Remote Formulary & Prior Authorization Pharmacist
Actalent
Actalent in Orlando, FL is seeking a Pharmacy Formulary Developer to define and develop formularies for Medicaid and Medicare, with a focus on quality control and performance improvement. A pharmacist license and 2+ years of pharmacy experience are required. The contract position emphasizes coordination with MTM, DUR programs, and cross-department support, with remote work options and an hourly pay range.
#J-18808-Ljbffr- ...Formulary Management Pharmacist - Influence Therapy Access at Scale | Hybrid/Remote Friendly Shape which medications patients can access by evaluating new drugs,... ...clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines....Remote work
$108.52k - $196.41k
...Job Description Summary The Formulary Administration Pharmacist manages operational aspects of... ...decisions (quantity limits, step edit and prior authorization guidelines) resulting from newly... ...other company location (or from a remote location with management approval...Remote workFull timeWork at officeMonday to FridayNight shiftWeekend work- ...Strategic Solutions is seeking PRN pharmacists to support our contract... ...(CMS) reviewing the prior authorization (PA) and step therapy (ST)... ...criteria across many plans and formularies. The position requires strong... ...: US-based fully remote/work-from-home position...Remote workContract workTemporary workReliefSeasonal workWork at officeWork from home
- ...Plan is seeking a Clinical Pharmacist I to lead pharmacy utilization... ...PBM coordination and formulary advisory activities. The role includes reviewing prior authorization, ensuring compliance with benefits... ...licensure are required. This is a remote, full-time opportunity with...Remote workFull time
$118.4k - $196.8k
...the the organization's drug formulary, and develop pharmacy... ...including but not limited to: prior authorization, dose and duration edits, quantity... ...Pharmacist (Non-State Specific)PreferredBoard... ...CONDITIONSPosition Type Office-Based or Remote PositionPhysical work site...Remote workFull timeFor contractorsWork at officeLocal areaWork from home- ...ProMedica is seeking a pharmacy professional to work remotely, supporting clinic and hospital pharmacy locations. The role reviews prior authorizations, formulary exceptions, payer denials and appeals to facilitate timely access to prescribed therapies. It also performs...Remote work
- ...Medix is seeking a remote Clinical Pharmacist to evaluate prior authorization requests for formulary and non-formulary medications. You will use evidence-based guidelines and regulatory standards to render timely clinical determinations while collaborating with providers...Remote workFull time
- ...Staff Pharmacist Independent Pharmacy & Primary Care Services... ...affordability programs and prior authorization support. Promote medication... ...interventions. Assist with formulary optimization and... ...Chronic Care Management (CCM) Remote Patient Monitoring (RPM)...Remote workFull timeTemporary workWork at office
$60 - $65 per hour
...Urgent Hiring for "PHARMACIST" Job Description The Pharmacy Formulary Developer is responsible for defining and... ...plan design changes. Monitor prior authorization requests. Provide clinical... ...Type This is a fully remote position. About Actalent...Remote workContract workTemporary work- ...Per Diem Pharmacist EmpiRx Health is the leading clinically-driven... ...ensures clinical prior authorization and appeal determinations are... ...informed on EmpiRx Health formulary updates, clinical programs,... ...environment. Work Environment: Remote - Ability to work up to 25...Remote workDaily paidWork at office
$55 per hour
...Clinical Pharmacist 100% Remote | Specialty Medications | Offers Benefits Job Description This fully remote Clinical Pharmacist... ...of coverage determination requests, including prior authorizations, formulary exceptions, step therapy, and quantity limit exceptions...Remote workPermanent employmentContract workTemporary workWork experience placement- ...facility Anticoagulation Program Manager. As the Formulary Manager, the CPP will serve as the primary prior authorization drug request reviewer. Complete and document... ...an active scope of practice, serving as a pharmacist with advanced scope of practice within the ambulatory...Remote workPermanent employmentTraineeshipImmediate startRelocation packageMonday to Friday
- ...The Clinical Pharmacy Reviewer (Pharmacist) evaluates complex prior authorization requests, appeals, and medication... ...interprets complex drug criteria, formulary guidelines, step therapy, and quantity... ...Dane Street? Collaborative remote culture Professional growth...Remote workLocal areaWork from home
$55 per hour
...$55.00/hr Job Overview Location: Work from home (100% remote) - refer list of states below. Duration: 6 months contract... ...and work instructions. Job Responsibilities Provides prior authorization services for formulary drugs, develops programs to provide optimal pharmacy...Remote workContract workWork from home$135k
...Pharmacist In Charge (Specialty) - Round Rock, TX House Rx is... ...coordinated patient care, including formulary optimization and medication... ...substitution, and prior authorization reviews Be the workflow... ...matter how radical. We are a remote-first company, however some...Remote workFull timeWork from home$53.28 - $67.93 per hour
...seeking a skilled and dedicated pharmacist to join our clinical... ...opportunity to focus on the vital prior authorization functions of our work. Your... ...authorization reviews, non-formulary requests, step therapy... ...connection required to support remote or hybrid work. Must be...Remote workHourly payFull timeTemporary workWork at officeWork from homeShift workAfternoon shift- ...Strengths as an Associate Clinical Pharmacist at Wellmark!In this role, you'll... ...assisting in the development of formularies and evidence-based prior authorization criteria, performing drug utilization... ..., with 2 days (Monday, Friday) remote option. QualificationsRequired...Remote workPermanent employmentWork experience placementInternshipH1bWork at officeMonday to Friday
$50 - $58 per hour
...need for a talented Clinical Pharmacist. This is a 05+ months... ...potential and is located in NC(Remote). Job ID: 26-21713 Pay... ...Schedule : M-F 8-5 EST Review prior authorization requests and make... ...prior authorization and non-formulary drugs in support of Pharmacy...Remote workContract workLocal areaImmediate startWork from homeShift work- ...Pharmacist, Prior Authorization (PA) & Appeals Required Skills & Experience: Bachelors or Doctorate... ...perform responsibilities and duties remotely with little to no supervision Comfortable... ...coverage determinations, recommend formulary-compliant and cost-effective...Remote job
- ...Actalent is seeking a fully remote Clinical Pharmacist focused on utilization management for specialty medications, with emphasis... ...therapies. You will review coverage determinations, prior authorizations, formulary exceptions, and step therapy across Commercial, Medicare...Remote work
- ...Elevance Health is seeking Pharmacist Clinical professionals licensed in North Carolina or Kansas to join our team. This virtual‑eligible role supports the Prior Authorization process and formulary management, with in‑person training sessions as required. You should...Remote workWork at office
$114.98k - $120k
...consultation on medication requests, prior authorizations, and benefit determinations. Evaluate... .... Educate internal teams on formulary management, utilization review, and pharmacy... ...~ Full, current, and unrestricted pharmacist license in PA, TN ~ Ability to obtain...Remote workFull timeRelocation packageShift work$60 - $65 per hour
...Description Immediate Hiring for "PHARMACIST" Job Description The Pharmacy Formulary Developer is responsible for... ...design changes. Monitor prior authorization requests. Provide clinical support... ...Type This is a fully remote position. About Actalent...Remote jobContract workTemporary workImmediate start$113.33k - $170k
...Health is seeking a Clinical Pharmacist I to join the pharmacy Team... ...Clinical Pharmacist I is a remote, full-production managed... ...primarily supports Part D prior authorization and coverage determination... ...Therapy Management, CMR/TMR, formulary exceptions, B vs. D determinations...Remote workFull timeMonday to FridayShift workWeekend work$70 per hour
...Clinical Pharmacist Make an impact in healthcare from the comfort... ...pharmacy care through prior authorization reviews and clinical decision-making. Location: Remote (North Carolina Resident Required... ...prior authorization and non-formulary medication requests Support...Remote workTemporary workWork from homeMonday to FridayDay shift$112.7k - $193.2k
...knowledge. We have a strong team of pharmacists and pharmacy service specialists, and... ...will have the flexibility to work remotely* as you take on some tough challenges... ...polices Serves as the SME SPOC for formulary, prior authorization and benefit coding requirements and...Remote jobMinimum wageFull timeContract workWork experience placementWork at officeLocal area$17 - $19 per hour
...Pharmacy Specialist Location: Newark, NJ (Remote) Duration: 6+ Months (Possible... ...verbal and written requests for prior authorization from pharmacists, physicians and/or patients and is responsible... ...pharmacy office staff to facilitate formulary compliance and generic dispensing....Remote jobHourly payFull timeTemporary workWork at office$128k - $160k
...Supervisor, Appeals Pharmacist Charlotte, North Carolina, United... ...subject matter expert on prior authorization and appeals operations that... ...including claims processing, formulary management, prior... ...leadership experience in a remote environment. This position...Remote workContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...likely extend *Must be Doctor of Pharmacy *Must have PBM/Prior Authorization experience *Must be willing to work one Saturday or Sunday... ...Requirements • 3+ years of experience as a licensed pharmacist • Active, unrestricted pharmacist license • Doctor of Pharmacy...Remote workHourly payContract workShift workWeekend work
- Actalent in Seattle is seeking a Clinical Pharmacist for a fully remote contract role focused on utilization management of specialty... ...candidate will review coverage determinations, including prior authorizations and formulary exceptions, across Commercial, Medicare, and...Remote jobContract work
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