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
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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- A-Line Staffing Solutions is seeking a Remote Pharmacist (Prior Authorization / Clinical Review) for a contract-to-hire arrangement. You will review clinical criteria, patient profiles, and communicate with prescribers to resolve questions. The role is fully remote in...Remote jobContract work
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...Job Summary: Joining SmithRx's clinical team, the Clinical Review Pharmacist plays a key role in enhancing... ...with service excellence to review prior authorization requests, support clinical... ...Sheets, and Drive) Location: US - Remote Zone A includes the following...Remote workFull timeContract workFlexible hoursWeekend work$64 - $66 per hour
..., Courage, and Together. What you will do: Review prior authorization requests and make evidence-based decisions using clinical guidelines and benefit criteria. Ensure compliance... ...-accredited school. Active unrestricted pharmacist license and minimum 2 years of pharmacy...Remote jobHourly pay- 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
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$70 per hour
...Clinical Pharmacist Make an impact in healthcare from the comfort of your home. We're seeking a detail... ...and supporting quality pharmacy care through prior authorization reviews and clinical decision-making. Location: Remote (North Carolina Resident Required) Pay Rate...Remote workTemporary workWork from homeMonday to FridayDay shift$110k - $150k
...We are seeking a hybrid Clinical Pharmacist to join a growing pharmacy... ...will verify prescriptions, review medication therapy, and... ...schedule that includes regular remote work. This role is well... ...patients work through prior authorizations, insurance coverage questions...Remote workHourly payFull timeLocal areaMonday to Friday$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... ...needs or, Clinical Pharmacist hospital practice experience... ...60K annually. Remote Type Hybrid...Remote workFull timeWork at officeImmediate startWork from homeFlexible hoursShift work2 days per week1 day per week$55.28 - $57.69 per hour
...post-acute care. What you will do Provide clinical review and consultation on medication requests, prior authorizations, and benefit determinations. Evaluate... ...preferred ~ Full, current, and unrestricted pharmacist license in PA, TN ~ Ability to obtain additional...Remote jobRelocation packageShift work- ...Position Title: Clinical Pharmacist Work Location: Remote - any time zone except PST Assignment Duration... ...: We provide medication reviews for members that have qualified... ...programs to be initiated Monitor prior authorization requests Provide clinical...Remote workLocal area
- ...Description Clinical Pharmacist Location: Remote Duration: 12-Month Contract Work Schedule: Monday-Friday,... ...Pharmacist to support pharmacy utilization management, prior authorization reviews, and comprehensive member care. The ideal...Remote workContract workMonday to Friday
- ...Inc. uses objective clinical data to help clients... ...Summary The Clinical Pharmacist I is a volume-driven,... ...of initial prior authorization (PA) requests. Operating... ...High-Volume Case Review: Evaluate and adjudicate... ...individual case reviews. Remote Productivity: Self-motivated...Remote work
- ...Job Title Work Mode: 100% Remote Duration: 3 months Shift: 9am – 6pm EST, No OT Responsibilities Review completed prior authorization requests from providers and pharmacy technician... ...for approval using professional clinical judgment. Research and contribute...Remote workShift work
$68k - $71.03k
...Claims Clinical Documentation Reviewer Job No: 544361 Work Type: Full-... ...work environments, including remote work opportunities. With... ...an exception is properly authorized in advance. Knowledge,... ...design and implementation, prior authorization functions and...Remote workFull timePart timeInternshipWork at officeWork from homeLong distanceFlexible hours- ...part-time Texas Licensed Clinical Pharmacist will provide integrated support... ...relationships, reviewing clinical data for care plans... ...monitoring medication adherence remotely. Key responsibilities... ...clinician's notes to support prior authorization approvals and develop care...Remote workPart timeWork at office
$135.79k - $178.23k
...Hi, we're Oscar. We're hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization... ...pharmacists performing clinical review for prior authorizations and appeals... ...Location: This position is fully remote and open to candidates residing...Remote workFull timeWork from homeHome office- ...Position Title: Clinical Pharmacist 1 Work Location: Remote (Preferred - NC, IN, WA, NH, GA) Assignment Duration: 3 Months Work... ...lifestyles. Key Responsibilities: Reviews a completed prior authorization request received from the provider and/or reviews...Remote workWork at office
$122k - $128k
Clinical PharmacistJob Purpose:Provide integrated support... ...care.Job Duties:Reviewing and interpreting... ...clinical data needed for prior authorization approvals and development... ...to comprehensive pharmacist consultation, motivational... ...registration and all remote pharmacist activity...Remote workWork at officeLocal area- ...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 workHourly payPrice workTemporary workTraineeshipLocal areaFlexible hours
$127k - $133k
...hiring an Ambulatory Clinical Pharmacy Specialist who... ...,000.00 Location: Remote Salary: An... ...Ambulatory Clinical Pharmacist (ACP) will help advance... ...roles handling complex prior authorizations/appeals by providing... ...privacy rights. Please review our: California Workforce...Remote workHourly payWork at officeLocal areaRelocation package$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 workHourly payLong term contractContract work$120k - $160k
...provide comprehensive clinical services such as... ...is seeking a Clinical Pharmacist to join our integrated... ...chronic conditions. Review medication regimens... ...monitoring (CGM) and remote blood pressure monitoring... ...with complex prior authorizations, formulary restrictions...Remote workFull time$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- ...Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for performing drug utilization review for initial determinations and... ...duties may be assigned. 1. Make prior authorization and step therapy...Remote workWork at officeShift work
- ...reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic... ...Team Member. This position is REMOTE within US Only - Equipment provided The Clinical Reviewer supports the WISeR Prior Authorization Program by performing comprehensive clinical...Remote workFull timeWork at officeImmediate startFlexible hoursAfternoon shift
- Clinical Reviewer Do you have a strong clinical background and a talent for... ...Comagine Health is seeking remote Clinical Reviewers (Licensed... ...to evaluate applicable authorization requests and supporting medical... ...health care services. Perform prior authorization, concurrent...Remote workFull timeContract workPart timeReliefWork from homeShift work
- ...List Format): - 100% remote, work-from-home position - Responsible for reviewing and resolving Medicare-... ...redetermination requests - Conduct clinical reviews for coverage... ...quality and efficiency of the prior authorization process - Draft and review...Remote workWork from homeMonday to Friday
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