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
$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- ...Summary: Work Mode: 100% Remote SHIFT: 9am - 6pm EST, NO OT Duration... ...: Review completed prior authorization requests from providers. Verify member... ...requests for approval using professional clinical judgment. Research and contribute...Remote workShift work
- ...To enhance patient care, the remote Clinical Pharmacist (TN/GA Licensed) will provide integrated support to patients and physicians by developing... ...Review and interpret patient care notes for prior authorization approvals and care plan recommendations Monitor patient...Remote workWork at office
- ...Clinical Utilization Management Pharmacist Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily... ...duties. Other duties may be assigned. 1. Make prior authorization and step therapy determinations for drug...Remote workWork at officeShift work
- ...Manager Work Mode: 100% Remote in USA Duration: 6 months... ...: Develop clinical criteria for medications, recommend... ...to be initiated Monitor prior authorization requests Provide clinical... ...Required: Current state's pharmacist license Years of experience...Remote workShift workWeekend work
$124.68k
...Job Description Summary The Clinical Pharmacist I supports clinical pharmacy programs by performing medication therapy review, drug... ...with FDA labeling and compendia-supported indications, prior authorization requests, step therapy protocols, and site-of-care optimization...Remote workFull timeTemporary work$50.48 - $84.62 per hour
...Clinical Pharmacist We're building a world of health around every individual — shaping a more... ...a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the... ...pharmacist availability as needed. This is a remote role open to candidates within the...Remote workHourly payFull timeTemporary 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- 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
- A-Line Staffing Solutions is seeking a Remote Clinical Pharmacist specializing in Specialty Medical Prior Authorization to support patient access. The role is fully remote across the Continental U.S. (excluding NM and CO) with 8-hour shifts and CST schedule, plus a 6-week...Remote jobShift 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
$134.32k - $164.09k
Specialty Clinical Pharmacist job at Mass General Brigham. Burlington, MA. Site: Mass General... ...medication access by assisting with prior authorizations, drug therapy appeals, financial assistance... ...or weekly onsite attendance. Remote Type Hybrid Work Location 31 North Avenue...Remote workFull timeWork at officeImmediate startWork from homeFlexible hoursShift work2 days per week1 day per week- ...Clinical Pharmacist Utilization Management (Remote) Primary Responsibilities: Review prior authorization and medical exception requests. Perform utilization review for medical necessity. Evaluate medical records and apply PA criteria. Handle 2030 cases per...Remote workContract workWork at office
- ...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 jobPermanent employmentContract workLocal area
- The Cigna Group is seeking a Senior Clinical Pharmacist for a remote, part-time role. The position focuses on building a clinical data elements library derived from prior authorization policies and translating guidelines into actionable alerts for providers, pharmacists...Remote jobPart time
- ...delivering the most rigorous clinical management at the lowest... ...high-cost case management and prior authorization of specialty medications,... ...clinical policies. The Clinical Pharmacist is responsible for being... ...or St Louis, MO offices. Remote employment also considered....Remote jobWork at office
$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$126.5k - $158k
...Summary: Clearway Health is looking for a Clinical Pharmacist who will provide comprehensive,... ...Assist with medication access, including prior authorizations, formulary management, appeals, and... ...coverage) This position includes a remote, weekend on-call rotation once every...Remote workWork at officeShift work- ...To: RxARECARE Supervisor Purpose: The Clinical Pharmacist manages the drug distribution and... ...compliance and adherence. Facilitates prior authorizations and enrolls patients in financial assistance... ...function of the job. Hybrid, remote and flexible on-site work schedules are...Remote workFull timeTemporary workPart timeLocal areaMonday to FridayFlexible hours
$9.6k
...Represented Benefits Eligible: Yes Remote Eligible: No Department: Inpatient Pharmacy... ...health care team, the clinical pharmacist provides consistent clinical, consultative... ...coordination, which may include assistance with prior authorizations and provide discharge medication...Remote workHourly payFull timeLocal areaRotating shift$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
- ...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
$79.7k - $142.6k
...take on the challenge of reinventing the health system. As a Clinical Pharmacist, and you'll play an important role in enhancing clinical pharmacy programs such as drug utilization review, prior authorization, health outcomes, disease state management, care management and...Remote workWork experience placementImmediate startWork from home$79.7k - $142.6k
...start doing your life's best work.(sm)The pharmacist who fills this position will... ...decisions. This position requires excellent clinical and analytical skills, attention to detail... ..., Pharmacist, drug utilization, prior authorization, Irvine, CA, California, Schaumburg, IL...Remote workTemporary workWork experience placementWork at officeLocal areaWork from homeFlexible hours- ...SUMMARY:The Utilization Management Clinical Pharmacist is responsible for playing a critical... ...operational goals.KEY RESPONSIBILITIES:Review prior authorization requests for medical injectable,... ...systems. Ability to work remotely will be provided to qualified candidatesOn...Remote workWork at officeWeekend work
$40 - $50 per hour
...Healthcare Administrative Specialist Type: Contract... ...0/hour Location: Remote Role Responsibilities... ...Design efficient processes for prior authorizations and utilization support... ...payment posting to align with clinical charges. Collaborate...Remote workFull timeContract workSummer workWork at office- ...currently seeking an Revenue Cycle Specialist (Medical Practice, Part B... ...This is a Full-time remote position Monday - Friday, 8:0... ...documentation, eligibility, authorization, and payer-related discrepancies... ...limitations, and obtain necessary prior authorizations to prevent...Remote workFull timeWork experience placementWork at officeWork from homeMonday to FridayFlexible hours
- ...Socket.dev is seeking an Infusion Prior Authorization Specialist to ensure all pre-service accounts are financially cleared before the date of service. You will verify insurance information, validate benefits, and obtain required authorizations to initiate the patient...Remote work
$29.62 - $45.31 per hour
...responsible for all core functions in the Prior Authorization (PA) Department Coordinate and... ...inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote... ...serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services...Remote workMinimum wageFull timeWork experience placementLocal areaShift work
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