Remote Clinical Pharmacist - Prior Authorization Specialist
Spectraforce Technologies Inc
- Remote job
Spectraforce Technologies is seeking a Clinical Pharmacist 1 for a remote, 3-month assignment. The role focuses on evaluating redetermination and appeals coverage requests, with duties spanning prior authorizations, data retrieval, and collaboration with physicians to ensure compliant formulary decisions. The successful candidate will hold a Pharm D., have at least one year of RPh experience, and hold an active US state license. #J-18808-Ljbffr Spectraforce Technologies
- ...growth opportunities, and much more.The Clinical Pharmacist II for COMM/Exchange will be... ...leads managed care programs such as prior authorization and quantity limitations programs o Ensures... ...Eastern TimeThis position is eligible for remote work from approved U.S. locations,...Remote workFull timeWork at officeMonday to FridayFlexible hours
$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 workWork at officeLocal area- ...Work Mode: 100% Remote - Open to any time zone EXCEPT PST Shift: 9 AM - 6 PM local... ...Responsibilities: Develop clinical criteria for medications, recommend plan... ...programs to be initiated Monitor prior authorization requests Provide clinical support...Remote workLocal areaShift work
- ...– Dept 247 Location: 100% Remote - National SHIFT: 9am – 6pm EST... ...volume Reviews a completed prior authorization request received from the provider... ...request using professional clinical judgment on a case by case basis. A pharmacist will review medication...Remote workShift work
- ...Position Title: Clinical Pharmacist 1 Work Location: Remote Assignment Duration: 3 Months Work Schedule: 9am - 6pm EST No OT Position... ...Typical Day in the Role * Reviews a completed prior authorization request received from the provider and/or reviews...Remote workWork at office
- ...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 workFull timeContract workWork experience placementMonday to Friday
- ...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 workFull time
- ...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 workWork at officeShift work
$99k - $129k
...Pharmacist - Prior Authorization At our company, we move fast, adapt quickly, and turn challenges into... ...Under the direction of the Manager, Clinical Services, the Prior Authorization Clinical... ...and meet daily deadlines. Remote Work Requirements To ensure...Remote workWork at officeLocal area$50.48 - $84.62 per hour
...a time. Position Summary This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior... ...availability as needed. This is a remote role open to qualified candidates within the United...Remote workHourly payFull timeTemporary workWork at officeLocal areaFlexible hoursShift work$127k - $133k
...Ambulatory Clinical Pharmacist Remote Job Purpose: Provide integrated support to patients... ...supporting roles handling complex prior authorizations/appeals by providing clinical... ...including assigned clinic physicians, specialists, and onsite clinic pharmacists, to...Remote workWork at officeLocal area- 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
- Dragonfly Health is seeking a Clinical Consulting Pharmacist to provide remote clinical review and consultation on medication requests, prior authorizations, and benefit determinations. The role supports complex case reviews, therapy optimization, and cost-effective prescribing...Remote jobWork from home
- VytlOne is seeking a Clinical Pharmacist for their remote specialty pharmacy operations in the United States. The role focuses on clinical review, patient counseling, prior authorization support, and collaboration with providers to improve outcomes. The pharmacist will...Remote job
$60 - $65 per hour
...Clinical Pharmacist I Duration: Contract (3 Months) Location: Remote Schedule: Monday Friday | 9:00 AM 6:00 PM EST Pay Range: $60 - 65/hourly Job Summary... ...Appeals team. In this role, you will review prior authorization and appeal requests to help ensure members receive...Remote workHourly payContract workWork at officeMonday to Friday$55.28 - $57.69 per hour
...Clinical Consulting Pharmacist Schedule: Monday - Friday, 2:30PM - 11:00PM EST Must reside in PA or TN to be considered. Dragonfly... ...clinical review and consultation on medication requests, prior authorizations, and benefit determinations. Evaluate therapy...Remote jobRelocation packageMonday to FridayShift work- ...Possibly 4/20/2026 Summary Location: 100% Remote Shift: Mon - Fri 10am - 6:30pm EST,... ...Responsibilities Review 140 to 160 clinical prior authorizations or coverage determinations daily.... ...degree or PharmD Required: Current state pharmacist license Years of experience required:...Remote workShift workWeekend work
- ...Title: Clinical Pharmacist Location: Fully Remote Duration: 3months Schedule: 1 st (9am to 6pm EST) No OT XXXX: XXXXXXXXXXX0 to... ...Typical day in a role: Reviews a completed prior authorization request received from the provider and/or reviews...Remote workWork at office
$135k - $145k
...Job Title Pharmacy Clinical Reviewer Job Description Fallon Health is a company... ...Department, Medical Directors, and Prior Authorizations vendors. Maintain turnaround times... ...License: Current license to practice as pharmacist in Massachusetts without restriction...Remote jobLocal area- UNITAS provides clinical staffing and consulting solutions, including contract staff... ...clinicians! About the role The Clinical Pharmacist is responsible for the processing and... ...Utilization Management (UM) requests (e.g. prior authorization, step therapy, formulary exceptions)...Remote jobPermanent employmentContract workLocal area
$110k - $115k
...Clinical Service Center Pharmacist Remedi SeniorCare (a division of Clarest Health) is a leading pharmacy... ...: 962 Dorset Rd, Troy, OH 45373. Remote after training with occasional... ...clinical documentation associated with prior authorization submissions Provides CSC...Remote workCasual workWork at officeMonday to FridayWeekend work- ...Inc. uses objective clinical data to help clients... ...Management Clinical Pharmacist, you will join TruDataRx... ...Evaluate and adjudicate prior authorization (PA) requests for... ...to Pharmacy Support Specialists handling complex inquiries... ...case reviews. Remote Productivity: Self-motivated...Remote work
- ...Job Description Job Title: Clinical Pharmacist I Duration: 3 Months Location: Remote Any U.S. Time Zone except Pacific Time (PST) Schedule: Monday... ...medication-related clinical support, monitor prior authorization activity, and contribute to pharmacy clinical...Remote workTemporary workLocal areaMonday to Friday
$55 per hour
...Prior Authorization Pharmacist 100% Remote | TN License Required | Entry-Level This position involves reviewing Utilization Management requests such... ...exceptions for commercial members. The role requires detailed clinical evaluation based on client-specific criteria to...Remote jobContract workTemporary work- ...Pharmacist - Mail Order NO Nights or Weekends!! The Mail Order... ...drug literature to provide clinical recommendations to... ...for medications as part of a Prior Authorization Program. Maintain a thorough... ...collaboration with stakeholders. Remote work is not an option for...Remote workFull timeWork at officeLocal areaMonday to FridayWeekend work
$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 jobHourly payWork from homeFlexible hours- 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
$120k - $155k
Join a rapidly growing, clinically driven PBM that is transforming... ...clinical team where pharmacists are at the center of driving... ...schedule: 3 days onsite / 2 days remote Compensation $120,000-$15... ..., client needs, and prior authorization reviews while collaborating...Remote workTemporary workLocal areaMonday to Friday- ...Inc. uses objective clinical data to help clients... ...Summary The Clinical Pharmacist Operations Manager is... ...(SLAs) across all prior authorization and appeals workflows... ...Pharmacist QA & Training Specialist, fostering a culture... ...Experience leading remote or hybrid clinical operations...Remote workShift work
- ...Verisma is seeking a Remote Care Coordination Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates...Remote workWork from home
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