Remote Clinical Pharmacist I - Utilization & Formulary
Well Sense Health Plan
WellSense Health Plan seeks a Clinical Pharmacist I to lead pharmacy utilization management, review prior authorizations, and coordinate PBM and Pharmacy & Therapeutics activities. This full-time role supports care management programs and may include MTM and case reviews.
Responsibilities include evaluating PA requests, ensuring compliance with standards, and collaborating with the PBM to enhance cost savings and quality. Massachusetts licensure is required.
#J-18808-Ljbffr- ...WellSense Health Plan is seeking a Clinical Pharmacist I to lead pharmacy utilization management and support PBM coordination and formulary advisory activities. The role includes reviewing... ...licensure are required. This is a remote, full-time opportunity with competitive...Remote workFull time
- ...CommunityCare in Tulsa, Oklahoma seeks an experienced Utilization Management Clinical Pharmacist to optimize medication use, improve member outcomes, and... ...and specialty medication utilization management, formulary development, and policy creation to support quality and...Remote work
- ..., Inc. uses objective clinical data to help clients improve... ...The Clinical Pharmacist II is an advanced clinical... ...Synthesis: Utilize comprehensive comparative... ...medical necessity for non-formulary or specialized therapies... ...defensible rationales. Remote Productivity: Highly...Remote work
- ...Piper Companies is seeking a Clinical Pharmacist to join a healthcare and pharmacy benefits organization in a fully remote capacity. This contract opportunity is ideal for a licensed... ...professional with experience supporting utilization management, medication coverage...Remote workContract work
- ...CommercialPay Type: Salary JOB SUMMARY: The Utilization Management Clinical Pharmacist is responsible for playing a... ...utilization management, formulary development, clinical policy creation... ...information systems. Ability to work remotely will be provided to qualified candidates...Remote workWork at officeWeekend work
- ...Centene Corporation in Michigan seeks a Clinical Pharmacist (Quality) for a remote, Monday–Friday role from 8:00 AM to 5:00 PM Central Time, focusing... ...project-based quality initiatives that support clinical and formulary decision-making. The role requires strong data...Remote workMonday to Friday
- ...Prime Therapeutics invites a Senior Clinical Specialist Pharmacist to join our team remotely in the United States. This role focuses on delivering clinical... ...drug information, handling prior authorization and utilization management, and supporting claims adjudication alongside...Remote work
$110.68k - $166.02k
...SummaryJob SummaryUnder the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and... ...Extensive knowledge of Medicare and MassHealth formularies. Care management, high-risk population, and/or...Full timeContract workWork from homeFlexible hours- ...TruDataRx, Inc. uses objective clinical data to help clients improve... ...Summary The Clinical Pharmacist I is a volume-driven, production... ..., clinical guidelines, and utilization management workflows.... ...individual case reviews. Remote Productivity: Self-motivated...Remote work
- ...Strengths as an Associate Clinical Pharmacist at Wellmark! In this role,... ...assisting in the development of formularies and evidence-based prior... ...criteria, performing drug utilization analyses, evaluating digital... ...with 2 days (Monday, Friday) remote option. Qualifications...Remote workPermanent employmentWork experience placementInternshipH1bWork at officeMonday to Friday
- JOB SUMMARY:The Clinical Pharmacist - Population Health supports Population... ...Collaborate with Pharmacy and Utilization Management teams to identify and resolve coverage, formulary, and other medication access... ...care management platforms. Remote work may be available to qualified...Remote workWork at office
- ...laws and regulations governing pharmacists and the practice of pharmacy... ...with target drug programs, formulary management, medication management... ...and Automation - 10% a. Utilize area-specific technology, including... ...FT schedule 40 hours weekly.Remote TypeOnsiteWork Location31...Remote workFull timeTemporary workShift work
- ...application in full. Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for performing drug... ...will work with our Medical Director and Clinical Formulary team to review any specialty medication requiring...Full timeWork at officeShift work
- ...Time (EST) zone. Summary The Clinical Operations Pharmacist provides analytic/... ...rational management of drug utilization by employing analytical tools... ...include: benefit design and formulary analysis and suggestions,... ...location (or from a remote location with management approval...Remote workWork at officeMonday to FridayNight shiftWeekend work
$50 - $58 per hour
...Immediate need for a talented Clinical Pharmacist. This is a 05+ months... ...potential and is located in NC(Remote). Job ID: 26-21713 Pay... ...criteria Report to utilization review statistics to corporate... ...prior authorization and non-formulary drugs in support of Pharmacy...Remote workContract workLocal areaImmediate startWork from homeShift work- ...Actalent is seeking a fully remote Clinical Pharmacist focused on utilization management for specialty medications, with emphasis on oncology and other complex... ...coverage determinations, prior authorizations, formulary exceptions, and step therapy across Commercial, Medicare...Remote work
- ...impact members who are utilizing high-cost specialty... ...initiatives, while ensuring clinically appropriate and member... ...efforts. Utilizes formulary information and member... ...New York State Pharmacist license Pharm.D. or... ...may be opportunity for remote work within all jobs posted...Remote workWork at officeWork from homeHome office
$116.9k - $187.1k
...arrangements that include remote and hybrid... ...on Medicare/Medicaid clinical pharmacy issues as part... ...medications including those utilized by members. Collaborate... ...and compliance with the formulary. Assist in the... ...Current and unrestricted Pharmacist license in the state of...Remote workWork experience placementWork at officeWork from homeFlexible hours2 days per week1 day per week- ...Training & development PRN Clinical Pharmacist Major Responsibilities Deliver... ...improve clinical outcomes Utilize the Joint Commission of... ...include, but are not limited to formulary and therapeutic interchanges... ...by Drug Store News This is a remote position. #J-18808-LjbffrRemote workReliefWork at officeFlexible hoursWeekend workAfternoon shift
- ...Management Services is a pharmacist-founded, fully... ...spending, achieving clinically effective outcomes, and... ...to improve medication utilization, promote appropriate... ...), drug utilization, formulary management, and cost... ...Conditions Primarily remote position with some travel...Remote workFull timeWork at office
$90.23 - $109.72 per hour
...Description At NorthBay Health, the Clinical Pharmacist II is responsible for... ...clinical interventions and formulary compliance/noncompliance activities... ...and role requirements. Remote Work Disclosure NorthBay... ...Recruitment Agencies NorthBay Health utilizes a managed service provider (...Remote workHourly payPart timeShift workNight shiftWeekend workAfternoon shift- ...The Clinical Pharmacy Reviewer (Pharmacist) evaluates complex prior authorization requests... ...complex drug criteria, formulary guidelines, step therapy,... ...medications. Through rigorous Drug Utilization Review (DUR) and... ...Street? Collaborative remote culture Professional growth...Remote workLocal areaWork from home
- ...General Brigham.Job SummaryThe clinical staff pharmacist is responsible for all... ...medication is in-date and intact.Utilizes automated dispensing... ...reviewing and revising the drug formulary, along with guidelines for... ...(verbal and written). Remote TypeOnsiteWork Location115...Remote workFull timeImmediate startShift workAfternoon shiftWeekday work
$70 per hour
...Clinical Pharmacist Make an impact in healthcare from the comfort of your... ...appropriate medication utilization, and supporting quality pharmacy... ...-making. Location: Remote (North Carolina Resident Required... ...authorization and non-formulary medication requests Support...Remote workTemporary workWork from homeMonday to FridayDay shift- Actalent is seeking a Clinical Pharmacist for a 100% remote role focused on utilization management for specialty medications, emphasizing oncology and complex therapies... ..., including prior authorizations and formulary exceptions, across multiple lines of business. The...Remote job
- Actalent in Seattle is seeking a Clinical Pharmacist for a fully remote contract role focused on utilization management of specialty medications, with emphasis on oncology... ..., including prior authorizations and formulary exceptions, across Commercial, Medicare, and Medicaid...Remote jobContract work
$102k - $184.3k
...Maintenance Of A Disease State Formulary System. Utilization Management Programs.... ...Development Of Innovative Clinical Programs. HCSC JOB REQUIREMENTS: * Registered Pharmacist in the United States. *... ...of travel #LI-AC1 #LI-Remote This is a Remote/Work...Remote workFull timeWork from home- ...Clinical Pharmacist UNITAS provides clinical staffing and consulting solutions, including contract... ...for the processing and documenting of Utilization Management (UM) requests (e.g. prior authorization, step therapy, formulary exceptions) for delegated products and services...Remote jobPermanent employmentContract workLocal area
- ...Clinical Consulting Pharmacist Please note: This is an after-hours position with an overnight schedule. Dragonfly Health is the... ...and cost-effectiveness. Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What we...Remote jobNight shift
$60 - $65 per hour
...Immediate Hiring for "Pharmacist" The Pharmacy Formulary Developer is responsible for defining and developing... ...within the department. Develop clinical criteria for medications and... ...implement programs designed to impact Drug Utilization Review (DUR) for both Medicaid and...Remote jobContract workTemporary workImmediate start
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