Remote Pharmacist: Prior Authorization Expert
A-Line Staffing Solutions LLC
A-Line Staffing Solutions LLC is seeking Remote Pharmacists to support a high-volume prior authorization workflow. In this role, you’ll review requests and apply coverage criteria according to established policies and procedures.
This is a fully remote position with no onsite requirements. Requirements include a PharmD or Bachelor’s degree, an active license in good standing in your state, 2+ years of pharmacist experience, and strong computer and communication skills.
#J-18808-Ljbffr$120 per hour
...Prolific is looking for Licensed Pharmacists to help train AI models, offering competitive pay up to $120 USD/hr per task completed. Responsibilities include reviewing AI-generated responses for accuracy and creating structured feedback to improve model performance. Candidates...Remote workWork from homeFlexible hours$120 per hour
Prolific, located in San Francisco, is looking for Licensed Pharmacists to train and evaluate AI models. You will guide these systems by reviewing AI-generated pharmaceutical scenarios and providing your expertise. With competitive pay rates of up to $120 USD per hour based...Remote jobHourly payWork from homeFlexible hours$120 per hour
Prolific is looking for Licensed Pharmacists to join as Domain Experts, influencing AI development by evaluating pharmaceutical scenarios. Applicants should have a current pharmacy license, clinical expertise, and strong attention to detail. The role offers competitive...Remote jobHourly payWork from homeFlexible hours- Mercor is recruiting licensed US pharmacists to help improve AI-driven prior authorization workflows by answering medication-related clinical questions and reviewing... ...for accuracy, safety, and clarity. This fully remote contract offers 30-40 hours per week, weekly payments...Remote jobWeekly payContract work
$120 per hour
Prolific is seeking Licensed Pharmacists in Jacksonville, FL, to evaluate and train AI models in healthcare. As a Domain Expert, you'll work remotely, reviewing AI-generated pharmaceutical scenarios and providing feedback. This role requires a current license and clinical...Remote jobHourly payFlexible hours- ...Position Title: Pharmacist Location: Remote EST Duration: 3 Months Schedule: Mon - Fri 8:00 AM - 5:00 PM.... ...As a licensed healthcare professional employed in the Prior Authorization Department the primary responsibility of Pharmacist (...Remote work
- ...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...Remote workHourly payFull timeContract work
- ...Elevance Health is seeking a Prior Authorization Clinical Pharmacist to evaluate and manage pharmaceutical use, supporting Drug Utilization Review (DUR), Drug Information Services (DIS), and formulary management. This full-time, virtual role requires a BA/BS in Pharmacy...Remote workFull time
- ...A-Line Staffing Solutions is hiring licensed pharmacists for Remote Prior Authorization roles. These full-time, 40-hour/week positions are work-from-home opportunities with November start dates and various scheduling options to fit availability. Ideal candidates hold...Remote workFull timeWork from home
$53 per hour
...Responsibilities Review and process prior authorization requests for medications Apply... ...Requirements Active, unrestricted Pharmacist license in any U.S. state (multi-state... ...Comfortable working independently in a remote setting Reliable high-speed internet...Remote workHourly payFull timeLocal areaWork from homeAll shiftsMonday to Friday$90.9k - $129.9k
...career development. Summary As a Prior Authorization Registered Nurse Consultant - Personal... ...Nursing within Medicaid programs. In this remote role, you will support providers and... ...Serving as a clinical subject matter expert and resource for providers, internal teams...Remote workFull timeFlexible hoursWeekend work- ...AI Pharmacist Opportunity Mercor is hiring on behalf of a leading AI research lab developing... ...to help improve AI-powered prior authorization workflows by answering medication-related... ...independent contractor. This is a fully remote role that can be completed on your own...Remote workContract workFor contractors
- Actalent is seeking a Fully Remote Certified Pharmacy Technician to evaluate and authorize Medicaid prior authorization requests in a high-volume call center. The role... ...documenting outcomes, and escalating complex cases to a Pharmacist when needed. #J-18808-Ljbffr ActalentRemote jobContract work
- ...Remote Case Management Pharmacist Coordinate care for complex patients | Work from home Support high-risk and complex patients through medication... ...concerns, or potential interactions. Support prior-authorization and appeals processes when needed. Educate patients...Remote job
$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Denver, CO | Full-Time | Starting... .... This is a full-time position. Remote work if licensed in State of Colorado.... ...carriers. Collaborate with physicians, pharmacists, and other departments. Ensure...Remote workFull timeTemporary workRelocation package$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$55.28 - $57.69 per hour
...Provide clinical review and consultation on medication requests, prior authorizations, and benefit determinations. Evaluate therapy... ...required; PharmD preferred ~ Full, current, and unrestricted pharmacist license in PA, TN ~ Ability to obtain additional state licensure...Remote jobRelocation packageShift work$84.8k - $99.38k
...Clinical Pharmacist## Clinical PharmacistApply: Remote-United States: Full time: Posted Yesterday: JR100301It's fun to work in a company where people... ...is responsible for conducting clinical reviews of prior authorization requests, ensuring that all determinations are evidence...Remote workFull timeWork at officeHome office- ...Duration: 7 – 12 Months Contract Job Assignment Location: 100% Remote Job Job Description: Review prior authorization requests and make determinations for drug products according to member benefits and coverage criteria Report to utilization review statistics...Remote workContract work
$64.79 per hour
Immediate need for a talented Staff Pharmacist. This is a 06+months contract opportunity... ...-term potential and is located in U.S(Remote). Job ID: 26-32807 Pay Range: $64.79/... ...activities. Finalize all denials of clinical prior authorization requests. Serve as a clinical resource...Remote workContract workWork at officeLocal areaImmediate start$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$60 - $65 per hour
Immediate Hiring for \"PHARMACIST\" Job Description The Pharmacy Formulary... ...design changes. Monitor prior authorization requests. Provide clinical... ...Type This is a fully remote position. About Actalent Actalent... ...access to specialized experts who drive scale, innovation...Remote jobContract workTemporary workImmediate start- ...Responsibilities include verifying insurance eligibility, facilitating prior authorizations, and collaborating with third‑party payers and clinical... ...1, Tampa General Circle, Tampa, 33601 Eligibility for Remote Work Hybrid Remote Job Pharmacy Schedule Full‑time...Remote workFull timeMonday to FridayShift workDay shift
$120 - $170 per hour
...Compensation: $120–$170/hour Location: Remote Commitment: 20–25 hours/week Role... ...data are clinically plausible. Author dose selection rationale, drug concentration... ...to ensure pharmacology data withstands expert scrutiny. Work independently and asynchronously...Remote workContract workSummer work$68.9k - $131.1k
...America Location: US-AZ-REMOTE Position Role Type: Remote... ...required, as only U.S. citizens are authorized to access information under... ...Source to Pay Systems Expert What You Will Do Influence... ...and a minimum of 2 years of prior relevant experience unless...Remote workContract workTemporary workWork experience placementWork at officeLocal areaWork from homeFlexible hours$74.3k - $106.1k
...Summary As a Data Analytics and Reporting Subject Matter Expert (SME) at Gainwell, you can contribute your skills as we harness... ...solutions. What you should expect in this role Fully remote position. Opportunity to travel through your work up to 25%...Remote workFull timeWork at officeFlexible hours- ...in a row on the "Best Hospitals" Honor Roll. This role is a remote position. A staff member who works exclusively from home may... .... The full time - remote role of Pharmacy Technician Prior Authorization at Cedars-Sinai Medical Center in Los Angeles, California will...Remote workFull timeWork from home
- ...expenditure categories, FMAP and enhanced match rules, reporting periods, prior period adjustments, and reconciliation of EDW data to State... ...eligibility groups, benefits and covered services, managed care, waivers, TPL, and claims adjudication. This is a remote position....Remote workPermanent employmentFull timeWork at office
- ...Equity Staffing Group is currently staffing several MTM Pharmacists for remote work nationwide. This is contract to potential FTE work. Our client serves millions of customers daily and has a reputation for bold ideas. If you enjoy working with energetic people in a collaborative...Remote workContract workWork from homeMonday to FridayFlexible hoursRotating shift
$93.6k - $187.2k
...scenarios. The project brings together experienced subject matter experts to help assess how effectively AI systems handle complex... ...artificial intelligence evaluation projects. In this fully remote, project-based contractor role, selected professionals will use...Remote workHourly payContract workFor contractorsWorldwideFlexible hours
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