Remote Prior Authorization Pharmacist - Clinical Review
MedOp Solutions
- Remote job
MedOp Solutions is seeking a remote Pharmacist to perform complex prior authorization reviews and clinical determinations. You will collaborate with prescribers, conduct peer-to-peer calls, and contribute to quality audits while ensuring safe medication use. The role requires a PharmD with 3+ years as a licensed pharmacist, willingness to obtain additional state licenses, and strong knowledge of PBM processes. This is a remote position available in approved states. #J-18808-Ljbffr MedOp Solutions
$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$70 per hour
...developing next-generation clinical AI systems. We’re... ...experienced, licensed US Pharmacists to help improve AI-powered prior authorization workflows by answering... ...clinical questions and reviewing AI-generated responses... ...clinical accuracy. This remote, contractor role in the...Remote jobHourly payFor contractors- Medix is seeking a remote Clinical Pharmacist to evaluate prior authorization requests for formulary and non-formulary medications. You will use evidence-based guidelines... ...role requires an active Pharmacist license, PA review experience in PBM or health plan settings, and...Remote jobFull time
$64 - $66 per hour
...Job Summary: Joining SmithRx’s clinical team, the Clinical Review Pharmacist plays a key role in enhancing clinical... ...service excellence to review prior authorization requests, support clinical... ...Sheets, and Drive) Location: US - Remote Zone A includes the following locations...Remote workFull timeContract workFlexible hoursWeekend work- ...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 workPermanent employmentContract workLocal area
- A healthcare solutions provider is seeking a Remote Pharmacist to conduct VA quality reviews, focusing on clinical assessments without direct patient interaction. Candidates must have a Doctor of Pharmacy (PharmD) and an active pharmacist license in the U.S. Responsibilities...Remote workFlexible hours
- ...Remote Clinical Review Pharmacist – Work From HomeLeverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions and treatment plans for safety, appropriateness, and cost-effectiveness while working from home.Key ResponsibilitiesReview...Remote workWork from homeFlexible hours
- ...vertical, has a contract opening for a Clinical Pharmacist. They have over 4 million customers... ...Location: ** While the position is Remote, work from home, you must reside in... ...home experience Description/Comment: Review prior authorization requests and make determinations for...Remote workContract workWork from home
$101.34k - $126.67k
...CT Rotating holidays and weekends Remote Work Notification ATTENTION: Navitus... ...Health Solutions is seeking a Pharmacist I, Clinical Prior Authorization to join our team! The Pharmacist... ...duties related to Drug Utilization Review including concurrent, retrospective...Remote workFull timeWork experience placementFlexible hours$70 per hour
...Clinical PharmacistMake an impact in healthcare from the comfort of... ...seeking a detail-oriented Clinical Pharmacist who is passionate about... ...quality pharmacy care through prior authorization reviews and clinical decision-making.Location: Remote (North Carolina Resident...Remote workTemporary workWork from homeMonday to FridayDay shift$60 per hour
...Now Hiring: Clinical Pharmacist (Remote) Join Oscar Health and play a key role in supporting evidence-based medication coverage... ...the first 2 months What You'll Do Review and evaluate prior authorization requests and appeals Apply clinical criteria...Remote workContract workImmediate startShift workWeekend work- ...SmithRx, a US remote health-tech company, is seeking a Clinical Review Pharmacist to review prior authorization requests and provide guidance to providers, pharmacies, and members. You will work in a fast-paced, collaborative clinical team, applying evidence-based guidelines...Remote work
- ...environments, including remote work opportunities.... ...dedicated team.Claims Clinical Documentation ReviewerDivision... ...Documentation Reviewer reports to the Prepayment... ...exception is properly authorized in advance.Knowledge,... ...and implementation, prior authorization functions...Remote workFull timePart timeInternshipWork at officeWork from homeLong distanceFlexible hours
$130k - $160k
...disease areas depending on clinic needs. Work with... ...of pharmacy by reviewing literature, attending... ...access by assisting with prior authorizations, drug therapy appeals... ...medication needs or, Clinical Pharmacist hospital practice... ...30-160K annually. Remote Type Hybrid Work...Remote workFull timeWork at officeImmediate startWork from homeFlexible hoursShift work2 days per week1 day per week- ...Fully remote (never coming onsite) Position Summary The Prior Authorization Pharmacist is responsible for reviewing and evaluating medication prior authorization requests to ensure appropriate... ...effective therapy in accordance with clinical guidelines, regulatory requirements,...Remote workShift work
- Navitus Health Solutions is seeking a Pharmacist I, Clinical Prior Authorization to manage Prior Authorizations, Drug Utilization Review, and formulary decisions. You will interface with physicians, pharmacists, and specialty providers to optimize beneficiary benefits...Remote job
- Navitus Health Solutions is hiring a Pharmacist I, Clinical Prior Authorization to perform Prior Authorizations and Drug Utilization Reviews. You will interface with physicians and pharmacists... ...program development. This role may be remote across the United States. #J-18808-...Remote job
- Mercor is seeking licensed US Pharmacists to support AI-powered prior authorisation workflows by answering medication-related clinical questions and reviewing AI-generated responses for accuracy and safety. This fully remote role requires 30-40 hours per week and independent...Remote jobFor contractors
- ...cycle, our scalable solutions and clinical expertise help solve programmatic... ...Clinical Quality ReviewerLocation: Remote (Within US Only)Required Schedule:... ...work West Coast HoursThe Clinical Reviewer supports the WISeR Prior Authorization Program by performing comprehensive...Remote workWork at officeImmediate startMonday to Friday
- Navitus Health Solutions is seeking a Pharmacist I, Clinical Prior Authorization to perform prior authorizations, drug utilization reviews, and support clinical calls requiring pharmacist intervention. You will interface with physicians, pharmacists, and specialty providers...Remote job
- ACTalent is seeking a Pharmacist for a remote Coverage Review role in Tennessee, with the candidate expected to review prior authorizations, pharmacy appeals and member grievances, ensuring... ...), a minimum of 3 years of clinical pharmacy experience or residency/board...Remote jobContract work
- Navitus Health Solutions is seeking a Pharmacist I, Clinical Prior Authorization to join our team. You will perform prior authorizations, participate in drug utilization review, and support customer care with pharmacist-intervention calls, interfacing with physicians,...Remote job
$67.48 per hour
Actalent is seeking a Pharmacist for a remote coverage review contract in Tennessee. The role reviews prior authorizations, appeals, and member grievances with compliance to regulations. It requires strong clinical judgment and independent work capability. The position...Remote jobHourly payContract workMonday to Friday$67.48 per hour
# Coverage Review Pharmacist## ActalentChattanooga, TNContractor### BenefitsDental... ...- Coverage Review (Remote)****Location:** Remote (... ...medication-related prior authorizations, pharmacy appeals, and member... ...review experience, strong clinical judgment, and the ability...Remote workHourly payContract workTemporary workWork at officeWork from homeMonday to Friday- Navitus Health Solutions in Phoenix, AZ seeks a Pharmacist I, Clinical Prior Authorization to perform prior authorizations, drug utilization review, and support Customer Care with pharmacist interventions. You will interface with physicians, pharmacists, and specialty providers...Remote job
$110k - $150k
...We are seeking a Clinical Pharmacist to join a patient focused pharmacy... ...verify prescriptions, review medication therapy, and counsel... ...on site work with regular remote work. This opportunity... ...Assist patients with prior authorizations, insurance coverage questions...Remote workHourly payFull timeLocal areaMonday to FridayShift work$50 - $52 per hour
...Claims Clinical Documentation Reviewer Schedule: 5-10 hours per week. Resource can... ...weekends if they prefer. Remote position. Equipment is provided... .... Knowledge Service Authorization concepts, principles, and... ...and implementation, prior authorization functions and...Remote workPart timeWork at officeLong distance10 hours per week- ...Title: Clinical Pharmacist 1 Location: Remote - any time zone EXCEPT PST Duration: 3 Months 9 AM... ...Summary: We provide medication reviews for members that have qualified... ...programs to be initiated * Monitor prior authorization requests * Provide clinical...Remote workLocal area
- ...Clinical PharmacistDothouse Health is a diverse, multi... ...seeking a Clinical Pharmacist to join our... ...other chronic conditions.Review medication regimens for... ...monitoring (CGM) and remote blood pressure monitoring... ...with complex prior authorizations, formulary restrictions...Remote workFull time
$122k - $128k
...Responsibilities Reviewing and interpreting clinician... ...assessments for supportive clinical data needed for prior authorization approvals and... ...limited to comprehensive pharmacist consultation, motivational... ...current registration and all remote pharmacist activity to comply...Remote workLocal area
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