Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Lead Appeals Pharmacist - Prior Authorization

Judi Health, LLC

Judi Health in New York, NY is seeking a subject matter expert on prior authorization and appeals operations compliant with federal, state, and other regulatory standards across Commercial, Medicare Part B&D, and Medicaid. You will supervise appeal pharmacists and staff, develop workflow processes, provide ongoing training, and resolve escalated client issues while maintaining quality and productivity standards. #J-18808-Ljbffr Judi Health, LLC

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Lead Appeals Pharmacist - Prior Authorization in New York, NY vacancy
  • Oscar is hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. This role oversees a team of pharmacists...  ...clinical reviews for prior authorizations and appeals, driving operational excellence, and ensuring sound,... 
    Suggested
    Remote job

    Oscar

    New York, NY
    3 days ago
  • Judi Health seeks an experienced subject matter expert in prior authorization and appeals, ensuring compliance with federal and state standards...  ...business. You will oversee PA processes, supervision of appeal pharmacists, and staff scheduling, with a focus on performance,... 
    Suggested

    Judi Health

    New York, NY
    4 days ago
  • Judi Health, LLC is seeking a licensed pharmacist leader to manage a team responsible for PA criteria, system configuration, and communications...  ...mindset, strong clinical knowledge, and capability to lead high-performing teams in a dynamic environment, with hybrid work... 
    Suggested

    Judi Health, LLC

    New York, NY
    4 days ago
  •  ...Description Job Description Duties: Reviews Medical drug prior authorization and appeal requests for all LOBs then renders coverage...  ...Skills: Required Skills & Experience: One (1) year of Pharmacist experience. Preferred Skills & Experience: Pharmacy... 
    Suggested

    Apidel Technologies

    New York, NY
    9 days ago
  • $60 - $70 per hour

     ...actively recruiting several clinical Pharmacists to support a leading national health organization in...  ...-making process for pharmacy drug authorizations and appeals . This fully remote opportunity allows...  ...clinical determinations for prior authorization and appeal requests.... 
    Suggested
    Contract work
    Temporary work
    Remote work
    Flexible hours
    Shift work
    Weekend work

    MedOP Solutions

    New York, NY
    2 days ago
  • $50 - $55 per hour

     ...prospective and/or retrospective drug utilization review and appeals per State and Federal regulations. Participates in the...  ...guidelines, and work instructions. JOB RESPONSIBILITIES Provides prior authorization services for formulary drugs, develops programs to provide optimal... 
    Contract work
    Remote work
    Work from home

    Amerit Consulting

    New York, NY
    1 day ago
  •  ...Actalent is actively screening for multiple remote Pharmacists to join a leading pharmacy benefits optimizer based out of Birmingham, AL. The Clinical Pharmacist reviews prior authorization and appeals, collaborates with prescribers and pharmacies, and ensures regulatory... 
    Remote work

    Actalent

    New York, NY
    5 days ago
  •  ...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 clinical reviews of refill authorizations... 
    Remote job

    ProMedica

    New York, NY
    3 days ago
  • $84.8k - $99.38k

     ...Clinical Pharmacist## Clinical PharmacistApply: Remote-United States: Full time: Posted...  ...responsible for conducting clinical reviews of prior authorization requests, ensuring that all...  ...quality assurance activities* Support appeals, peer-to-peer reviews, and contribute... 
    Full time
    Work at office
    Remote work
    Home office

    LucyRx

    New York, NY
    3 days ago
  • $135.79k - $178.23k

     ...Description Hi, we're Oscar. We're hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. Oscar...  ...clinical review for prior authorizations and appeals. This role will drive operational excellence, foster team... 
    Full time
    Remote work
    Work from home
    Home office

    Oscar Health

    New York, NY
    22 days ago
  • $119.36k - $205.9k

     ...End Date: 2026-11-02 Position Title: Prior Authorization Clinical Pharmacist Prior Authorization Clinical...  ...conducting utilization review or an appeals consideration and cannot be located...  ...advance our strategy but will also lead to personal and professional growth... 
    Full time
    Contract work
    Temporary work
    Work experience placement
    Work at office
    Local area
    Day shift
    1 day per week

    Elevance Health

    New York, NY
    2 days ago
  • CVS Health is seeking District Support Pharmacists to cover scheduling gaps and support pharmacy teams across stores in the district. You will work under the Pharmacy Manager and Rx District Leader to ensure safe dispensing, patient counseling, and immunization services... 

    CVS Health

    New York, NY
    14 hours ago
  • CVS Health Corporation seeks a District Support Pharmacist to cover scheduling gaps and support pharmacy teams across the district. You will work under the Pharmacy Manager and District Leader to ensure safe dispensing, patient care, and efficient store operations. The... 

    CVS Health Corporation

    New York, NY
    1 day ago
  • CVS Health in New York, NY is seeking a part-time District Support Pharmacist to help cover district pharmacy staffing, support the Pharmacy Manager, and ensure safe dispensing across stores. You will travel within the district, immunize, counsel patients, oversee inventory... 
    Part time
    Flexible hours
    Weekend work

    CVS Health

    New York, NY
    2 days ago
  • Natera is seeking a Supervisor, Prior Authorization to oversee the daily operations of the Prior Authorization teams, including domestic and...  ...coordinate with Billing, Insurance Verification, Denials & Appeals, and other Revenue Cycle functions, driving process improvements... 
    Remote job

    OpenKrill

    New York, NY
    4 days ago
  • CVS Health seeks a District Support Pharmacist (DSP) to cover pharmacist scheduling gaps and support pharmacy teams across stores. You will ensure safe dispensing, patient counseling, and immunization services while acting as a proxy for the Pharmacy Manager during bench... 
    Flexible hours
    Shift work
    Weekend work

    CVS Health

    New York, NY
    5 days ago
  • Fuze Health is seeking an Assistant Pharmacist in Charge to support Pharmacy Operations, supervising pharmacists and technicians and ensuring safe, compliant, efficient pharmaceutical operations. The role emphasizes patient safety, regulatory adherence, and cross-functional... 

    Truepill

    New York, NY
    1 day ago
  • RPh on the Go seeks an experienced Pharmacist for a full-time, 612 month contract in Brooklyn, NY, focusing on outpatient and specialty pharmacy operations within a large healthcare system. This role manages retail operations, 340B program compliance, and regulatory adherence... 
    Full time
    Contract work

    RPh on the Go

    New York, NY
    3 days ago
  •  ...responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Monday-Friday 9:30am-6pm local...  ...through Friday, 8:00 AM to 4:30 PM CT Call Center: They need a pharmacist license in their state of residence. The basic function of... 
    Local area
    Monday to Friday

    Software Galaxy Systems

    New York, NY
    5 days ago
  •  ...Remote Prior Authorization Pharmacist Location: Remote (U.S.-based) Type: Contract (with potential contract-to-hire, not guaranteed) Schedule: Full-time, 40 hours/week Pay Rate: $53.00/hour Openings: 25 Position Summary We’re hiring a Remote Prior Authorization Pharmacist... 
    Hourly pay
    Full time
    Contract work
    Remote work

    A-Line Staffing Solutions

    New York, NY
    4 days ago
  • 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... 
    Remote job

    Oscar-Health-

    New York, NY
    3 days ago
  • $3,606 per week

     ...Job Description Immediate Pharmacist - Pharmacist openings in New York, NY ProMed Staffing Resources is seeking several Pharmacist...  ..., NY Compensation: $3606.00 gross per week Work shift: 5x7 Prior Authorization Pharmacist Work Schedule: Full time Hours Per Week: 35 Days... 
    Weekly pay
    Full time
    Immediate start
    Shift work

    ProMed Staffing Resources

    New York, NY
    1 day ago
  • $60 per hour

     ...Review and make determinations on prior authorization requests for medications under the pharmacy benefit Conduct peer-to-peer calls with...  ...Pharmacy (PharmD) 3+ years of experience working as a licensed pharmacist Willingness to obtain additional state licenses and/or... 
    Contract work
    Remote work
    Shift work
    Weekend work

    MedOP Solutions

    New York, NY
    3 days ago
  • $51 - $57 per hour

     ...Job Title: Pharmacist Location: 100% Remote across USA Estimated Length of Assignment: 11+ Months (The dates provided are only an...  ...responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Experience 2 years of previous... 
    Hourly pay
    Permanent employment
    Apprenticeship
    Local area
    Remote work

    LanceSoft

    New York, NY
    1 day ago
  • $35 per hour

     ...Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors...  ...with medications, prescriptions, pharmacy operations, and prior authorization workflows. Strong understanding of medication safety, drug... 
    Contract work
    Summer work
    Remote work

    Mercor

    New York, NY
    19 days ago
  •  ...This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. This individual must have excellent interpersonal skills. Will be responsible for: Reviewing and completing criteria based on prior authorization... 

    Software Galaxy Systems

    New York, NY
    4 days ago
  • $122k - $128k

     ...care note/assessments for supportive clinical data needed for prior authorization approvals and development of care plan recommendations....  ...interventions including but are not limited to comprehensive pharmacist consultation, motivational interviewing/coaching, drug... 
    Work at office
    Local area
    Remote work

    Shields Health Solutions

    New York, NY
    1 day ago
  •  ...& Surgical is seeking an experienced Lead Pharmacy Technician to join our growing...  ...common claim rejections. • Assist pharmacists with prescription workflow including...  ...while helping patients navigate insurance coverage, prior authorizations, and pharmacy services.... 

    Ardent Pharmacy Inc

    New York, NY
    17 days ago
  • $3,569 per week

    Talent4Health is seeking a travel Pharmacist for a travel job in NYC, New York. Job Description & Requirements Talent4Health is...  ...seeking a travel Pharmacist for a travel job in NYC, New York. Prior Authorization Pharmacist Specialty: Pharmacist Discipline: Allied... 
    Full time
    Monday to Friday
    Shift work

    talent4health

    New York, NY
    1 day ago
  • MedOp Solutions is seeking a remote Pharmacist to perform complex prior authorization reviews and clinical determinations. You will collaborate with prescribers, conduct peer-to-peer calls, and contribute to quality audits while ensuring safe medication use. The role requires... 
    Remote job

    MedOp Solutions

    New York, NY
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Lead Appeals Pharmacist - Prior Authorization. Be the first to apply!