Remote Pharmacist III: Lead Clinical Audits
J29, Inc
- Remote job
J29, Inc is seeking a Pharmacist III to support medical claims review, program integrity, and data analysis in a remote capacity. The role focuses on detecting overpayments, fraud, waste, and abuse, and requires collaboration with investigators and pharmacists to finalize case outcomes. The position emphasizes SME input for program integrity and medical review, with opportunities to testify in proceedings and develop training materials for the team. #J-18808-Ljbffr J29, Inc
- ...healthcare integrity efforts, the full-time remote Pharmacist III will review beneficiary and... ...overpayment and fraud, conduct audits, and provide clinical expertise to investigations. Key responsibilities... ...5+ years of experience in a Lead or Supervisor role Experience in...Remote workFull timeContract work
- Axil Health is seeking a dedicated Clinical Pharmacist to lead Chronic Care Management, Transition Care Management, and Remote Patient Monitoring services across North Carolina. You will build and work directly with patients, managing their care and driving clinical outcomes...Remote work
- ...General Brigham Health Plan is seeking a Clinical Pharmacist II for COMM/Exchange to develop and... ...Pharmacy and Therapeutics committee and leads the Drug Coverage Committee. The position... ...in managed care pharmacy preferred. Remote work options are available for approved...Remote job
- Mass General Brigham Health Plan is seeking a Clinical Pharmacist II for COMM/Exchange to develop and maintain the pharmacy formularies to ensure appropriate coverage and cost effectiveness. You will support committee activities and collaborate with the PBM to align clinical...Remote job
- BioAge Labs seeks a Clinical Trial Manager (Senior Manager) to lead planning, execution, and delivery of phase I-III studies across regional and global programs. You will oversee budgets, timelines, CROs, vendors, and inspection readiness, ensuring data integrity and regulatory...Remote job
- Southend Pharmacy in Houston, TX seeks a Medical Affairs Pharmacist (Remote) to serve as the clinical and scientific expert supporting medical information... .... The role delivers evidence-based medical responses, leads internal training, and expands to conference...Remote job
- ...the Accreditation Commission for Health Care, is seeking a Clinical Pharmacist- Accreditation & Education to serve as a clinical and accreditation... ...standards, and industry compliance. Office-based with remote flexibility two days weekly, you will develop and deliver education...Remote workWork at office
- ...Wirral Partnership NHS Foundation Trust is seeking a Senior Clinical Pharmacist MHIST to join the team across Chester, Wirral and Macclesfield... ...within a fully outsourced dispensing service, supporting remote on-call duties and a strong focus #J-18808-Ljbffr Allscreens...Remote work
- ...to change. Position: Pharmacist III Location: Remote About J29 J29 is an... ...claims, records, disputes, and audits. Established in 2017, J29... ...where we can provide our clinical, healthcare policy, and... ...years of experience in a Lead or Supervisor role. J...Remote workFull timeContract work
$13 per hour
...Clinical PharmacistAt NorthBay Health the Clinical Pharmacist is responsible for providing the clinical judgment, professional... ...Level II Trauma Center and a Level III NICU maternity unit, along with... ...specialty and role requirements.Remote Work DisclosureNorthBay Health...Remote workShift work- ...Clinical Pharmacist At NorthBay Health the Clinical Pharmacist is responsible for providing the... ...including a Level II Trauma Center and a Level III NICU maternity unit, along with a... .... Some roles may allow hybrid or remote work based on business needs. Remote...Remote workHourly payDaily paidShift workNight shift
- ...seeks a Payment Integrity Analyst III - QA Analyst to lead the PPI team and conduct audits per CMS guidelines and client policy. The role requires strong clinical judgment, attention to detail,... ...in revenue cycle processes. This remote position supports multiple clients...Remote job
- ...on-site role in Salina, KS. Remote work is not available. Must be willing to relocate. Clinical Pharmacist – Emergency Medicine You'll... ...emergency department with Level III Trauma Center designation,... ...monitoring, and education. Lead development and...Remote workRelocationRelocation package
$133.12k - $170.29k
...and the patients' health care team, the pharmacist clinician works to optimize the patient'... ...intended. Position requires high level of clinical skills, and the ability to build... ...within 90 days from hire dateFTE:1Possible Remote/Hybrid Option:Shift Rotation:Day Rotation...Remote workFull timeWork from homeFlexible hoursShift workWeekend work$62.89 - $92.44 per hour
...Grand Junction, Colorado. This is a unique opportunity for a Clinical Pharmacist who wants more than just a role…someone who wants to help... ...Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related...Remote workHourly payPart timeReliefLocal areaMonday to FridayShift work- ...Clinical Pharmacist III Ambulatory Retail Specialty The Clinical Pharmacist III Ambulatory Retail Specialty works in a specialized ambulatory or community pharmacy area. Working under moderate supervision, this role provides patient care in their specialty area, engages...
- MaziCTools is seeking a Remote Bilingual Adherence Pharmacist to provide medication therapy consultation in a healthcare startup environment. This role involves supervising patient care and the Clinical Care support team, ensuring superior patient outcomes through effective...Remote job
$59.27 - $88.89 per hour
...Pharmacist Lead The Pharmacist Lead job ensures the overall integrity, safety, rationality, and effectiveness of the drug use control... ...Previous experience with state of the art drug distribution and clinical service methods and drug information sources and retrieval...Work experience placementNight shiftWeekend workAfternoon shift- ...Health Care Service Corporation (HCSC) is seeking a Pharmacist to manage pharmacy programs within the Medicare framework... ..., with emphasis on client relations and innovative clinical programs. The position is remote/work-from-home and requires residing in New Mexico, with...Remote workWork from home
- ...CVS Health is seeking a Clinical Pharmacist for the Pharmacy Advisor team in a remote role open to qualified candidates in AZ, HI, TX, IL, FL, or PA. You will provide education on new therapies, address adherence barriers, and collaborate with prescribers to optimize patient...Remote workWork from home
- ...Pharmacy Careers is seeking a Remote Patient Care Pharmacist to provide direct medication counseling, adherence support, and clinical monitoring from a home-based setting. The role emphasizes telehealth interactions and proactive patient engagement. Ideal candidates have...Remote workWork from homeFlexible hours
$59.8 - $83.72 per hour
...Pharmacist Clinical Inpatient Location: UCHealth Greeley Hospital, Greeley CO Department: GH Pharmacy Work Schedule: Full Time, 64.00 hours... ...This position is an onsite role and does not offer a hybrid or remote option. Minimum Requirements Bachelor's Degree in Pharmacy...Remote workFull timeTemporary workLocal areaFlexible hoursShift work- Sanford Health—Blackduck Clinic—invites applications for a Lead Pharmacist responsible for high-level clinical and technical pharmacy work. You will own complex assignments, guide the team, and ensure regulatory compliance while driving process improvements. The role requires...Local area
- ...Non-Billable Orientation (NBO) Job - Remote Managed Care Pharmacist Pharmacist License Required for WA... ...meaning dealing with Prior Authorizations, Audits, Appeals, ALJ Court hearings, etc).... ...year. Managed Care Pharmacist The Clinical Pharmacist Specialist (CPS) is...Remote workLocal areaWeekend work
- Kaiser Permanente is seeking a Clinic Pharmacist (Team Leader) at Bellevue Medical Center to oversee daily operations, ensure regulatory compliance, and direct workflow in a high-volume oncology pharmacy. The role requires a Washington Pharmacist License and 1+ year of...Full time
- ...Remote Clinical Review Pharmacist – Work From HomeLeverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions and treatment plans for safety, appropriateness, and cost-effectiveness while working from home.Key ResponsibilitiesReview...Remote workWork from homeFlexible hours
- ...Remote Patient Care PharmacistProvide direct medication counseling, adherence support, and clinical monitoring through telephonic or video visits — all from home. Ideal for pharmacists who love patient interaction and want the flexibility of a remote schedule. Key ResponsibilitiesDeliver...Remote workWork from homeFlexible hours
- Position TitleAmbulatory Clinical Pharmacist - Immunology (Hybrid)Days - Full TimeMedical PavilionPosition... ...our clinics in addition to having remote opportunities on average at least 1 day... ...by introducing new ideas that lead to improved pharmaceutical care in clinical...Remote workFlexible hoursShift work1 day per week
- ...Job Title Resonsible China Clinical Pharmacology strategy (including intensive PK, popPK, PK/PD, E-R, Immunogencitiy and QT analysis... ...primarily site- or office-based but can occasionally be performed remotely. Employees who are site/office-based and can occasionally...Remote workWork at officeLocal areaImmediate startMonday to Friday
$128.6k - $210k
...Senior Clinical Pharmacologist Build Our Future Together As a Senior Clinical Pharmacologist this individual is expected to plan,... ...as study Clinical Pharmacology/Quantitative Pharmacology/PPKPD lead for moderately complex Is highly skilled in use of relevant software...Remote work
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