Remote Clinical Consultant - Medicaid & PBM Strategy
RXinsider LTD.
- Remote job
Optum, a UnitedHealth Group company, seeks a Clinical Consultant to lead clinical support for Medicaid accounts and drive successful program delivery. The role emphasizes proactive clinical recommendations, client relationship management, and cross-functional collaboration to implement initiatives and improve outcomes. The position offers remote work within the United States, competitive benefits, and opportunities for career development in a large healthcare organization. #J-18808-Ljbffr RXinsider LTD.
- Optum is seeking a Clinical Consultant to serve as the primary liaison between OptumRx clinical operations and Medicaid clients. You will provide clinical support, manage contracts,... ...improve pharmacy programs. You will work remotely from anywhere in the U.S., collaborating...Remote job
$91.7k - $163.7k
...Growing together.The Clinical Consultant serves as the primary... ...assigned Fee-for-Service Medicaid client . The role... ...flexibility to work remotely * from anywhere within... ...designsCollaborate in development of strategy as outward facing,... ...working for a PBM and / or Health Plan...Remote workMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal area$120k - $191k
Clinical Pharmacist Consultant (Hybrid) - PBM - Montvale, NJ HealthCare Support is seeking a strategic, client-focused... ...pharmacy benefit and clinical strategies that improve outcomes, manage drug... ...schedule: 3 days onsite / 2 days remote Compensation $120,000-$191,000 base...Remote workTemporary workLocal areaImmediate startMonday to Friday- Judi Health is seeking a Clinical Account Consultant to convert claims data, guidelines, and market shifts into... ...and teams to enhance member outcomes and PBM performance across client lifecycles. You will shape clinical strategy, operationalize recommendations, and...SuggestedShift work
- HealthCare Support Staffing, Inc. is seeking a strategic Clinical Pharmacist Consultant to join a growing PBM organization in Montvale, NJ. This hybrid, client-... ...on developing pharmacy benefit and clinical strategies that reduce costs and improve outcomes. You’ll serve...Suggested
- UnitedHealthcare is seeking a Clinical Program Consultant, Affordability Medical Drug Benefit, to identify affordability opportunities and implement strategies across the commercial book. You will engage with network leadership to define contracting and reimbursement standards...Remote job
- Judi Health seeks a Clinical Account Consultant (CAC) to act as a clinical subject matter expert for a portfolio of PBM clients. You will translate claims data, guidelines, and market shifts into clear, data-driven recommendations and work with Account Executives and cross...Shift work
- UnitedHealthcare seeks a Clinical Practice Consultant to drive clinical quality outcomes in Medicaid through measure-driven initiatives and provider engagement. Collaboration... ...Washington State, with up to 50% travel and flexible remote work options. #J-18808-Ljbffr OptumRemote jobFlexible hours
- ...Manager to lead end-to-end testing of PBM and Medicaid pharmacy solutions, driving quality across... ...validation. You will develop test strategy, manage schedules, oversight of defects... ...with cross-functional teams in a fully remote Contiguous US setup, with travel up to...Remote job
$208.07k - $395.34k
...MedImpact Healthcare Systems, Inc. is seeking a Vice President of Network & PBM Strategy in San Diego. This leadership role drives enterprise-level planning and oversees contract negotiations within the PBM business. You will have full P&L responsibility and work closely...Remote workContract work- Optum is seeking a Clinical Consultant to serve as the primary liaison between clinical operations, client accounts and internal teams. The... ...while supporting day-to-day service delivery. You can work remotely from anywhere in the U.S., with in-office four days weekly in...Remote jobWork at office
$72.8k - $130k
...the flexibility to work remotely* as you take on some... ...requirements and development of strategies based on performance... ...leadership and key clinical influencers actively... ...and outcomes Consult and partner with internal... ...experience working with the Medicaid population 2+ years...Remote jobMinimum wageFull timeWork experience placementLocal area$91.7k - $163.7k
...Clinical Consultant Optum is a global organization that delivers care, aided... ...the flexibility to work remotely * from anywhere within the U... ...Collaborate in development of strategy as outward facing, dedicated... ...3+ years of managed care or PBM experience ~2+ years of...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal area- ...Connecting. Growing together The Clinical Practice Consultant is a direct, provider-... ...Consultant supports the Medicaid adult population by... ...have the flexibility to work remotely* as you take on some tough... ...care, identify local level strategies to overcome barriers and close...Remote jobHourly payMinimum wageFull timeWork experience placementWork at officeLocal area
$128k - $160k
Clinical Account Consultant / Pharmacist - Denver, CO HealthCare Support is looking... ...formulary and clinical strategies that improve outcomes, manage... ...pm3 days in office / 2 days remote Compensation:Competitive... ...pharmacy benefits management (PBM)Direct account management...Remote workWork at officeLocal areaImmediate startMonday to Friday- Optum is seeking a PBM Director of Specialty Strategy to design and execute HealthTrust's multi-year specialty strategy. Remote work within the U.S. and collaboration with HealthTrust,... ...and cross-functional execution to drive clinical outcomes, member experience, and cost...Remote job
- ...MedImpact Healthcare Systems Inc. is hiring a Vice President, Network & PBM Strategy. This senior role in San Diego will define enterprise network strategies and oversee P&L, working closely with sales and executive leadership to drive operational excellence and market...Remote job
- ...goals within a designated territory. This remote position involves managing the complete... ...opportunities, and developing competitive strategies. The ideal candidate will have over 5 years... ...in Healthcare sales, particularly in PBM environments, and a relevant degree. The...Remote job
$140k - $160k
...Clinical Account Consultant, PBM The Clinical Account Consultant (CAC) is a clinical subject matter expert behind a portfolio of pharmacy benefit... ...across the client lifecycle. Shape Clinical Strategy Analyze pharmacy claims, utilization, and drug trend data...Work at officeLocal areaFlexible hoursShift work- Judi Health seeks a strategic Clinical Account Consultant to support client clinical needs and formulating clinical strategies across plans and employers. You will drive client satisfaction... ...PharmD, have 3-5 years in health plans or PBM, excel with large data in Excel, and can...Contract work
- ...Vice President, Network & PBM Strategy is a senior leader... ...segments (commercial, Medicare, Medicaid, specialty); oversee all... ...leaders across Legal, Finance, Clinical, Operations, and Consulting to ensure alignment,... ...location (or from a remote location with management...Remote workContract workMonday to FridayNight shift
- UnitedHealthcare is seeking a Clinical Practice Consultant to improve clinical quality outcomes and engage providers across Washington state. The... ...Travel up to 50% across Washington, with the option to work remotely within the state. You will partner with providers, quality...Remote job
- Aurrera Health Group is a fully remote national policy and communications firm. We seek a Managing Principal to lead Medicaid and health policy work, manage major client relationships... .... You will guide senior teams, shape strategy, and help expand services across CMS,...Remote work
- SystemDomain Inc. is seeking an experienced Medicaid Chief of Policy to lead strategic policy initiatives, develop funding strategies, and provide executive-level guidance. The... ...regulatory compliance. The position is primarily remote with in-person attendance for community...Remote work
$100 per hour
Ethos is a remote-friendly expert network that connects healthcare consultants with paid expert calls, speaking engagements, and advisory opportunities. We are seeking... ...with 3+ years in healthcare or life sciences strategy consulting to help train AI models on professional...Remote jobFlexible hours$100 per hour
Ethos is seeking healthcare consultants to train their language model on professional... ...assets and hospital/payer strategy materials. The role offers flexible, remote work with 5-20 hours per week... ...includes healthcare data exhibits and clinically-informed storytelling. #J-18808...Remote jobImmediate startFlexible hours- Ethos is seeking senior healthcare consultants to help train an AI language model on professional... ...across core workflows with flexible remote hours. The role offers 5-20 hours per... ...experienced professionals in health sciences strategy consulting. #J-18808-Ljbffr EthosRemote jobImmediate startFlexible hours
- Ethos is a remote-friendly consultancy enabling experts to contribute to AI training projects. We seek healthcare consultants with 3+ years in strategy consulting to create and refine AI-generated presentations and slide decks across core workflows. The role offers $10...Remote jobImmediate startFlexible hours
$100 per hour
Ethos is seeking senior healthcare consultants to train an AI language model on professional presentation and slide... ...commercial due diligence, hospital and payer strategy, and health system transformation. This remote role suits experts with 3+ years in healthcare strategy...Remote jobImmediate startFlexible hours- Ethos in the United States is seeking experienced healthcare-focused strategy consultants to help train their latest language model on professional presentation and slide deck tasks, with a fully remote schedule and a flexible commitment of 5-20 hours per week, starting...Remote jobImmediate startFlexible hours
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