Remote Clinical Pharmacist Supervisor, Prior Authorization
Oscar-Health-
- Remote job
Oscar Health is seeking a Clinical Pharmacist Supervisor - Prior Authorization to lead the Pharmacy Utilization Management team. You will oversee clinical reviews for prior authorizations and appeals, drive operational excellence, and mentor pharmacists to maintain high-quality, evidence-based decisions. The role is fully remote in the United States (excluding certain states) and requires strong leadership, experience in managed care, and a Doctor of Pharmacy degree. #J-18808-Ljbffr Oscar-Health-
$135.79k - $178.23k
...Job Description Hi, we're Oscar. We're hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team.... ...Management. Work Location: This position is fully remote and open to candidates residing in the U.S., excluding...Remote workFull timeWork from homeHome office$60 - $66 per hour
...Job Description Remote, Clinical Pharmacist - Pennsylvania Looking for a pharmacy career with purpose? Join one of the nation's leading... ..., and promote adherence and compliance \n Support prior authorizations, financial assistance programs, documentation, and...Remote jobHourly payLocal areaImmediate startRotating shift- ...Inc. uses objective clinical data to help clients... ...Summary The Clinical Pharmacist Operations Manager is... ...(SLAs) across all prior authorization and appeals workflows... ...Clinical Pharmacist Supervisors and the Clinical Pharmacist... ...Experience leading remote or hybrid clinical...Remote workShift work
$110k - $150k
...We are seeking a hybrid Clinical Pharmacist to join a growing pharmacy team within a healthcare... ...schedule that includes regular remote work. This role is well suited for... ...goals Help patients work through prior authorizations, insurance coverage questions, and other...Remote workHourly payFull timeLocal areaMonday to Friday$122k - $128k
Clinical PharmacistJob Purpose:Provide integrated support to patients... ...clinical data needed for prior authorization approvals and development... ...limited to comprehensive pharmacist consultation, motivational... ...current registration and all remote pharmacist activity to...Remote workWork at officeLocal area- ...Job Title Work Mode: 100% Remote Duration: 3 months Shift: 9am – 6pm EST, No OT Responsibilities Review completed prior authorization requests from providers and pharmacy technician... ...for approval using professional clinical judgment. Research and contribute...Remote workShift work
$50 - $60 per hour
...Piper Companies is seeking a Clinical Pharmacist to join a leading healthcare insurance and... ...pharmacy services organization for an remote contract opportunity based in North Carolina... ...Pharmacist include: • Evaluate prior authorization and coverage review requests by...Remote workHourly payLong term contractContract work- ...UNITAS provides clinical staffing and consulting solutions, including contract staff... ...clinicians! About the role The Clinical Pharmacist is responsible for the processing and... ...Utilization Management (UM) requests (e.g. prior authorization, step therapy, formulary exceptions)...Remote workPermanent employmentContract workLocal area
- ...– Dept 247 Location: 100% Remote - National SHIFT: 9am – 6pm EST... ...volume Reviews a completed prior authorization request received from the provider... ...request using professional clinical judgment on a case by case basis. A pharmacist will review medication...Remote workShift work
$45 - $55 per hour
...Bring your expertise as a Clinical Pharmacist to an organization where your work makes a direct... ...to their medications by reviewing prior authorizations and supporting coverage determinations... ...the country. Benefits & Extras: Fully remote opportunity with consistentMonday–Friday...Remote workWeekend work- ...delivering the most rigorous clinical management at the lowest... ...high-cost case management and prior authorization of specialty medications,... ...clinical policies.The Clinical Pharmacist is responsible for being... ...or St Louis, MO offices. Remote employment also considered....Remote work
- ...this position. Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for performing drug utilization... .... Other duties may be assigned. 1. Make prior authorization and step therapy determinations for drug...Remote workWork at officeShift work
$127k - $133k
...Ambulatory Clinical Pharmacist Remote Join our Shields team today! Shields Health Solutions is redefining patient care through health... ...and workflows with supporting roles handling complex prior authorizations/appeals by providing clinical justification for medication...Remote workHourly payWork at officeLocal areaRelocation package- ...FL, US 8 days ago Requisition ID: 1612 Purpose: Remote Clinical Pharmacists play a critical role in optimizing medication therapy,... ...assistance programs to facilitate medication access. Support prior authorization processes and assist in navigating insurance barriers...Remote workFull timeWork at officeHome office
$124.68k
...Job Description Summary The Clinical Pharmacist I supports clinical pharmacy programs by performing medication therapy review, drug... ...with FDA labeling and compendia-supported indications, prior authorization requests, step therapy protocols, and site-of-care optimization...Remote workFull timeTemporary work$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- ...Actalent is seeking a fully remote Clinical Pharmacist focused on utilization management for specialty medications, with emphasis on oncology... ...therapies. You will review coverage determinations, prior authorizations, formulary exceptions, and step therapy across...Remote work
- ...Actalent is seeking a clinical Pharmacist for a 100% remote, contract role based out of Birmingham, AL. You will review prior authorization requests, evaluate clinical documentation, and determine coverage while collaborating with prescribers, pharmacies, and internal...Remote workContract work
- ...Support operations of MedOne Clinical Services Business Unit with... ...thorough documentation in prior authorization cases, appeals cases, and... ...provider requests requiring pharmacist intervention Works to promote... ...disrupt conversations (for remote employees) Familiarity...Remote workWork at officeFlexible hours
$55.28 - $57.69 per hour
...post-acute care. What you will do Provide clinical review and consultation on medication requests, prior authorizations, and benefit determinations. Evaluate... ...preferred ~ Full, current, and unrestricted pharmacist license in PA, TN ~ Ability to obtain additional...Remote workRelocation packageShift workNight shift$53 per hour
...Remote Clinical Pharmacist – PBM Prior Authorization Pay: $53.00 per hour **based on licensure certifications and experience** Job Type: Remote Contract Opportunity Schedule: 8-hour shifts between 7:00 AM – 10:00 PM CST Training Schedule: Monday-Friday, 8:00 AM – 4:30...Remote workHourly payContract workMonday to FridayShift workWeekend work- ...WFH 100% remote Duties This individual must have excellent... ...responsible for: Complete Clinical Reviews and provide a... ...quality and efficiency of the Prior Authorization process including coverage... ...of experience working as a pharmacist (managed care experience is...Remote workWork from home
$64 - $66 per hour
...Remote Who We Are: SmithRx is a rapidly growing, venture-backed... ...Job Summary: Joining SmithRx’s clinical team, the Clinical Review Pharmacist plays a key role in enhancing clinical... ...service excellence to review prior authorization requests, support clinical...Remote workFull timeContract workFlexible hoursWeekend work- ...SmithRx is seeking a Clinical Review Pharmacist to review prior authorization requests, support clinical programs, and guide providers, pharmacies, and members in a fast-paced, remote setting. The role requires PharmD or B.S. Pharm, active licensure, and 2+ years of...Remote work
- ...Description Description: Position Summary The Clinical Pharmacist Supervisor (RPh Supv) serves as the primary clinical anchor, mentor... ...efficiency, and regulatory compliance across all prior authorization and appeals workflows. The RPh Supv acts as the first...Work at officeImmediate startShift work
- ...Job Title Work Mode: 100% Remote - Open to any time zone EXCEPT PST Shift: 9 AM 6... ...months Responsibilities Develop clinical criteria for medications, recommend plan... ...clinical programs to be initiated Monitor prior authorization requests Provide clinical support to...Remote workLocal areaShift work
$60 - $65 per hour
...job description for your reference: Job Title: Clinical Pharmacist Location: Remote Duration: 3 Months Schedule: 9 AM 6 PM local time... ...and clinical programs to be initiated Monitor prior authorization requests Provide clinical support to internal...Remote workLocal area$130k - $160k
...disease areas depending on clinic needs. Work with patients, providers... ...access by assisting with prior authorizations, drug therapy appeals,... ...medication needs or, Clinical Pharmacist hospital practice experience... ...in $130-160K annually. Remote Type Hybrid Work...Remote workFull timeWork at officeImmediate startWork from homeFlexible hoursShift work2 days per week1 day per week- ...Pharmacy Clinical Reviewer Work Mode: 100% Remote any time zone EXCEPT PST Duration: 3 months contract SHIFT: 9 AM 6 PM local time (EXCEPT... ...and clinical programs to be initiated Monitor prior authorization requests Provide clinical support to internal departments...Remote workContract workLocal areaShift work
$56 - $59 per hour
...Clinical Pharmacist Immediate need for a talented Clinical Pharmacist. This is a 06+months... ...term potential and is located in U.S(Remote). Please review the job description below... ...plan design changes Monitor prior authorization requests Provide clinical support...Remote workContract workLocal areaImmediate start
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