Clinical Pharmacist Prior Authorization
Not applicable
"All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment" Job Title: Clinical Pharmacist Prior Authorization Location: Remote Duration: 12 Months Contract Pay Rate: $43-$63/hour on W2 without any benefits (The hourly rate is all-inclusive. Health benefits are available after 30 days of employment for W2 employees and are subject to employee contribution. Payroll is processed on a biweekly basis.) Job Description: We are seeking an experienced Clinical Pharmacist to support prior authorization and utilization review activities. The ideal candidate will have strong clinical knowledge, experience reviewing pharmacy benefit requests, and an active pharmacist license. Key Responsibilities: Review prior authorization requests and make coverage determinations based on member benefits and clinical criteria. Review and summarize daily utilization review data and prepare reports for corporate compliance committees. Track compliance metrics for utilization review cases. Provide clinical guidance and support to pharmacy technicians. Apply knowledge of drug coding systems (NDC, GCN, GPI, and USC) and NCPDP claims adjudication. Review prior authorization and non-formulary drug guidelines to support Pharmacy & Therapeutics Committee initiatives and pharmacy benefit design. Ensure quality standards are met and identify opportunities for process and performance improvements. Research drug information and maintain current knowledge of medications and disease states to support clinical reviews. Required Qualifications: Bachelor's degree in Pharmacy or an advanced pharmacy degree (PharmD preferred). Minimum of 3 years of relevant clinical pharmacy or prior authorization experience . Active and unrestricted U.S. Pharmacist license. Strong knowledge of pharmacy benefit management, utilization review, and prior authorization processes. Excellent analytical, communication, and documentation skills. About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates. #J-18808-Ljbffr Not applicable
$122k - $128k
Clinical PharmacistJob Purpose:Provide integrated support to patients and physicians... ...for supportive clinical data needed for prior authorization approvals and development of care plan... ...but are not limited to comprehensive pharmacist consultation, motivational interviewing...SuggestedWork at officeLocal areaRemote work$45 - $55 per hour
...Bring your expertise as a Clinical Pharmacist to an organization where your work makes a direct impact on patient care. In this role,... ...and appropriate access to their medications by reviewing prior authorizations and supporting coverage determinations. Every decision you...SuggestedRemote workWeekend work$64 - $66 per hour
...the PBM sector with a next-generation drug acquisition platform. We seek a pharmacist with a PharmD or B.S. Pharm, active license, and at least 2 years of practice to review prior authorization requests and ensure regulatory compliance. Base salary varies by location with...SuggestedHourly pay$135.79k - $178.23k
...Job Description Job Description Hi, we're Oscar. We're hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and...SuggestedFull timeRemote workWork from homeHome office- Oscar is hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. This role leads a team of pharmacists performing clinical reviews for prior authorizations and appeals, driving operational excellence and evidence-...SuggestedRemote job
- The Clinical Pharmacy Reviewer (Pharmacist) evaluates complex prior authorization requests, appeals, and medication coverage determinations to ensure clinical appropriateness and compliance with evidence-based guidelines. Acting as a subject matter expert in pharmacy benefit...Remote jobLocal areaWork from home
- ASK Consulting is seeking a Clinical Pharmacist for a remote 12-month contract to support prior authorization and utilization review. The role requires an active pharmacist license and at least 3 years of PA experience. The position is remote in the United States with an...Remote jobContract work
- ...behalf of a leading AI research lab, seeks experienced US pharmacists to enhance AI-powered prior authorization workflows by answering medication-related questions and reviewing AI-generated responses for clinical accuracy and safety. You will annotate, provide...
$55k - $60k
...formulary alternatives when available and/or how to submit Prior Authorization requests and follow up on the cases when necessary. Assist dispensing... ...actions from CMS. Act as pharmacy liaison between the clinical pharmacy department and other internal departments. Answer...- ...TrueScripts Management Service is seeking a detail-oriented Prior Authorization Coordinator for a remote role. You will review and process PA requests for pharmacy claims received electronically, by fax, or from providers or members, verifying documentation and ensuring...Remote work
$126.5k - $158k
...people , and careers . POSITION SUMMARY: The Clinical Pharmacist provides comprehensive pharmaceutical care to optimize medication... ...and continuity of specialty therapies. Support prior authorization, appeals, and benefits verification processes to ensure timely...Work experience placementWork at officeShift work$35 per hour
.../week Role Responsibilities Answer medication-related clinical questions using patient context, source materials, and labeling... ...with medications, prescriptions, pharmacy operations, and prior authorization workflows. Strong understanding of medication safety,...Contract workSummer workRemote work- ...GalenusCare seeks a Clinical Optimization Pharmacist to join their PACE/Hospice interdisciplinary care team in Mt. Laurel, NJ. This full-time position involves providing comprehensive medication management and clinical support to patients and caregivers. The role requires...Full timeRemote work
- ...of the medication use system, including formulary management, clinical surveillance, and clinical policy/protocol/guideline development... ...: Greater than 3 years of hospital experience as a clinical pharmacist/clinical pharmacy specialist/clinical coordinator/advanced...Shift work
$103.4k - $149.43k
...Clinical PharmacistThe Clinical Pharmacist is responsible for efforts to support quality measures for both our Essential Plan and Medicare populations... ...aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money...Temporary workWork experience placementLocal area$57 - $65 per hour
A healthcare technology company is looking for a Utah-licensed Clinical Pharmacist to optimize patient outcomes using its software platform. This role involves providing medication therapy consultations, supervising the Clinical Care support team, and working collaboratively...Hourly payRemote work- ...The Clinical Optimization Pharmacist serves as a key member of PACE and/or Hospice interdisciplinary care team, providing comprehensive medication... ...Completion of an approved pharmacogenomic certification course prior to or within four months of hiring (also paid)....Full timeLocal areaRemote work
- ...Clinical PharmacistWe are seeking a Clinical Pharmacist to join our team! You will be responsible for dispensing drugs, providing information to patients about medications and their use, and advise health practitioners on drug dosage and selection. Competitive pay, sign...Local areaRelocation package
$125k - $188k
...Cardiology/Anticoag Clinical Pharmacy Specialist needed in NYC area - No weekends required $125k - $188k/yr Permanent New York... ...hospital is seeking a Cardiology/Anticoagulation Clinical Pharmacist Specialist to join our team in this cutting edge modern healthcare...Permanent employmentDay shift$92k - $153.33k
...conditions in all 50 states. Through our clinical leadership, expertise and national... ...Job Description Summary The Clinical Pharmacist is a licensed professional who is responsible... ...before dispensing. Assures presence of authorization to dispense. Complies with state/...Work from homeFlexible hours$50.48 - $84.62 per hour
...us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. As a Clinical Pharmacist, you will play an important role in helping people on their path to better health by delivering expert clinical pharmacy...Hourly payFull timeTemporary workPart timeWork experience placementLocal area- ...Work At Home Position Overview: The pharmacist will be responsible for medication therapy management (MTM) services, including outbound... ...Valid Pharmacist License in FL At least 4 years of experience as clinical MTM pharmacist. (Management experience preferred) Familiar...Part timeWork from homeFlexible hours
$139.6k - $174.5k
Clinical Account Consultant / Pharmacist - New York, NY HealthCare Support is looking for a strategic, client-focused Clinical Account Consultant who is passionate about transforming the pharmacy benefits experience. In this highly collaborative role, you'll serve as...Work at officeLocal areaImmediate startRemote workMonday to Friday$22 - $25 per hour
...with physician offices regarding prescription clarifications, prior authorizations, and required documentation. Schedule patient onboarding... ..., providers, and internal team members. Collaborate with pharmacists, billing specialists, and other departments to ensure efficient...Hourly payRemote work- ...with fully remote work options. You will track and triage coverage determination requests for prior authorizations and Medicare Part D recipients, review requests, gather clinical information, and document decisions in the PBM system while communicating clearly with...Remote jobContract work
$68 per hour
...Hospital Pharmacists The Pharmacist ensures accurate and timely distribution of medications and other pharmaceutical supplies according... ...for maintaining competency and participating in various clinical programs such as Anticoagulation Management, Pharmacokinetic Monitoring...Hourly payDaily paidTemporary workPart timeFlexible hoursShift workWeekend work$103.4k - $149.43k
The Clinical Pharmacist is responsible for efforts to support quality measures for both our Essential Plan and Medicare populations. The Clinical Pharmacist conducts provider and member outreach to address gaps in care measures, support medication adherence initiatives,...Work experience placementLocal area- SUNY Downstate Health Sciences University's Department of Pharmacy is seeking a full-time Pharmacist to dispense, compound, and admix drugs, provide medication counseling, and review orders for safety within our CPOE system and Pyxis profiles. You will supervise technicians...Full time
- St. Mary's Healthcare in the Capital Region seeks a Pharmacist to join the hospital pharmacy team. You will review medication orders, dispense medications, and provide drug information to staff and patients, ensuring safe, effective care for the Montgomery and Fulton counties...Full timeDay shift
- ...operating in the EST timezone. The position focuses on reviewing Prior Authorizations for coverage determinations within a Pharmacy Services... ...major health insurer, with approvals or denials routed to pharmacists for final review. Responsibilities include tracking requests...Remote job
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