Remote Clinical Solutions Pharmacist — Utilization & Policy
UnitedHealth Group
- Remote job
UnitedHealth Group is seeking a Pharmacist leader to serve as the clinical lead for utilization management coding, adjudication strategy, and system configuration. You will translate clinical policy intent into operational requirements and automated decision logic, partnering with technology, product, claims, coding, and operations teams to ensure accurate and compliant implementations. The role requires a PharmD or BS in Pharmacy with a current license, and experience in managed care or #J-18808-Ljbffr UnitedHealth Group
$91.7k - $163.7k
...enjoy the flexibility to work remotely * from anywhere within the... ...:Serve as the clinical lead for utilization management coding, claim adjudication... ..., translating clinical policy intent, formulary strategy... ...or BS in PharmacyCurrent pharmacist license in good standingManaged...Remote workPolicyMinimum wageFull timeWork experience placementWork at officeLocal area- ...about this position. Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for performing drug... ...Medical Directors to identify review trends and policy needs that need to be addressed. 7. Work with the...Remote workPolicyWork at officeShift work
$111.2k - $185.3k
...from you.Rx Savings Solutions (RxSS), part of... ...by a team of pharmacists and software engineers... ...drugs. The Clinical Pharmacist - Sales... ...-qualified fully remote individual. What... ...formulary design, utilization management edits,... ...Employment Opportunity policies, visit our Equal...Remote workPolicyFull timeTemporary workWork experience placementWork at officeLocal area$122k - $128k
Clinical PharmacistJob Purpose:Provide integrated... ...to comprehensive pharmacist consultation,... ...management care utilization within each... ...registration and all remote pharmacist activity... ...and Privacy Policy. By providing your... ...from Shields Health Solutions related to job opportunities...Remote workPolicyWork at officeLocal area- ...Carekinesis Clinical Initiatives Pharmacist AnewHealth is one of the... ...provide a suite of solutions that includes comprehensive... ...Pharmacist utilizes clinical knowledge and... ...and organizational policies governing pharmacy practice... .... This is a remote position. AnewHealth...Remote workPolicyFull timeTemporary workLocal areaFlexible hours
$177.4k - $208.7k
...seeking a highly skilled Senior Solutions Architect specializing in... ...Management to join our Energy & Utilities team. This role will focus on... ...office as listed or remote in the United States. Key Responsibilities... ....Please review our current policy regarding use of generative...Remote workPolicyWork at officeLocal areaImmediate startFlexible hours$134.67k - $179.43k
...and patient-centered Clinical Pharmacist - Oncology to join... ...according to established policies, procedures, and... ...preparation of intravenous solutions, injectable... ...Resourcefulness: Accesses and utilizes available resources... ...regional office and remote employees. Health...Remote workPolicyFull timePart timeWork experience placementWork at officeLocal area$55.28 - $57.69 per hour
...Clinical Consulting Pharmacist Schedule: Monday - Friday, 2:30PM - 11:00PM EST Must reside... ...equipment (DME) and pharmacy solution. Built on a 20-year history,... ...teams on formulary management, utilization review, and pharmacy policy updates. What We Look For...Remote jobPolicyRelocation packageMonday to FridayShift work$177.4k - $208.7k
...an impact?West Monroe is seeking a Solutions Architect to join our Energy & Utilities (E&U) practice, specializing in... ...Energy & Utilities office as listed or remote in the United States. Key... ...westmonroe.com.Please review our current policy regarding use of generative...Remote workPolicyWork at officeLocal areaImmediate startFlexible hours- The Clinical Optimization Pharmacist serves as a key member of PACE and/or... ...(Option for hybrid-remote after 6 months) Status... ...management systems. Utilize clinical software,... ...Contribute to protocol and policy development for... ...collaborative care solutions to post-acute and...Remote workPolicyFull timeLocal area
$160k - $200k
...steps. Our partner is looking for a Solution Architect, AMI & Utility Technology based in the United States... ...adjusted based on relevant experience. ~ Remote work when not traveling to client... ...leave. ~ Flexible Time Off (FTO) policy, with paid time away approved according...Remote workPolicyFull timeTemporary workFlexible hours- .... uses objective clinical data to help clients... ...The Clinical Pharmacist Operations Manager... ...operations of the Utilization Management (UM)... ...criteria, medical policies, and evidence-based... ..., systemic solutions. Other duties... ...Experience leading remote or hybrid clinical...Remote workPolicyShift work
- ...Development Lead - Enervac US Based Remote plus travel, US-based (Texas... ...electrical infrastructure, utilities, power generation,... ...industrial equipment, engineered solutions, capital equipment, industrial... ...effectively. # Comply with policies, procedures, standards and...Remote workPolicyContract workWork at officeNight shift
$110.68k - $166.02k
...SummaryJob SummaryUnder the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and... ...staff and providers when issues arise regarding policy interpretation, potential access availability or...PolicyFull timeContract workWork from homeFlexible hours- ...delivery, and innovative clinical care. In this role,... ...follow up with patients utilizing our pharmacies for... ...patient care as a clinical pharmacist, generalist within the... ..., with a mix of remote work with occasional onsite... ...to institutional policies and procedures. Additionally...Remote workPolicyPart timeCasual workFlexible hours
- ...medication orders for clinical appropriateness based... ...medications, intravenous solutions and related... ...adherence to institutional policies and procedures.Required... ...licensure as a registered pharmacist by the State of... ...for hybrid or mobile/remote work mode are at the discretion...Remote workPolicyWork experience placementNight shiftWeekend work
- ...our members with innovative solutions centered on their health needs... ..., and much more.The Clinical Pharmacist II for COMM/Exchange will be... ...assigned-Complies with all policies and standardsQualificationsEducationDoctor... ...position is eligible for remote work from approved U.S....Remote workPolicyFull timeWork at officeMonday to FridayFlexible hours
- ...247 Location: 100% Remote - National SHIFT: 9am –... ...appropriate. Applies Medical Policy Criteria to prior... ...using professional clinical judgment on a case by case basis. A pharmacist will review medication... ...reporting purposes: o Drug utilization of non-formulary drugs...Remote workPolicyShift work
$42.26 - $45.78 per hour
...We are looking for a Clinical Pharmacist to join our growing team. You will be offered a competitive... ...measures that require a clinical solution, implement and monitor clinical pharmacy... ..., pathways of care and other drug use policies and practices in support of Star/HEDIS...Remote workPolicyHourly pay- ...Position Title: Clinical Pharmacist 1 Work Location: Remote Assignment Duration: 3 Months Work Schedule... ...appropriate. * Applies Medical Policy Criteria to prior authorization... ...for reporting purposes: o Drug utilization of non-formulary drugs o Overturned...Remote workPolicyWork at office
- ...Clinical Pharmacist - Prior Authorization Pharmacist Clinical ****Seeking Pharmacists who... ...development. Please note that per our policy on hybrid/virtual work, candidates not... ...for managing the selection and utilization of pharmaceuticals and supports core clinical...Remote workPolicyFull timeContract workWork experience placementMonday to Friday
$120k - $130k
...analytics, Guidehealth leverages remotely-embedded Healthguides™ and a... ...and detail-oriented Clinical Pharmacist with a PharmD degree and experience... ...dosing schedules. Utilize motivational interviewing techniques... ...the fulfillment of this policy with respect to hiring,...Remote workPolicyBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$112.44k - $187.41k
...Clinical Pharmacist With the nation's largest home infusion provider, there is no limit to the... ...Care patients in accordance with the policies and procedures of the Option Care, pharmacy... ...Option Care policies and procedures. Utilizes pharmacy support personnel effectively...Remote workPolicyWork from homeFlexible hours$52k - $70k
...n Willow Therapeutic Solutions is seeking a dedicated... ...compassionate Licensed Clinical Social Worker (LCSW)... ...our dynamic team as a remote Outpatient Therapist.... ...promote resilience. \n Utilize a variety of... ...regulations and organizational policies. \n Engage in...Remote jobPolicyWork from homeFlexible hours$116.9k - $187.1k
...arrangements that include remote and hybrid... ...Act as an expert on clinical pharmacy issues. Provide... ...concerning plan coverage and policies for specific pharmaceuticals... ...including those utilized by members. Ensure... ...related field Valid Pharmacist license in the state of...Remote workPolicyWork at officeWork from homeFlexible hours2 days per week1 day per week- ...Pharmacist Utilization Management This position is responsible for and participates in a wide range... ...to determine whether the submitted clinical information and patient presentation meet... ...for approval according to the drug policy, formulary availability, and specific...PolicyWork from homeHome office
- ...Location: Florida - Remote WHY JOIN FCS At Florida... ...locations in our network. Utilizing innovative clinical research, cutting-edge... ...The Clinical Oncology Pharmacist will serve as a member of... ...Motor Vehicle Records Check Policy is required. EXPERIENCE...Remote workPolicyPrivate practiceWork at officeLocal areaWork from home
- ...TruDataRx, Inc. uses objective clinical data to help clients improve the clinical... ...Position Summary As a Utilization Management Clinical Pharmacist, you will join TruDataRx’s dynamic... ...data to individual case reviews. Remote Productivity: Self-motivated, highly...Remote work
- Description Summary: All pharmacists fill orders for drugs,... ...to established policies, procedures, and protocols... ...pharmaceutical care services utilizing approved protocols and... ...duties in the clinical areas assigned such as... ...cytotoxic drugs and cleaning solutions), sticks or cuts by...PolicyFull time
- ...Title: Clinical Pharmacist Location: Fully Remote Duration: 3months Schedule: 1 st (9am to 6pm EST... ...appropriate. Applies Medical Policy Criteria to prior authorization... ...for reporting purposes: Drug utilization of non-formulary drugs Overturned...Remote workPolicyWork at office
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