Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Prior Authorization Pharmacist - Clinical Review

MedOp Solutions

New York, NY
  • 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

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Remote Prior Authorization Pharmacist - Clinical Review in New York, NY vacancy
  • $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 work
    Hourly pay
    Work from home
    Flexible hours

    ProPivotal Staffing

    Hingham, MA
    3 days ago
  • 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 job
    Full time

    Medix Staffing Solutions, Inc.

    New York, NY
    3 days ago
  •  ...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 work
    Permanent employment
    Contract work
    Local area

    Unitas Corporation

    Lisbon Falls, ME
    3 days ago
  • 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 work
    Flexible hours

    Visual Connections LLC

    Annapolis, MD
    1 day ago
  •  ...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 work
    Work from home
    Flexible hours

    Pharmacy Careers

    Bridgeport, CT
    2 days ago
  •  ...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 work
    Contract work
    Work from home

    Motion Recruitment

    New York, NY
    4 days ago
  • $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 work
    Full time
    Work experience placement
    Flexible hours

    Navitus Health Solutions, LLC

    Missouri
    9 days ago
  •  ...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 work
    Full time
    Part time
    Internship
    Work at office
    Work from home
    Long distance
    Flexible hours

    State of Arizona

    Phoenix, AZ
    3 days ago
  • $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 work
    Contract work
    Immediate start
    Shift work
    Weekend work

    Hire Talent

    United States
    2 days ago
  • $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 work
    Temporary work
    Work from home
    Monday to Friday
    Day shift

    Manpower

    Durham, NC
    2 days ago
  •  ...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

    SmithRx

    New York, NY
    5 days ago
  •  ...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 work
    Work at office
    Immediate start
    Monday to Friday

    CorroHealth

    Austin, TX
    3 days ago
  • $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 work
    Full time
    Work at office
    Immediate start
    Work from home
    Flexible hours
    Shift work
    2 days per week
    1 day per week

    Mass General Brigham

    Burlington, VT
    2 days ago
  •  ...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 work
    Shift work

    VIVA

    New York, NY
    2 days ago
  • 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

    Navitus

    Phoenix, AZ
    3 days ago
  • $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 work
    Part time
    Work at office
    Long distance
    10 hours per week

    Talent Software Services, Inc.

    Phoenix, AZ
    2 days ago
  • $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 work
    Hourly pay
    Full time
    Local area
    Monday to Friday
    Shift work

    TalentLNX LLC

    Orlando, FL
    1 day ago
  •  ...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 work
    Local area

    Spectraforce Technologies

    Houston, TX
    3 days ago
  •  ...deliver expert retrospective clinical reviews for the U.S. Department of Veterans Affairs (VA). As a Pharmacist, you will evaluate charts and...  ...direct patient care. Work is remote and compensated at a flat rate...  ...of conflict of interest prior to assignment; submit reviews... 
    Remote work
    Hourly pay
    Price work
    Temporary work
    Traineeship
    Local area
    Flexible hours

    Visual Connections, LLC

    Annapolis, MD
    3 days ago
  •  ...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 work
    Full time

    DotHouse Health

    Dorchester, MA
    3 days ago
  • $122k - $128k

     ...Clinical Pharmacist Job Purpose: Provide integrated support to...  .... Job Duties: Reviewing and interpreting clinician...  ...clinical data needed for prior authorization approvals and development...  ...current registration and all remote pharmacist activity to... 
    Remote work
    Work at office
    Local area

    Shields Health Solutions LLC

    New York, NY
    3 days ago
  • $60 - $65 per hour

     ...Immediate Hiring for "PHARMACIST" Job Description...  ...department. Develop clinical criteria for medications...  ...changes. Monitor prior authorization requests. Provide...  ...Drug Utilization Review (DUR) for both Medicaid...  ...Type This is a fully remote position. About... 
    Remote work
    Contract work
    Temporary work
    Immediate start

    Actalent

    Phoenix, AZ
    2 days ago
  • $127k - $133k

     ...hiring an Ambulatory Clinical Pharmacy Specialist who...  ...$20,000.00 Location: Remote Salary: An employee...  ...Ambulatory Clinical Pharmacist (ACP) will help advance...  ...handling complex prior authorizations/appeals by providing...  ...privacy rights. Please review our: California Workforce... 
    Remote work
    Hourly pay
    Work at office
    Local area
    Relocation package

    Shields Health Solutions LLC

    New York, NY
    2 days ago
  •  ...Job Title: Clinical Pharmacist 1 Location: Remote Duration: 3 months Payrate: $60-...  ...Prepares medications by reviewing and interpreting physician orders...  ...the Role: Reviews a completed prior authorization request received from the provider... 
    Remote work
    Work at office

    Pacer Group

    United States
    3 days ago
  • $50 - $60 per hour

     ...Piper Companies is seeking a Clinical Pharmacist to join a leading healthcare insurance...  ...services organization for an remote contract opportunity based in North...  ...include: • Evaluate prior authorization and coverage review requests by applying clinical guidelines... 
    Remote work
    Hourly pay
    Long term contract
    Contract work

    Piper Companies

    United States
    1 day ago
  • $84.8k - $99.38k

     ...Clinical Pharmacist It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing...  ...Pharmacist is responsible for conducting clinical reviews of prior authorization requests, ensuring that all determinations are... 
    Remote work
    Work at office
    Home office

    LucyRx

    United States
    2 days ago
  • $94.5k - $193.6k

     ...one community at a time. Position Summary As a Clinical Pharmacist, you will review Prior Authorizations, verify proven and/or medically necessary indications...  ...drug policies, and clinical projects. This is a remote role with the potential for on-site training and is... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Local area
    Day shift

    CVS Health

    Remote
    5 days ago
  • $57 per hour

    Clinical Pharmacist Reviewer - Work From Home (MA) - Earn Up To $57/hr Remote position supporting clinical pharmacy services Competitive pay with room for career growth Help improve prior authorization & medication approval processes Work with top healthcare teams... 
    Remote work
    Work from home
    Flexible hours

    ProPivotal Staffing

    Hingham, MA
    2 days ago
  •  ...Clinical Pharmacist MedOne Pharmacy Benefit Solutions 1 Positions ID: 97594 Posted...  ...-oriented pharmacist to support prior authorization reviews, consult with providers, evaluate drug...  ...could disrupt conversations (for remote employees) Familiarity with data... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Flexible hours
    Shift work
    Day shift

    Access Dubuque

    Dubuque, IA
    4 days ago
  •  ...Solutions is seeking PRN pharmacists to support our contract with...  ...& Medicaid Services (CMS) reviewing the prior authorization (PA) and step therapy (ST)...  ...principles, sound clinical judgment, and the discipline...  ...Conditions: US-based fully remote/work-from-home position PRN... 
    Remote work
    Contract work
    Relief
    Seasonal work
    Work at office
    Work from home

    Rainmakers Strategic Solutions LLC

    New York, NY
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Prior Authorization Pharmacist - Clinical Review. Be the first to apply!