Remote Clinical Pharmacist Supervisor, Prior Authorization

Oscar Health

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-quality, evidence-based decisions. The role is fully remote in the United States (excluding certain states) and requires strong leadership, experience in managed care, and a Doctor of Pharmacy degree. #J-18808-Ljbffr

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Remote Clinical Pharmacist Supervisor, Prior Authorization in New York, NY vacancy

Clinical Pharmacist Supervisor - Prior Authorization
...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... ...Management. Work Location: This position is fully remote and open to candidates residing in the U. S. ,...
Remote work
Full time
Work from home
Home office
Oscar
New York, NY
a month ago
Associate Clinical Pharmacist - Pharmacy Analytics
...Use Your Strengths as an Associate Clinical Pharmacist at Wellmark! In this role, you'll blend... ...development of formularies and evidence-based prior authorization criteria, performing drug utilization... ...office, with 2 days (Monday, Friday) remote option. Qualifications Required...
Remote work
Permanent employment
Work experience placement
Internship
H1b
Work at office
Monday to Friday
Wellmark, Inc.
Des Moines, IA
1 day ago
Texas Licensed Clinical Pharmacist
...care, the part-time Texas Licensed Clinical Pharmacist will provide integrated support to patients... ...and monitoring medication adherence remotely. Key responsibilities Review and... ...clinician's notes to support prior authorization approvals and develop care plan recommendations...
Remote work
Part time
Work at office
Virtual Vocations Inc
United States
1 day ago
Clinical Pharmacist
$122k - $128k
Clinical PharmacistJob Purpose:Provide integrated support to patients... ...clinical data needed for prior authorization approvals and development... ...limited to comprehensive pharmacist consultation, motivational... ...current registration and all remote pharmacist activity to...
Remote work
Work at office
Local area
Shields Health Solutions
New York, NY
6 days ago
Clinical Pharmacist 1
...Job Title Work Mode: 100% Remote Duration: 3 months Shift: 9am – 6pm EST, No OT Responsibilities Review completed prior authorization requests from providers and pharmacy technician... ...for approval using professional clinical judgment. Research and contribute...
Remote work
Shift work
Axelon
United States
1 day ago
Clinical Pharmacist
$50 - $60 per hour
...Piper Companies is seeking a Clinical Pharmacist to join a leading healthcare insurance and... ...pharmacy services organization for an remote contract opportunity based in North Carolina... ...Pharmacist include: • Evaluate prior authorization and coverage review requests by...
Remote work
Hourly pay
Long term contract
Contract work
Piper Companies
United States
5 days ago
Clinical Utilization Management Pharmacist
...this position. Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for performing drug utilization... .... Other duties may be assigned. 1. Make prior authorization and step therapy determinations for drug...
Remote work
Work at office
Shift work
WVU Medicine
United States
2 days ago
Clinical Pharmacist
$70 per hour
...your home. We're seeking a detail-oriented Clinical Pharmacist who is passionate about improving patient... ...supporting quality pharmacy care through prior authorization reviews and clinical decision-making. Location: Remote (North Carolina Resident Required) Pay...
Remote work
Temporary work
Work from home
Monday to Friday
Day shift
Manpower
Durham, NC
2 days ago
Ambulatory Clinical Pharmacist
$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 work
Hourly pay
Work at office
Local area
Relocation package
Shields Health Solutions LLC
United States
1 day ago
Clinical Pharmacist 1
...Position Title: Clinical Pharmacist Work Location: Remote - any time zone except PST Assignment Duration: 3 Months Work Schedule: 9 AM... ..., and clinical programs to be initiated Monitor prior authorization requests Provide clinical support to internal departments...
Remote work
Local area
Spectraforce Technologies
Jacksonville, FL
3 days ago
Specialty Clinical Pharmacist - Oncology
$130k - $160k
...disease areas depending on clinic needs. Work with patients, providers... ...access by assisting with prior authorizations, drug therapy appeals,... ...medication needs or, Clinical Pharmacist hospital practice experience... ...$130-160K annually. Remote Type Hybrid Work...
Remote work
Full time
Work at office
Immediate start
Work from home
Flexible hours
Shift work
2 days per week
1 day per week
MGH Institute of Health Professions
Burlington, MA
1 day ago
Clinical Pharmacist
...Description Clinical Pharmacist Location: Remote Duration: 12-Month Contract Work Schedule: Monday-Friday, 8:00... ...Pharmacist to support pharmacy utilization management, prior authorization reviews, and comprehensive member care. The ideal...
Remote work
Contract work
Monday to Friday
ASK Consulting LLC
Durham, NC
3 days ago
Remote Clinical Pharmacist: Refill Authorization
...Health is seeking a licensed pharmacist to join our Refill Authorization Pharmacy Team in a fully remote capacity. You will review medication... ...medications for primary care clinics across Intermountain. The... ...cross-training planned into Prior Authorization and Medication Assistance...
Remote work
Intermountain Healthcare
United States
3 days ago
Specialty Clinical Pharmacist
$115k - $125k
...SPECIALTY CLINICAL PHARMACIST REMOTE We are seeking a licensed pharmacist to serve as our Specialty Clinical Pharmacist the clinical authority our teams turn to on all things specialty medication.... ...medication cases, high-cost claims, and prior authorization questions,...
Remote work
Shift work
Fusco Personnel Inc
Troy, NY
3 days ago
Clinical Pharmacist - Prior Authorization
...Clinical Pharmacist - Prior Authorization Pharmacist Clinical ****Seeking Pharmacists who are licensed in North Carolina or Kansas!***** LOCATION: This position is virtual eligible. You should be within a reasonable distance of one of our offices. HOURS: General...
Remote work
Full time
Contract work
Work experience placement
Monday to Friday
Elevance Health
United States
2 days ago
Clinical Pharmacist
$120k - $160k
...facilities provide comprehensive clinical services such as Primary... ...is seeking a Clinical Pharmacist to join our integrated primary... ...monitoring (CGM) and remote blood pressure monitoring,... ...by assisting with complex prior authorizations, formulary restrictions, medication...
Remote work
Full time
DotHouse Health
Dorchester, MA
1 day ago
Clinical Specialty Pharmacist
...at a glance Location: Remote Department: Ascension Pharmacy... ...role Provide advanced clinical pharmacy care including... ...interprofessional teams to streamline prior authorizations, medication delivery... ...Required Credential(s): Pharmacist obtained prior to hire date...
Remote work
Full time
Work experience placement
Local area
Monday to Friday
Day shift
Ascension
Murfreesboro, TN
1 day ago
Clinical - Pharmacist (Prior Authorization)
...Clinical Pharmacist (Prior Authorization)Immediate need for a talented Clinical Pharmacist (Prior Authorization). This is a 06+months contract opportunity with long-term potential and is located in U.S (Remote). Please review the job description below and contact me ASAP...
Remote work
Contract work
Local area
Immediate start
Pyramid Inc
Tampa, FL
1 day ago
Clinical Pharmacist - Remote
...FL, US 8 days ago Requisition ID: 1612 Purpose: Remote Clinical Pharmacists play a critical role in optimizing medication therapy,... ...assistance programs to facilitate medication access. Support prior authorization processes and assist in navigating insurance barriers...
Remote work
Full time
Work at office
Home office
Summit Access Solutions,LLC
United States
1 day ago
Remote Clinical Pharmacist
$60 - $65 per hour
...Job Title: 100% Remote Pharmacist Job Description The Pharmacist performs comprehensive final prior authorization reviews and ensures safe, compliant medication use in accordance... ...federal regulations. This role focuses on clinical and regulatory accuracy, supports...
Remote work
Contract work
Temporary work
Home office
Monday to Friday
Shift work
Actalent
Salem, OR
48 minutes ago
Clinical Pharmacist
...Support operations of MedOne Clinical Services Business Unit with... ...thorough documentation in prior authorization cases, appeals cases, and... ...provider requests requiring pharmacist intervention Works to promote... ...disrupt conversations (for remote employees) Familiarity...
Remote work
Work at office
Flexible hours
MedOne Pharmacy Benefit Solutions
Dubuque, IA
19 hours ago
*Pharmacist - Clinical Pharmacist
...Summary (List Format): - 100% remote, work-from-home position - Responsible... .../redetermination requests - Conduct clinical reviews for coverage determinations,... ...improve the quality and efficiency of the prior authorization process - Draft and review denial...
Remote work
Work from home
Monday to Friday
CTC
Cranston, RI
2 days ago
Clinical Pharmacy Reviewer (Pharmacist) - Remote
...The Clinical Pharmacy Reviewer (Pharmacist) evaluates complex prior authorization requests, appeals, and medication coverage determinations to ensure clinical appropriateness... ...Why Join Dane Street? Collaborative remote culture Professional growth opportunities...
Remote work
Local area
Work from home
Dane Street
United States
2 days ago
Remote Clinical Pharmacist: Medicaid Prior Authorization
CVS Health is seeking a Clinical Pharmacist to join the Prior Authorization team in a remote role within the United States. The candidate must hold an active North Carolina pharmacist license and have prior authorization experience with Caremark PBM. Responsibilities include...
Remote job
CVS Health
New York, NY
4 days ago
Remote Clinical Pharmacist - Specialty Oncology UM
Actalent in Seattle is seeking a Clinical Pharmacist for a fully remote contract role focused on utilization management of specialty medications... ...will review coverage determinations, including prior authorizations and formulary exceptions, across Commercial, Medicare...
Remote job
Contract work
Actalent
Seattle, WA
3 days ago
Remote Clinical Pharmacist - Oncology & Specialty Meds
Actalent is seeking a fully remote Clinical Pharmacist focused on utilization management for specialty medications, with emphasis on oncology... ...therapies. You will review coverage determinations, prior authorizations, formulary exceptions, and step therapy across...
Remote job
Actalent
Seattle, WA
2 days ago
Overnight Remote Clinical Pharmacist - After-Hours
Dragonfly Health is seeking a Clinical Consulting Pharmacist to join our after-hours team in Pennsylvania. This role supports medication reviews, prior authorizations, and cost-effective therapies for hospice and post-acute care patients. Qualified candidates hold an active...
Remote job
Hourly pay
Relocation package
Night shift
Dragonfly Health
New York, NY
1 day ago
Clinical Pharmacist
$45 - $55 per hour
Bring your expertise as a Clinical Pharmacist to an organization where your work makes a direct... ...to their medications by reviewing prior authorizations and supporting coverage determinations... ...the country. Benefits & Extras: Fully remote opportunity with consistentMonday-Friday...
Remote work
Weekend work
ITAC Solutions, LLC
New York, NY
3 days ago
Clinical Review Pharmacist (REMOTE)
...Clinical Pharmacist UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent... ...of Utilization Management (UM) requests (e.g. prior authorization, step therapy, formulary exceptions) for delegated products...
Remote job
Permanent employment
Contract work
Local area
UNITAS
River Falls, WI
4 days ago
Clinical Pharmacist
...Pharmacy Consultant Work Mode: 100% Remote any time zone EXCEPT PST Duration: 3 months... ...of 90% productivity daily Develop clinical criteria for medications, recommend... ...initiate clinical programs Monitor prior authorization requests Provide clinical support to...
Remote work
Contract work
Local area
Shift work
Axelon Services Corporation
Cape Coral, FL
4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Clinical Pharmacist Supervisor, Prior Authorization. Be the first to apply!