Remote Pharmacist PA Appeals & Prior Authorization
Colorado PA
- Remote job
UnitedHealth Group is seeking a Pharmacist to evaluate prescriptions, review clinical data, and render prior authorization decisions. This remote role requires an active state license and strong communication with providers, patients, and internal teams. You will work a Monday–Friday schedule with occasional overtime, utilizing online references and Windows-based tools to ensure accurate determinations. Comprehensive benefits, a 401k plan, stock purchase, and incentive programs are offered. #J-18808-Ljbffr Colorado PA
- UnitedHealth Group is seeking a pharmacist to evaluate prescriptions, assess patient histories, and render timely PA decisions. The role supports appeals, requires strong clinical knowledge, and offers telecommuting from anywhere in the United States. The position emphasizes...Remote job
- UnitedHealth Group is seeking a Senior Pharmacy PA/Appeals Technician to support prior authorization and appeals across multiple channels. Telecommuting is... ...to work flexible shifts. You will collaborate with pharmacists and clinicians to resolve complex requests while adhering...Remote jobFlexible hours
- ...Senior Pharmacy PA/Appeals Technician Optum is a global organization that delivers... ...Appeals Technician include supporting the prior authorization and appeals process by providing... ...professional service to members, providers, pharmacists, and internal business partners. This...Remote jobTemporary workFlexible hoursShift work
$55.28 - $57.69 per hour
...Clinical Consulting Pharmacist Schedule: Monday - Friday, 2:30PM... ...:00PM EST Must reside in PA or TN to be considered. Dragonfly... ...on medication requests, prior authorizations, and benefit determinations.... ...complex case reviews and appeals with accurate clinical...Remote jobRelocation packageMonday to FridayShift work- A healthcare management company is seeking a Remote Coverage Review Pharmacist located in Tennessee. This role requires a Doctor of Pharmacy... ...be responsible for reviewing medication-related prior authorizations, appeals, and grievances, working independently or in a team...Remote work
$40.87 - $80.43 per hour
...Pharmacist At UnitedHealthcare, we're simplifying the health... ...enjoy the flexibility to work remotely* from anywhere within the U... ..., and clinical status for appeals requests Conduct Quality... ...in Coverage Determinations (prior authorization) or member appeals...Remote jobHourly payWork experience placement- ...Pharmacist, Prior Authorization (PA) & Appeals The pharmacist is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy policies, and health plan benefits. In this fast-paced, high...Remote work
$107k - $127k
...Description Senior Managed Care Pharmacist – Formulary /... ...Therapeutics Strategy (PA Licensed) Role Type:... ...Work Arrangement: 100% Remote / Work from Home... ...Communications Lifecycle: Author and revise multi-channel... ...utilization management (Prior Authorization, Step Therapy...Remote workPermanent employmentFull timeContract workWork from homeMonday to FridayShift work- UnitedHealth Group is seeking an experienced Pharmacist to evaluate prescriptions and patient histories, interpret clinical documents, and render prior authorization decisions. You will consult with patients and providers on medication use, coverages, and potential drug...Remote jobHourly pay
- ...Clinical Pharmacy Specialist to support the Prior Authorization Team within the Pharmacy Services... .... - 5:00 p.m. EST. Must be licensed in PA (RPh) or eligible for licensure by examination... ...of authorization requests and participation in the appeals #J-18808-Ljbffr UPMCRemote jobFull timeWork from homeVisa sponsorship
- ...related to high-cost case management and prior authorization of specialty medications, across... ...create clinical policies. The Clinical Pharmacist is responsible for being the clinical... ...Brentwood, TN or St Louis, MO offices. Remote employment also considered. Responsibilities...Remote jobWork at office
$22 per hour
...Call Center Representative in Detroit, MI. This is a temporary remote position, offering a pay rate of $22/hr. Candidates should... ...School Graduate. Join a dynamic team supporting Medicare Part B drug coverage inquiries and prior authorizations. #J-18808-Ljbffr TekWissen ®Remote jobTemporary work- ...medication access by assisting with prior authorizations, drug therapy appeals, financial assistance, and other... ...specialty medication needs or,Clinical Pharmacist hospital practice experience (2... ...or weekly onsite attendance.Remote TypeHybridWork Location31 North AvenueScheduled...Remote workFull timeImmediate startFlexible hours2 days per week1 day per week
- ...Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair...Remote workWork from home
- ..., the full-time salaried Registered Pharmacist will conduct Prior Authorization reviews for Medicaid and Marketplace... ...collaborate with pharmacy staff in a remote work environment. Key... ...to members and providers regarding PA decisions Assist pharmacy technicians...Remote workFull time
- Pharmacy Careers is seeking a Remote Appeals Pharmacist to ensure fair access to medications. You will review clinical documentation for coverage appeals from home and provide evidence-based determinations. This role supports managed care through strong documentation, clinical...Remote jobWork from home
$79.7k - $142.6k
...reinventing the health system. As a Clinical Pharmacist, and you'll play an important role in... ...such as drug utilization review, prior authorization, health outcomes, disease state... ...with ability to analyze / interpret PA / Appeals, MTM / EMR data, trendsAbility to navigate...Remote workWork experience placementImmediate startWork from home- Pharmacy Careers is seeking a fully remote Appeals Pharmacist to review medication coverage appeals and provide evidence-based determinations from home. A focus on clear clinical writing and regulatory compliance helps ensure fair access for members. The role supports remote...Remote jobWork from home
- Pharmacy Careers is seeking a Remote Appeals Pharmacist to review medication coverage appeals from home, applying evidence-based guidelines and regulatory requirements to reach fair determinations. This role emphasizes strong clinical writing and collaboration with physicians...Remote jobWork from home
- Remote Case Management Pharmacist - Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients through... ...adherence concerns, or potential interactions. Support prior-authorization and appeals processes when needed. Educate patients and...Remote jobWork from home
$50 - $55 per hour
...OVERVIEW Location: Work from home (100% remote) - refer list of states below.... ...retrospective drug utilization review and appeals per State and Federal regulations. Participates... .... JOB RESPONSIBILITIES Provides prior authorization services for formulary drugs, develops...Remote workContract workWork from home$135k
...Pharmacist In Charge (Specialty) - Baton Rouge, LA House Rx is... ...therapeutic substitution, and prior authorization reviews Be the workflow expert... ...access, including composing appeal letters and seeking any... ...matter how radical. We are a remote-first company, however some...Remote workFull timeWork from home- WellDyne is seeking a remote Prior Authorization Clinical Pharmacist to handle clinical reviews for PA programs, under the direction of the Manager, Clinical Services. This role focuses on retail clients and adherence to regulatory standards. The candidate should be licensed...Remote job
$122k - $128k
...supportive clinical data needed for prior authorization approvals and development of... ...limited to comprehensive pharmacist consultation, motivational... ...submitted, ongoing PA log activity and proactive management... ...registration and all remote pharmacist activity to comply...Remote workWork at officeLocal area- Pharmacy Careers is seeking a Remote Appeals Pharmacist focused on fair medication access. This fully remote or hybrid role involves reviewing medication coverage appeals, applying evidence-based guidelines, and writing clear clinical rationales for determinations. You...Remote job
$23 per hour
...Position: Pharmacy Prior Authorization Specialist Location: Denver, CO Job... ...This is a full-time position. Remote work if licensed in State of... ...authorization requests and appeals with insurance carriers. Collaborate with physicians, pharmacists, and other departments. Ensure...Remote workFull timeTemporary workRelocation package- About the job Remote Coverage Review Pharmacist Remote Coverage Review Pharmacist needs 3 years and Doctor of Pharmacy... ...associated with coverage reviews and appeals including the review of medication related prior authorizations, pharmacy appeals, and member grievances...Remote jobWork at office
$60 - $70 per hour
...and Patient Care! Location: Remote - U.S. (All States... ...recruiting several clinical Pharmacists to support a leading national... ...process for pharmacy drug authorizations and appeals . This fully remote opportunity... ...clinical determinations for prior authorization and appeal...Remote workContract workTemporary workFlexible hoursShift workWeekend work$120k - $125k
...Overview The Clinical Care Pharmacist plays a vital role in ensuring... ...responsible for reviewing prior authorization requests, supporting clinical... ...Location & Schedule Location: Remote Shifts 7a-4p EST 9a-6p... ...decisions on prior authorizations, appeals, and override requests in...Remote jobFull timeContract workShift workWeekend work$130k - $160k
...medication access by assisting with prior authorizations, drug therapy appeals, financial assistance, and other... ...specialty medication needs or, Clinical Pharmacist hospital practice experience (2... ...with in $130-160K annually. Remote Type Hybrid Work Location...Remote workFull timeWork at officeImmediate startFlexible hoursShift work2 days per week1 day per week
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