Remote Senior Clinical Review Pharmacist - Operations Lead
SmithRx
- Remote job
SmithRx, a remote-healthtech PBM leader, seeks a Senior Clinical Review Operations Pharmacist to build tools for prior authorization and scale clinical operations. You will mentor pharmacists, manage complex cases, and partner with cross-functional teams to optimize policies and workflow. Ideal candidates have 5+ years in PBM, PharmD or PharmD degree, and strong skills in analytics, communication, and technology adoption. This role is remote with nationwide scope. #J-18808-Ljbffr SmithRx
- ...Remote Clinical Review Pharmacist – Work From Home Leverage 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 Responsibilities...Remote workWork from homeFlexible hours
$115.2k - $158.4k
...our caring community The Senior RX Clinical Programs Pharmacist integrates programs developed... ...comprehensive medication reviews, and prescription drug... ...experience and ability to lead teams Previous program or... ...information. Travel While this is a remote position, occasional...Remote workSeniorWeekly payFull timeTemporary workFor contractorsApprenticeshipWork at officeWork from homeHome office- ...Senior Clinical Pharmacist Hims & Hers is the leading health and wellness platform, on a mission to... ...talent-first flexible/remote work approach, see below... ...serve as the clinical and operational backbone of our 503A... ...is equally comfortable reviewing clinical guidelines, writing...Remote workSeniorFull timeLocal areaFlexible hours
$64 - $66 per hour
...Job Summary: Joining SmithRx’s clinical team, the Clinical Review Pharmacist plays a key role in enhancing... ...outcomes for our members and clients. Operating in a collaborative and fast-paced... ...Sheets, and Drive) Location: US – Remote Zone A includes the following...Remote workFull timeContract workFlexible hoursWeekend work- ...steps. Our partner is looking for a Senior Product Operations Lead & Program Manager - Content Experience... ...Results (OKRs), and Quarterly Business Reviews (QBRs), coordinating inputs,... ...vacation, holidays, and sick leave. Remote work: A remote position based in the...Remote workSeniorHourly payFull timeFlexible hours
$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- SmithRx is seeking a Clinical Review Pharmacist to join its remote clinical team. You will review prior authorizations and appeals using current guidelines, support clinical programs, and provide guidance to providers, pharmacies, and members in a fast-paced, collaborative...Remote job
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$55k - $70k
...can get behind? We're looking for a Senior Operations Lead, Fraud to lead a team of Fraud Associates... ..., including 1:1 coaching, performance reviews, and career development conversations... ...healthcare), life insurance, and a remote-first work environment. About Mission...Remote workSeniorFull timeWork experience placementFlexible hoursShift work$98k - $155k
...technology actively supports operations worldwide. For more... ...Job Description The Senior Air Vehicle Operator (... ...for executing and leading V-BAT flight operations... ...Rating FAA Part 107 Remote Pilot Certificate Ability... ...process, such as reviewing applications, analyzing...Remote workSeniorFull timeTemporary workPart timeWorldwideOverseas$70k - $115k
.... Exceptional candidates may qualify for remote consideration based on experience and credentials... ...of tax experience including tax return review, and be proficient in CCH Axcess Tax.... ...We're looking for a motivated Senior Tax Accountant / Tax Reviewer who enjoys...Remote workSeniorFull timeFlexible hours- ...Health System is seeking a dedicated Sr. Clinical Pharmacist – Bone Marrow Transplant to join the... ...parental leave, flexible work schedules, and remote and hybrid career opportunities.... ...Participates in the medication formulary review and approval process. Monitors drug...Remote workSeniorFull timeLocal areaRelocation packageMonday to FridayFlexible hoursRotating shiftDay shift
- ...of Earnings and transaction advisory experience to provide senior-level review and sign-off on QoE reports. You won’t be building the analysis... ...when appropriate. Location: US Based - Fully Remote Your Mission: Day to Day Responsibilities Review QoE...Remote workSeniorHourly payFull timeFlexible hours
- Gainwell Technologies LLC is seeking a Senior Nurse Reviewer to perform reviews of medical records, healthcare claims, itemized medical bills... ..., and proper billing practices. This role requires clinical review expertise and itemized bill review experience, with...Remote jobSeniorWork from homeFlexible hours
- Fred Hutchinson Cancer Center in Seattle seeks a Senior Pharmacist to join a multidisciplinary team. You will provide pharmacotherapeutic recommendations... ...with a specialty pharmacy team, with a mix of on-site and remote work and potential relocation assistance. #J-18808-Ljbffr...Remote workSeniorRelocation package
- Humana Inc. seeks a Clinical Pharmacist with 5+ years of experience to join our primary care organization remotely in Florida. You will optimize medication management, provide patient education, and collaborate with a care team to improve outcomes. This role requires strong...Remote jobSenior
$85k - $100k
...Description Cetera Financial Group is currently seeking a Senior Compliance Analyst for Ad Review. This is a great opportunity to join our team and... ...complies with firm policy, FINRA, and SEC rules. This is a remote role. What you will do: Review retail...Remote workSenior- ...NELC) is a fast-growing nonprofit home infusion provider serving Maine, New Hampshire, and Massachusetts. We are seeking a Remote Clinical Review Specialist to conduct utilization management reviews and provide clinical information to confirm coverage for patients. This...Remote jobSeniorMonday to Friday
- Humana Inc. is seeking a Clinical Pharmacist Principal for CenterWell Senior Primary Care. The role designs, implements, and optimizes clinical programs across... ...navigate complex initiatives. The position offers remote work options, a 40-hour week, and a competitive pay...Remote workSenior
- LMI Government Consulting seeks senior Real Estate Review Appraisers to serve as subject matter experts for appraisal reviews on right-of-way acquisitions, easements, and partial takings. Candidates should hold MAI/ARA designations and a Certified General Appraiser license...Remote jobSenior
- Magnolia Tax Services is seeking a Senior Tax Reviewer to audit business and individual returns, communicate... ...for our preparer team. This fully remote, full-time role is open to candidates... ...across various sectors. You will lead complex reviews and support the team with...Remote jobSeniorFull time
- ...Technical Institute, Inc. is seeking a Financial Aid Compliance Reviewer, Senior to conduct second-level reviews of student financial aid... ...compliance with DOE, state, and institutional guidelines. This remote role supports audits, training, and cross-campus collaboration...Remote jobSenior
- YO IT Consulting is seeking a Senior Hospitalist Clinical Reviewer to support inpatient clinical quality reviews remotely. The role requires an MD/DO and extensive hospitalist experience, with a focus on accurate documentation, and strong clinical judgment to assess complex...Remote jobSeniorFor contractors
$64.5k - $92.2k
Gainwell Technologies LLC is seeking a Clinical Quality Nurse Reviewer, Sr. Specialist to perform ongoing quality assurance audits on clinical staff. This full-time remote position requires an active RN license and clinical experience in healthcare. Responsibilities include...Remote jobSeniorFull time- ...Loan Review OfficerWestamerica is among the largest commercial banks headquartered in California. We are looking for outstanding people... ...Directors and management.Functions as team leader/supervisor in remote locations providing guidance and training to lesser experience Loan...Remote workSenior
$78k - $99.2k
...Senior Nurse Reviewer Make a meaningful impact on healthcare quality and... ...accuracy by applying your clinical expertise to complex medical... ...training, and feedback. This remote opportunity combines... ...multiple claim types to support operational flexibility and changing client...Remote workSeniorFull timeWork from homeFlexible hours- ...ServiceNow is seeking a senior strategist for Platform Strategic Operations in AMS. This role blends product strategy, operations, and stakeholder management... ...executives and drive AI-enabled growth. You will review business initiatives, track key metrics, and support...Remote jobSenior
- DMA Claims, Inc. is seeking a QA Unit File Reviewer to join our growing remote team. You will review claim files and ensure estimates are accurate and aligned with policy guidelines, bringing a high level of detail and expertise to every file. The role requires extensive...Remote jobSenior
- New England Life Care, Inc. is seeking a Senior Clinical Review Specialist in Canton, MA for a full‑time remote/onsite hybrid role with a strong emphasis on clinical criteria and payer policies. The ideal candidate has medical experience, understands utilization review...Remote jobSeniorFull time
- Magnolia Tax Services is hiring a Senior Tax Reviewer to review business and individual returns, talk directly with clients, and serve as a technical anchor for our preparer team. This is a fully remote, full-time role open to candidates living in Wisconsin or Illinois...Remote jobSeniorFull time
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