Responsibilities Review 140 to 160 clinical prior authorizations or coverage determinations daily.... ...or PharmD Required: Current state pharmacist license Years of experience required...Remote workShift workWeekend work
- ...Clinical Pharmacist - Utilization Management Archimedes Location... ...Type Full-Time Remote No Company Archimedes... ...-cost case management and prior authorization of specialty medications,... ...responsible for being the clinical expert for all specialty...Remote workFull timeWork at office
$106.3k - $151.8k
...PBM Leveraged Clinical Pharmacist- Remote It takes great medical minds to create powerful solutions... ...of pharmacy programs through prior authorization (PA) criteria development, coordination... .... Serve as a subject matter expert for pharmacy product development, sales...Remote workFull timeWork at officeFlexible hours- ...Prior Authorization Clinical Pharmacist (Virtual) This role enables associates to work virtually full‑time, with required in‑person training sessions... ...preferred. Must be located in a U.S. state or territory; remote work allowed only if a reasonable commuting distance...Remote workFull timeWork experience placementWork at officeLocal area
- ...Prior Authorization Clinical Pharmacist Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life...Remote workFull timeContract workTemporary workWork experience placementWork at officeLocal areaDay shift1 day per week
- ...Clinical Pharmacist PANTHERx is the nation's largest rare disease pharmacy, and we put the... ...compliance and adherence. Facilitates prior authorizations and enrolls patients in financial... ...of the job. Benefits: Hybrid, remote and flexible on-site work schedules are...Remote workFull timeTemporary workPart timeLocal areaMonday to FridayFlexible hours
- ...Pharmacy Reviewer Location: 100% Remote (USA Only) SHIFT: Mon - Fri 9am... ...Role: • Reviews a completed prior authorization request received from the... ...the request using professional clinical judgment on a case by case basis. A pharmacist will review medication requests...Remote workWork at officeShift work
- ...join us. The Impact You Will Have The clinical pharmacist is responsible for supporting all... ...clinical pharmacy meetings for drug prior authorizations and other drug management strategies... ...of the week you are empowered to work remote. Equal Employment Opportunity Statement...Remote workFor contractorsWork at officeLocal area2 days per week
$57 - $65 per hour
A leading healthcare technology company seeks a Tennessee licensed Clinical Pharmacist to optimize patient outcomes through our software platform. The role includes evaluating patient data, conducting medication reviews, and collaborating with clinical teams. Candidates...Remote jobHourly pay- byebyeoffice is looking for a Clinical Pharmacist to join their remote team. This role focuses on conducting medication reviews and improving drug therapy effectiveness for Healthspring Medicare members. Key qualifications include a Doctor of Pharmacy degree and an active...Remote job
$106.3k - $151.8k
Gainwell Technologies is hiring a PBM Leveraged Clinical Pharmacist for a remote position. This role supports various clinical functions, including business development and implementation of pharmacy programs. Ideal candidates must possess a PharmD, an active pharmacist...Remote job$50.49 - $83.3 per hour
LifeSpan is seeking a remote Pharmacist responsible for interpreting and dispensing medications in accordance with established policies. You will collaborate with diverse healthcare professionals to ensure safe medication use. The ideal candidate holds a Doctor of Pharmacy...Remote jobHourly pay$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$122k - $128k
...care note/assessments for supportive clinical data needed for prior authorization approvals and development of care... ...are not limited to comprehensive pharmacist consultation, motivational... ...Maintaining current registration and all remote pharmacist activity to comply with...Remote workLocal area- ...Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for... ...serving as a subject matter expert for pharmacy utilization management... ...may be assigned. 1. Make prior authorization and step therapy...Remote workWork at officeShift work
$57 - $65 per hour
...healthcare technology and clinical services company with... ...licensed Clinical Pharmacist to join a strong team... ...is to provide an expert level medication therapy... ...users, facilitating prior authorizations, helping patients with... ...environment Remote Work Requirements:...Remote workHourly payPermanent employmentTemporary workTraineeshipSeasonal workLive inLocal areaMonday to FridayShift workRotating shift- Western Health Advantage, Inc. in Sacramento seeks a Clinical Pharmacist to support Prior Authorization Operations in ensuring safe medication use across their member population. The role involves comprehensive clinical reviews, regulatory compliance, and collaboration...
$127k - $133k
...Ambulatory Clinical Pharmacist Remote Job Purpose: Provide integrated support to patients and physicians by providing a hands-... ...and workflows with supporting roles handling complex prior authorizations/appeals by providing clinical justification for medication...Remote workWork at officeLocal area- JobRx, Inc. is seeking a Clinical Pharmacist in Canton, Massachusetts. The successful candidate will oversee pharmacy prior authorization requests, ensuring timely reviews and compliance with regulations. The role requires a Doctor of Pharmacy (PharmD) degree and at least...
$118.06k - $168.66k
...and we need great people to join our team. The Clinical Review Pharmacist works to ensure that ChenMed members have access... ...cost-effective, safe manner. The incumbent completes prior authorizations for internal expert peer discussions (EPD) on high-cost medications to...Remote workHourly payFull timeFor contractorsWork at officeLocal areaFlexible hoursWeekend workAfternoon shift- Motion Recruitment is actively hiring a remote Clinical Pharmacist in North Carolina. This position is a 6-month W2 contract, requiring a... ...10 AM - 7 PM shift. Responsibilities include reviewing prior authorization requests, tracking compliance, making outreach to Medicare...Remote jobContract workShift work
- ...Clinical Pharmacist/Pharmacist Our client, a health insurance company, is looking for a Clinical Pharmacist/Pharmacist for their Detroit, MI/Remote location. Requirements: Prior authorization experience in a PBM environment Demonstrated experience using clinical...Remote workWork at office
$126.5k - $158k
...Clearway Health is looking for a Clinical Pharmacist who will provide... ...pharmacist serves as a medication expert, educator, and clinical... ...access, including prior authorizations, formulary management, appeals... ...This position includes a remote, weekend on-call rotation...Remote workWork at officeShift work$70 - $71 per hour
Remote Clinical Pharmacist - Prior Authorization Reviewer (Medicare Pharmacy) Location: Detroit, MI, Remote (may require 1 day a week in office) Job Type: W2 Schedule: Monday- Friday, 9:00 AM -5:30 PM Pay Range: $70-71 per hour Job Description We are seeking a Clinical...Remote workHourly payWork at officeMonday to Friday1 day per week$89.9k - $160.6k
Overview Join to apply for the Clinical Pharmacist Utilization Management - Remote PST role at Optum . Optum is a global organization that delivers care... ...for evaluating medication utilization and prior authorization requests for specialty oncology and non-oncology...Remote jobMinimum wageFull timeWork experience placementLocal areaMonday to Friday$118.69k - $189.91k
Job Overview We’re hiring a Senior Clinical Pharmacist to join the Commercial Pharmacy department... ...managed care programs such as prior authorization and quantity limitations to meet plan... ...purpose - giving you flexibility to work remotely with intentional in‑person...Remote workWork at officeLocal areaFlexible hours2 days per week$106.9k - $178.1k
...you. Current Need We are seeking a Clinical Pharmacist to work within the US Oncology Network... ...part‑time position is responsible for remote order review and the implementation... ...managed care trends, including step edits, prior authorization workflow and value‑based care models...Remote workPart timeWork at office
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