Remote Utilization Management Pharmacist

Capital District Physicians' Health Plan

Capital District Physicians Health Plan Inc (CDPHP) seeks a licensed Pharmacist to manage utilization review for Medicare, Commercial, Marketplace and Medicaid; ensure medication safety, cost effectiveness, and appropriate medical management across benefits. You will perform prior authorizations, reviews, and support providers and pharmacies to expedite member treatment, while maintaining privacy and high ethical standards. #J-18808-Ljbffr

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Remote Utilization Management Pharmacist in Johnson City, NY vacancy

Utilization Management Pharmacist (temp-to-hire)
$130k
...Utilization Management Pharmacist (temp-to-hire) Remote About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated...
Remote work
Temporary work
Local area
Flexible hours
Shift work
Weekend work
Judi Health
United States
3 days ago
PBM Utilization Management Pharmacist (REMOTE)
...Utilization Management Pharmacist UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent recruiting, consulting, and clinical coaching. Our extensive experience includes Pharmacy Benefit Management, Long-Term...
Remote job
Permanent employment
Contract work
Local area
Weekend work
UNITAS
River Falls, WI
3 days ago
Clinical Utilization Management Pharmacist
...in full. Below, you'll find other important information about this position. Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for performing drug utilization review for initial determinations and/...
Remote work
Work at office
Shift work
WVU Medicine
United States
4 days ago
Utilization Management Pharmacist Trainer
$135k - $145k
...Utilization Management Pharmacist Trainer Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United... ...independently with minimal supervision, staying productive in a remote, high-volume, and metric driven call center environment....
Remote work
Work at office
Local area
Flexible hours
Judi Health
Denver, CO
1 day ago
Drug Utilization Review (DUR) Pharmacist Remote
...Remote Drug Utilization Review Pharmacist Safe & Cost-Effective Medication Use Work from home analyze medication use patterns, apply clinical guidelines... ...of Pharmacy, an active U.S. pharmacist license, managed care, PBM, or health-plan preferred experience, and skills...
Remote job
Work from home
Pharmacy Careers
Indianapolis, IN
3 days ago
Drug Utilization Review (DUR) Pharmacist Remote
...Remote Drug Utilization Review Pharmacist Safe & Cost-Effective Medication Use Work from home analyze medication use patterns, apply clinical guidelines... ...licensure: active U.S. pharmacist license, experience: managed care, PBM, or health-plan preferred. Hospital and...
Remote job
Work from home
Pharmacy Careers
Omaha, NE
2 days ago
Staff Pharmacist - Independent Pharmacy Primary Care Internal Medicine
...Staff Pharmacist – Independent Pharmacy & Primary Care ServicesBenson... ...with physicians, nurses, care managers, and support staff to improve... ...TechnologyOur pharmacy utilizes:PioneerRx pharmacy management... ...Chronic Care Management (CCM)Remote Patient Monitoring (RPM)Medication...
Remote work
Full time
Temporary work
Work at office
Monday to Friday
In-Clinic Rx
Benson, NC
12 hours ago
Utilization Management Clinical Pharmacist
...has something to contribute Position Summary As a Utilization Management Clinical Pharmacist, you will join TruDataRx’s dynamic team of physicians,... ...apply complex clinical data to individual case reviews. Remote Productivity: Self-motivated, highly organized, and...
Remote work
Career Opportunities
Norwich, VT
15 days ago
Pharmacist
...Pharmacist - 9021Location: Cascade Valley HospitalDepartment: Pharmacy... ...the safe and effective management of medication therapy. The Clinical... ...Skagit Valley Hospital, and remote services to Mount Vernon Surgery... ...policies and procedures. Utilizes proper body mechanics and protective...
Remote work
Daily paid
Work at office
Immediate start
Flexible hours
Skagit Regional Health
Arlington, WA
12 hours ago
Pharmacist
$55 per hour
...Remote Pharmacist - Utilization Management SpecialistWe are seeking a dedicated Pharmacist to join our team, focused on reviewing Medicaid members' Utilization Management (UM) requests. This role involves making critical clinical evaluations for coverage determination...
Remote work
Full time
Contract work
Temporary work
Shift work
Weekend work
Actalent
Charlotte, NC
4 days ago
Pharmacist - Pharmacy
...or negatively interact with other drugs. Conducts and manages daily reports on medication utilization based upon daily rounds to identify, catalogue, and... ...or population based medication management activities, remote order verification, and all other areas as directed/necessitated...
Remote work
Contract work
3B Healthcare, Inc.
Fort Bragg, CA
5 hours ago
Pharmacist
$55 per hour
...Prior Authorization Pharmacist100% Remote | TN License Required | Entry-LevelThis position involves reviewing Utilization Management requests such as formulary exceptions, prior... ...consistency in decision-making across the pharmacist team.Participate in routine and...
Remote work
Contract work
Temporary work
Actalent
United States
2 days ago
Remote Clinical Review Pharmacist
...Remote Clinical Review Pharmacist – Work From HomeLeverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate... ....Collaborate with physicians, nurses, and utilization-management teams on complex cases.Document recommendations and decisions...
Remote work
Work from home
Flexible hours
Pharmacy Careers
Spokane, WA
3 days ago
Pharmacist
$63 per hour
...Overview Location: Remote (based in South Carolina) Schedule... ...include Adherence, Diabetes Management, Fraud Waste & Abuse,... ...Management (MTM), Retrospective Drug Utilization Review (RDUR), and STARS... ...team is composed of clinical pharmacists, certified pharmacy technicians...
Remote work
Contract work
Monday to Friday
Flexible hours
Shift work
Rotating shift
The Judge Group
Columbia, SC
1 day ago
100% Remote Pharmacist
$55 per hour
...Prior Authorization Pharmacist100% Remote | TN License Required | Entry-Level | Contract... ...-HireThis position involves reviewing Utilization Management requests such as formulary exceptions,... ...in decision-making across the pharmacist team.Participate in routine and structured...
Remote work
Contract work
Temporary work
Actalent
United States
2 days ago
Remote Drug Utilization Review Pharmacist
$60 - $67.5 per hour
...Job Description Job Description Title: Remote Drug Utilization Review Pharmacist Duration : 3 month Pay Rate: $60-$67.50/hr Location: Remote... ...Strong understanding of medication therapy management and clinical pharmacy practices Knowledge of federal...
Remote job
Night shift
Afternoon shift
Insight Global
Phoenix, AZ
19 days ago
Clinical Pharmacist
...Formulary Management PharmacistInfluence therapy access at scale by... ...challenge and often hybrid or remote flexibility. Key... ...Provide clinical support for utilization management, prior-authorization... ...Pharmacy.Licensure: Active U.S. pharmacist license.Experience: Managed...
Remote work
Pharmacy Careers
Baltimore, MD
4 days ago
Clinical Utilization Management Pharmacist
$110.68k - $166.02k
...Learn more about who we are at Point32Health.Job SummaryJob SummaryUnder the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and managing the daily caseload of pharmacy prior authorization...
Full time
Contract work
Work from home
Flexible hours
Point32Health
Canton, MA
3 days ago
Clinical Pharmacist
...Clinical PharmacistThe Clinical Pharmacist optimizes health outcomes by... ...subject matter expertise to manage the pharmacy component of... ...Provide counseling to patients, utilizing motivational interviewing to... ...Hybrid Work Model: Primarily remote / work from home but must be...
Remote work
Full time
Contract work
Work at office
Local area
Work from home
Monday to Friday
Flexible hours
Mass General Brigham
Somerville, MA
1 day ago
Clinical Oncology Pharmacist (Hybrid)
...PharmacistApplylocations: Florida - Remote: US-FL-Englewood: US- FL-... ...0 locations in our network. Utilizing innovative clinical research... ...:**The Clinical Oncology Pharmacist will serve as a member of... ...medication monitoring, protocol management, medication information,...
Remote work
Private practice
Work at office
Local area
Work from home
Florida Cancer Specialists
Florida, NY
3 days ago
Pharmacist
$55 per hour
...Prior Authorization Pharmacist 100% Remote | TN License Required | Entry-Level This position involves reviewing Utilization Management requests such as formulary exceptions, prior authorizations, step therapy, and quantity limit exceptions for commercial members....
Remote work
Contract work
Temporary work
Actalent
Knoxville, TN
4 days ago
Lead Pharmacist, UW Medicine Pharmacy Medication Policy and Utilization
$162.67k
...Department has an outstanding opportunity for a Lead Pharmacist, UW Medicine Pharmacy Medication Policy and Utilization (Pharmacist 4).WORK SCHEDULEFull-Time / 40 hours... ...areas in collaboration with appropriate management staff.With the Director of Pharmacy Purchasing,...
Full time
Temporary work
Work at office
Shift work
University of Washington
Seattle, WA
4 days ago
Clinically Integrated Pharmacist
Clinically Integrated Pharmacist - PACE Programs Hybrid | Monday-Friday... ...on comprehensive medication management and collaborative patient... ...environment with potential for one remote workday per week Direct... ...support safe transitions of care Utilize clinical technology and data...
Remote work
Monday to Friday
Night shift
Day shift
Sarasota Memorial Hospital
West Palm Beach, FL
3 days ago
Clinical Utilization Management Pharmacist
...needs of the communities where we serve, live, and work.Job SummaryUnder the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and managing the daily caseload of pharmacy prior authorization...
Contract work
Work at office
Work from home
Tufts Health Plan
Canton, MA
12 hours ago
Clinical Pharmacist
$120k - $140k
...Forward Deployed Pharmacist – Manhattan, NY – Product, Hybrid, Full‑time Asepha builds... ...medication access: intake, coordination, utilization management, and clinical services. Role and... ...hybrid 3 office days per week). Open to remote for the right candidate if they have deep...
Remote work
Full time
Work at office
Local area
3 days per week
Asepha Inc.
New York, NY
1 day ago
Remote Utilization Management Nurse Consultant
...CVS Health is seeking a Registered Nurse for Utilization Management on a work-from-home schedule with weekend coverage. You will assess, plan, implement, coordinate, monitor, and evaluate options to facilitate healthcare services and member benefits. Responsibilities...
Remote work
Work from home
CVS Health
New York, NY
12 hours ago
Clinical Pharmacist
...of the nation's leading pharmacy care management companies that specializes in caring for... ...The CareKinesis Clinical Initiatives Pharmacist utilizes clinical knowledge and skills coupled... ...other client engagements. This is a remote position. AnewHealth offers a...
Remote work
Full time
Temporary work
Local area
Flexible hours
AnewHealth
United States
1 day ago
Clinical Optimization Pharmacist
...The Clinical Optimization Pharmacist serves as a key member of PACE... ...providing comprehensive medication management and clinical support to... ...Laurel, NJ (Option for hybrid-remote after 6 months) Status: Full-... ...pharmacy management systems. Utilize clinical software, artificial...
Remote work
Full time
Local area
GalenusCare
New York, NY
1 day ago
Utilization Management Nurse
...Spectrum Healthcare Resources is seeking a Utilization Manager Registered Nurse (UMRN) to work entirely remotely from home. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of Active Duty and eligible retirees...
Remote work
Work from home
Monday to Friday
SHR (Spectrum Healthcare Resources)
Honolulu, HI
3 days ago
Managed Care Consultant Pharmacist IV - REMOTE
...Consultant Pharmacist IV Under the general direction of the Manager or Consultant Pharmacist Team Lead or designee, the Consultant Pharmacist IV functions as a team member of the drug utilization review and medication management therapy programs within Clinical Pharmacy...
Remote job
Work experience placement
UMass Chan Medical School
Southborough, MA
4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Utilization Management Pharmacist. Be the first to apply!