Remote Utilization Management Pharmacist
Humana
Humana Inc. invites applications for a remote Utilization Management Clinical Pharmacist 2 (VSP/PT). This role conducts medical necessity reviews and comprehensive medication reviews for pre-authorizations, intervenes to optimize cost-effective utilization and patient outcomes, and makes decisions with minimal direction in alignment with Humana’s strategy. The position supports remote work with occasional travel to Humana offices for training or meetings, and offers a comprehensive benefits #J-18808-Ljbffr
$130k
...Utilization Management Pharmacist (temp-to-hire) Remote About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated...Remote workTemporary workLocal areaFlexible hoursShift workWeekend work- ...in full. Below, you'll find other important information about this position. Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for performing drug utilization review for initial determinations and/...Remote workWork at officeShift work
- Northwestern Medicine is seeking an Intake/Utilization Mgmt Specialist for the Home Infusion Pharmacy. This full-time, days role focuses on front-end utilization management, intake accuracy, and collaboration with care teams across the organization. The ideal candidate...Remote jobFull time
- ...Position Summary The Clinical Pharmacist I is a volume-driven,... ...comprehensive knowledge of modern managed care trends, evolving... ...data, clinical guidelines, and utilization management workflows. Operational... ...individual case reviews. Remote Productivity: Self-motivated,...Remote work
- ...Position Summary The Clinical Pharmacist II is an advanced clinical... ...Pharmacist II specializes in managing clinical escalations, interpreting... ...Effectiveness Synthesis: Utilize comprehensive comparative... ...and defensible rationales. Remote Productivity: Highly organized...Remote work
- JOB SUMMARY:The Utilization Management Clinical Pharmacist is responsible for playing a critical role in optimizing medication use, improving member outcomes... ...and pharmacy information systems. Ability to work remotely will be provided to qualified candidatesOn call...Remote workWork at officeWeekend work
- ...Job Title Clinical Pharmacist Company Archimedes About Us Archimedes - Transforming... ...the industry leader in specialty drug management solutions. Founded with the goal of... ...Brentwood, TN or St Louis, MO offices. Remote employment also considered. Responsibilities...Remote work
- Point32Health is looking for a Clinical Pharmacist to manage pharmacy prior authorization requests. This role involves reviewing cases, communicating with healthcare providers, and ensuring compliance with regulatory standards. The ideal candidate will hold a PharmD or...Remote job
- ...Staff Pharmacist – Independent Pharmacy & Primary Care Services Benson... ...physicians, nurses, care managers, and support staff to improve... ...Technology Our pharmacy utilizes: PioneerRx pharmacy management... ...Care Management (CCM) Remote Patient Monitoring (RPM)...Remote workFull timeTemporary workWork at officeMonday to Friday
$60 - $63 per hour
...their customers. From prescription management and pet owner engagement to veterinary... ...apply! WHO WE ARE LOOKING FOR Remote Clinical Support Pharmacist The Clinical Support Pharmacist... ..., and managing the drug utilization review (DUR) queue. This role creates...Remote workFull timeFlexible hours$63 per hour
...Overview Location: Remote (based in South Carolina) Schedule... ...include Adherence, Diabetes Management, Fraud Waste & Abuse,... ...Management (MTM), Retrospective Drug Utilization Review (RDUR), and STARS... ...team is composed of clinical pharmacists, certified pharmacy technicians...Remote workContract workMonday to FridayFlexible hoursShift workRotating shift$55 per hour
...Prior Authorization Pharmacist 100% Remote | Entry-Level | Contract-to-Hire This position involves reviewing Utilization Management requests such as formulary exceptions, prior authorizations, step therapy, and quantity limit exceptions for Medicare members. The...Remote workContract workTemporary work$60 - $67.5 per hour
...Job Description Job Description Title: Remote Drug Utilization Review Pharmacist Duration : 3 month Pay Rate: $60-$67.50/hr Location: Remote... ...Strong understanding of medication therapy management and clinical pharmacy practices Knowledge of federal...Remote jobNight shiftAfternoon shift- ...PRN Clinical Pharmacist Coordinate and help manage clinical programs and initiatives, including but not limited... ...(MTM), Annual Wellness Visits, Remote Patient Monitoring, Chronic Care Management... ...and to improve clinical outcomes • Utilize the Joint Commission of Pharmacy...Remote workReliefWork at officeWeekend workAfternoon shift
$50 - $60 per hour
...Piper Companies is seeking a Clinical Pharmacist to join a leading healthcare... ...pharmacy services organization for an remote contract opportunity based in North Carolina... ...Clinical Pharmacist will support pharmacy utilization management activities, evaluate medication...Remote workHourly payLong term contractContract work- ...Clinical Pharmacist OncoHealth is a leading digital health company... ...products and services. This is a remote opportunity with a designated... ...clinical oncology setting, managed care, or relevant educational... ...the use of OncoHealth's utilization management system, OneUM, our...Remote workLocal area
- ...America Location Florida - Remote WHY JOIN FCS At Florida Cancer... ...0 locations in our network. Utilizing innovative clinical research... ...The Clinical Oncology Pharmacist will serve as a member of the... ...medication monitoring, protocol management, medication information, education...Remote workPrivate practiceWork at officeLocal areaWork from home
- ...of the nation's leading pharmacy care management companies that specializes in caring for... ...The CareKinesis Clinical Initiatives Pharmacist utilizes clinical knowledge and skills coupled... ...other client engagements. This is a remote position. AnewHealth offers a...Remote workFull timeTemporary workLocal areaFlexible hours
$110.68k - $166.02k
...Learn more about who we are at Point32Health.Job SummaryJob SummaryUnder the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and managing the daily caseload of pharmacy prior authorization...Full timeContract workWork from homeFlexible hours- ...The Clinical Optimization Pharmacist serves as a key member of PACE... ...providing comprehensive medication management and clinical support to... ...Laurel, NJ (Option for hybrid-remote after 6 months) Status: Full-... ...pharmacy management systems. Utilize clinical software, artificial...Remote workFull timeLocal area
- ...Iowa. Why Right Dose Pharmacy? We're reimagining medication management and transforming care. Our core focus is delivering... ...PDPs) and Third-Party Insurances) Develop proficiency in the utilization of pharmacy information systems to meet operational needs and...Remote workFull timeTemporary workWork at officeWork from homeMonday to FridayFlexible hoursShift work
- ...and its talent-first flexible/remote work approach, see below and... ...About the Role: As Lead Pharmacist D&F, you'll lead, motivate,... ...the ordering, handling, and management of prescriptions and/or prescription... ...duties such as drug utilization reviews, medication label checks...Remote workLocal areaFlexible hoursNight shift
- ...CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant to join our remote team. This 100% work-from-home role serves members across the CST zone, ensuring safe, appropriate care and timely approvals. You will review clinical documents, collaborate...Remote workWork from home
- ...Brigham.Job SummaryThe Clinical Pharmacist optimizes health outcomes by... ...subject matter expertise to manage the pharmacy component of... ...Provide counseling to patients, utilizing motivational interviewing to... ...Hybrid Work Model: Primarily remote / work from home but must be...Remote workFull timeContract workWork at officeLocal areaWork from homeMonday to FridayFlexible hours
- ...opportunity to transition to a remote role thereafter At MedWatchers, MTM Pharmacists are at the center of patient care... ...teams provide Medication Therapy Management (MTM) services that go beyond... ...interactions and clinical interventions. Utilize technology and data-driven tools...Remote workFull timeWork at office
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
- ...Job Description Job Description We are seeking a Field Manager for utility access road construction and data mapping to become an integral part of our team! Days consisting of exploring remote access roads, managing field operations, using GIS technology, and supporting...Remote workFull timeWork at officeWork from homeFlexible hours
$135.79k - $178.23k
...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... ...Work Location: This position is fully remote and open to candidates residing in the U.S....Remote workFull timeWork from homeHome office- UW Medicine is seeking a Lead Pharmacist for Pharmacy Medication Policy and Utilization. You will lead staff pharmacists in aligning medication policy, optimize use across UW Medicine, and track pharmacoeconomic trends to identify value- and cost-saving opportunities. You...
$162.67k
...Department has an outstanding opportunity for a Lead Pharmacist, UW Medicine Pharmacy Medication Policy and Utilization (Pharmacist 4). Work Schedule Full-Time / 40... ...areas in collaboration with appropriate management staff. With the Director of Pharmacy Purchasing,...Full timeTemporary workWork at officeShift workRotating shift
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