Remote Prior Authorization Pharmacist
Elevance Health
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, a pharmacy license, and PBM experience. Preference for NC licensure and PharmD. In-person training sessions are required.
#J-18808-Ljbffr- ...About the Job Staff Pharmacist - Independent Pharmacy & Primary Care Services Benson... ...medication affordability programs and prior authorization support. Promote medication... ...Chronic Care Management (CCM). Remote Patient Monitoring (RPM). Medication...Remote workFull timeTemporary workWork at officeMonday to Friday
$50 - $55 per hour
...Medicare and Medicaid. JOB OVERVIEW Location: Work from home (100% remote) - refer list of states below. Duration: 6 months contract (... ..., and work instructions. JOB RESPONSIBILITIES Provides prior authorization services for formulary drugs, develops programs to provide...Remote workContract workWork 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 homeMonday to FridayAll shifts- ...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 workWork from home
- ...Actalent in Orlando, FL is seeking a dedicated Pharmacy Technician to support Medicare/Medicaid prior authorizations in a remote MedPharm environment. You will handle intake and perform technical review tasks. Responsibilities include reviewing PA cases, determining...Remote work
- ...Actalent is seeking a Certified Pharmacy Technician for a fully remote role handling prior authorization requests from prescribers in a call center setting. The position is Contract to Hire and based out of Eagan, MN, with 8-hour shifts from 7:15am CST to 9pm CST, five...Remote workContract workShift work
- ...support high-quality pharmaceutical care, the full-time Prior Authorization Pharmacist will conduct clinical reviews of pharmacy prior authorization... ...member benefits and clinical guidelines while working remotely. Key responsibilities Review and evaluate prior authorization...Remote workFull time
$57 per hour
...ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts...Remote workHourly payWork from homeFlexible 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
$120k - $125k
...Position Overview The Clinical Care Pharmacist plays a vital role in ensuring safe,... ...position is responsible for reviewing prior authorization requests, supporting clinical programs... ...Location & Schedule Location: Remote Shifts ~7a-4p EST ~9a-6p EST...Remote workFull timeContract workShift workWeekend 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
$56 - $59 per hour
...PharmacistImmediate need for a talented Pharmacist. This is a 06+months contract... ...-term potential and is located in U.S(Remote). Please review the job description below... ...location).Key Responsibilities:Review prior authorization requests for medical benefit drugs across...Remote workContract workImmediate start- ...A healthcare services provider is seeking a remote Pharmacy Technician to contribute to pharmacy utilization management. Responsibilities include screening prior authorization requests, collaborating with healthcare professionals, and ensuring compliance with regulatory...Remote work
$55 per hour
...Pharmacist IThis remote Pharmacist I role focuses on reviewing Utilization Management requests for Medicaid members, including formulary exceptions, prior authorizations, step therapy, and quantity limit exceptions. You will apply client-specific criteria and clinical...Remote workPermanent employmentContract workTemporary workFor contractorsWork from homeMonday to FridayShift workRotating shiftAfternoon shiftWeekday work$102k - $191k
...Clinical Pharmacist Consultant (Hybrid) - PBM - Montvale, NJ HealthCare Support is... ...Collaborate with Care Management, Prior Authorization, Plan Build, Client Experience, Formulary... ...- 5:00pm ~3 days in office / 2 days remote Compensation ~ Competitive base...Remote workWork at officeLocal areaMonday to Friday$130k
...Utilization Management Pharmacist (temp-to-hire) Remote About Judi Health Judi Health is a health technology company providing benefit... ...use. This position is responsible for reviewing prior authorization requests, supporting clinical programs, and providing...Remote workTemporary workLocal areaFlexible hoursShift workWeekend work$60 per hour
...Review and make determinations on prior authorization requests for medications under the pharmacy... ...of experience working as a licensed pharmacist Willingness to obtain additional state... ...with a Pharmacist Supervisor Location / Remote Requirements This appears to be a...Remote workContract workShift workWeekend work$55 per hour
...Job Title: Pharmacist IJob Description This remote Pharmacist I role focuses on reviewing Utilization Management requests for Medicaid members, including formulary exceptions, prior authorizations, step therapy, and quantity limit exceptions. You will apply client-...Remote workPermanent employmentContract workTemporary workFor contractorsWork from homeMonday to FridayShift workRotating shiftAfternoon shiftWeekday work- ...AI Pharmacist OpportunityMercor 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
- ...Non-Billable Orientation (NBO) Job - Remote Managed Care PharmacistPharmacist License... ...Required (meaning dealing with Prior Authorizations, Audits, Appeals, ALJ Court hearings,... ...required a few times per year. Managed Care Pharmacist The Clinical Pharmacist Specialist (CPS...Remote workLocal areaWeekend work
$750 per month
...% (At Risk Maximum) M-F 8am to 5pm Remote Work Notification Navitus is only able... ..., Washington DC, Wisconsin. Pharmacist, Population Health Navitus Health Solutions... ...Determination (Certification, Prior Authorization, Medical Exception, Exception to Coverage...Remote workFlexible hours$53 per hour
...Job Title: Remote Pharmacist (Prior Authorization) Location: Remote (U.S. — must hold an active Pharmacist license in your state of residence) Pay: $53.00/hour Schedule: Monday–Friday, 9:30 AM–6:00 PM (your local time) + occasional weekends or Sunday-Thursday...Remote workContract workLocal areaMonday to Friday- ## Specialty Pharmacist NavigatorApply: Daytona Beach, Florida: Orlando, FL: Full time:... ...Location:** This hybrid role is largely remote and is intended for an Rph in the... ...product sourcing.* Prepare and submit prior authorization paperwork; manage denials.* Triage prescriptions...Remote workFull timeWork at office
$40.87 - $80.43 per hour
...Pharmacist PositionAt UnitedHealthcare, we're simplifying the health care experience,... ....You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take... ...in Coverage Determinations (prior authorization) or member appealsPharmacy reimbursement...Remote workHourly payWork experience placement$60 - $70 per hour
...and Patient Care! Location: Remote – U.S. (All States Considered... ...recruiting several clinical Pharmacists to support a leading... ...making process for pharmacy drug authorizations and appeals . This fully remote... ...clinical determinations for prior authorization and appeal...Remote workContract workTemporary workFlexible hoursShift workWeekend work$90.9k - $129.9k
...continuous learning, and career development. Summary The Prior Authorization (PA) Pharmacist is responsible for reviewing prior authorization... ...preferred What you should expect in this role Location: Remote, United States Work Environment: Dedicated, private...Remote workFull timeWork at officeHome officeFlexible hours$57.21 - $86.35 per hour
...Location: Remote Position Hiring Range: $57.21 - $86.35 Position Summary The Specialty Pharmacist provides day-to-day clinical and operational support for the AON in-house... ...to providers Assist with prior authorization support and formulary initiatives Review...Remote workFull timePart timeLocal areaFlexible hours$73.6k - $147.29k
...product sourcing. Prepare and submit prior authorization paperwork; manage denials. Triage... ...& Westchester areas of Illinois, with remote work weighted more heavily than on-site... ...preferred. ~ Current unrestricted pharmacist license in the appropriate state of practice...Remote workWork at officeWorldwide- ...VIVA USA INC is seeking a Pharmacy Technician for a fully remote role in the United States. You will handle inbound calls from members... .../denials, and escalate complex clinical questions to a pharmacist. Requirements include 1 year in a healthcare call center, pharmacy...Remote workShift work
- ...future role at a glance Location: Remote Department: Ascension Pharmacy Services... ...interprofessional teams to streamline prior authorizations, medication delivery logistics, and... ...Registration Required Credential(s): Pharmacist obtained prior to hire date or job...Remote workFull timeWork experience placementLocal areaMonday to FridayDay shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Prior Authorization Pharmacist. Be the first to apply!
- emergency pharmacist United States
- production pharmacist United States
- consultant pharmacist United States
- supervising pharmacist United States
- remote pharmacist United States
- pharmacist United States
- psychiatric pharmacist United States
- temporary pharmacist United States
- pharmacist intern United States
- graduate pharmacist United States

