Remote Health Plan Pharmacist - Medicare/Medicaid
JobRx, Inc.
Blue Cross Blue Shield of Arizona is seeking a pharmacist to support the Medicare and/or Medicaid formulary while providing clinical and economic data essential for decision-making. This remote position requires residency in Arizona and focuses on compliance and quality activities within pharmacy services. Applicants should have at least 5 years of experience as a pharmacist and a Pharm.D. degree. Responsibilities also include interfacing with network physicians and health plan members, designing educational programs, and auditing for compliance. #J-18808-Ljbffr
- ...Role, Inc. is seeking an experienced pharmacist for a remote position within the state of Arizona. The candidate will manage and support the Medicare and/or Medicaid formulary, providing essential clinical and economic data for formulary decisions while ensuring compliance...Remote workHealth Insurance
$126.3k - $173.7k
...have impact on Humana's Medicaid plans Responsibilities... ...notifications Partners with pharmacists, data scientists,... ...trend and improve health outcomes. Contributes... ...Knowledge of Medicare/Medicaid as it relates... ...Travel: While this is a remote position, occasional travel...Remote workHealth InsuranceBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeFlexible hours- ...Shift First (Days) Overview: Sentara Health Plans is hiring for a Clinical Pharmacist for Medicare STARS - Remote! Status: Full-time,permanent position (40... ...Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network...Remote workHealth InsurancePermanent employmentFull timeTemporary workRelocationShift work
$50 - $55 per hour
...Pharmacy Benefit Services) entity owned by 20 non-profit health plans serving 33 million members and benefits manager of government programs including Medicare and Medicaid. JOB OVERVIEW Location: Work from home (100% remote) - refer list of states below. Duration: 6 months...Remote workHealth InsuranceContract workWork from home- ...Sentara Health Plans is hiring a Clinical Pharmacist for Medicare STARS, a remote position based in Norfolk, VA. The ideal candidate will possess a Bachelor's degree in Pharmacy and a valid pharmacist license, with experience in Medicare STARS preferred. You'll work with...Remote workHealth InsuranceMonday to Friday
$50 - $55 per hour
...Pharmacy Benefit Services) entity owned by 20 non-profit health plans serving 33 million members and benefits manager of government programs including Medicare and Medicaid, seeks an accomplished Pharmacist – 100% Remote - California Residents Only!! ** TITLE: Pharmacist –...Remote workHealth InsuranceContract workTemporary workLocal areaWork from homeHome officeMonday to FridayShift work- ...its mission to inspire health and make it easy. AZ... ...as hybrid, onsite or remote. While the majority... ...maintaining and supporting the Medicare and/or Medicaid formulary and... ...physicians, health plan members, medical services... ...more as a practicing pharmacist ~3 years of...Remote workHealth InsuranceWork experience placementWork at officeFlexible hoursShift work1 day per week
$125k
...Remote Judi Health is an enterprise health technology company providing... ...for employers and health plans, including: Capital Rx , a... ...Summary The Clinical Care Pharmacist plays a vital role in promoting... ...Commercial, Exchange, Medicare, and Medicaid plans. Accurately document...Remote workHealth InsuranceTemporary workLocal areaWeekend work- ...looking for a Medical Billing Specialist. This fully remote position focuses on Medicare and Medicaid billing, requiring two years of experience in... ...effectively with Facilities. Benefits include a private health care plan, DailyPay options, life insurance, and training...Remote workHealth Insurance
$41.74 - $62.68 per hour
...Pharmacist-Utah State Hospital Are you ready to dispense... ...$62.68 Hourly Wage Remote Work / In-Office - In-... ..., implement or reform Medicaid policy. Prepares... ...files, and inventories. Plans, implement, or maintain... ...and your family. Health Insurance: Multiple medical...Remote workHealth InsuranceHourly payFull timeWork at office- ...will perform general Pharmacist duties, including but... ...department Follows all Medicare, Medicaid, HIPAA, and Private... ...lines of communication Plans and organizes work... ...the smart choice for health plans, providers, employers... ...-Life Balance: Remote or hybrid work options...Remote workHealth InsuranceWork at officeFlexible hours
- ...You Will Have The clinical pharmacist is responsible for supporting... ...will collaborate closely with Medicaid, Medicare and Commercial associates from the health plan, and the pharmacy benefit manager... ...week you are empowered to work remote. Compensation and Benefits...Remote workHealth InsuranceFor contractorsWork at officeLocal area2 days per week
- ...a Medical Billing Specialist to work fully remote. This full-time position focuses on timely billing for Medicare, Medicaid, and Insurance. Candidates must have at least... ...significant benefits including a Private Health Care Plan and DailyPay options, fostering a supportive...Remote workHealth InsuranceFull time
$132.54k - $161.44k
...limited duration) Remote Employment:... ...0 Department: Health Care Authority... ...Behavioral Health Pharmacist (CP/CQCT) - Project... ...based care across Medicaid and other public programs... ...stakeholders, providers, plans, and delivery... ...Security and Medicare systems. The state...Remote workHealth InsuranceFull timePart timeWork experience placementWork at officeImmediate startFlexible hoursShift work- ...centralized Population Health Management (PHM)... ...partnering with pharmacists and the broader... ...primary focus on Medicare Advantage populations... ...Medicare Advantage, Medicaid, Commercial) with... ...Skills Health Plan / Medicare Advantage... ...standard business hours. Remote with occasional in...Remote workHealth InsuranceFull timeWork at officeRelocation packageMonday to Friday
$19.81 - $28.3 per hour
...Primarily support Medicare Advantage Star medication... ...scope and under pharmacist guidance. Support... ...Advantage, Medicaid, Commercial) with... ...initiatives and population health priorities.... ...Preferred Skills Health Plan / Medicare... ...standard business hours. Remote with occasional in...Remote workHealth InsuranceHourly payFull timeWork at officeRelocation packageMonday to FridayShift work$107.7k - $199.3k
...our Medical Management/Health Services team. Centene... ...partner with health plans to drive pharmacy performance... ...measures across LOBs (Medicare, Medicaid, Marketplace)... ...PHARM-R - Registered Pharmacist Current state with no... ...Requirements: This is a remote role with travel of 50...Remote workHealth InsuranceFull timeContract workPart timeWork at officeFlexible hours$118.88k - $139.31k
...Clinical Strategy Pharmacist page is loaded## Clinical Strategy... ...experience in PBM, managed care, health plan, or related pharmacy... ...regulated populations (e.g., Medicare, Medicaid) preferred* Ability to synthesize... ...operating in a fast-paced, remote-first environment with high...Remote workHealth InsuranceWork at officeHome office- ...Medical Billing Specialist for a fully remote position. The candidate will ensure... ...accounts, requiring strong knowledge of Medicare, Medicaid, and Insurance billing processes.... ...approach. Benefits include a private health care plan and training opportunities. #J-18808-...Remote workHealth InsuranceFull time
- ...Description The Clinical Pharmacist is responsible for... ...designed to address Medicare Part D associated... ...Exchanges) and Health Insurance Plan Rankings • Identify... ...Center of Medicare & Medicaid Services (CMS) within... ...Wednesday & Thursday ) and remotely 2 days a week (Monday...Remote workHealth InsuranceWork at officeMonday to Friday2 days per week3 days per week
- ...focused on identifying vulnerabilities in Medicaid, Medicare and the Marketplace. The role requires... ...in Microsoft Office. The position is remote, offering flexible hours and various benefits, including paid time off and health plans. #J-18808-Ljbffr General DynamicsRemote jobHealth InsuranceWork at officeFlexible hours
- ...Looking for Pharmacist who have Remote Prior Authorization Experience & Must be licensed in the state... ...determinations based on clinical criteria and plan design. Includes verifying insurance... ...to all the healthcare providers, health plans/employers, patients, and other healthcare...Remote workHealth Insurance
- A-Line Staffing Solutions is seeking a Clinical Pharmacist for a remote position supporting Medicaid Prior Authorization. This role involves reviewing prior authorization... ...after 90 days of employment, including a 401(k) plan with company match. #J-18808-Ljbffr A-Line Staffing...Remote jobMonday to Friday
- ...JobRx, Inc. is looking for a Pharmacy Specialist for a remote position in North Dakota. In this vital role, you'll engage with Medicaid providers to ensure timely medication access for patients while resolving pharmacy claims issues. The ideal candidate will have strong...Remote work
$123.25k - $208k
...re building a world of health around every... ...This position is 100% remote and can be located anywhere... ...Position Summary The Health Plan Clinical Advisor is a... ...support team, pharmacists, medical directors, CMO... ...any particular client (Medicare, Medicaid, Exchange, or Commercial...Remote workHealth InsuranceHourly payFull timeTemporary workLocal areaWork from home- ...MTM Pharmacist – Help Patients Get the Most Out of Their Medications Are you passionate... ...safety. Collaborate with prescribers, health plans, and care teams to resolve therapy issues... ...Flexibility: Many MTM pharmacist positions offer remote or hybrid work. Impact: Directly...Remote workHealth Insurance
- ...Case Management Pharmacist – Coordinate Care and Improve Patient Outcomes A confidential... ...activities and outcomes in compliance with health plan and regulatory standards. Participate... ...organizations offer hybrid or fully remote work options. Rewards: Competitive pay...Remote workHealth Insurance
- ...Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications... ...ensure compliance with state, federal, and health plan requirements. Contribute to quality... ...: Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive salary...Remote workHealth Insurance
- ...Appeals Pharmacist – Ensure Fair Medication Access for Patients A confidential... ...evidence-based guidelines, plan policies, and regulatory... ...roles offer hybrid or fully remote options. Rewards: Competitive... ...partner working with health plans and managed care organizations...Remote workHealth Insurance
- ...Centerstone in Bradenton, Florida is seeking a part-time Pharmacist to provide exceptional patient care and medication... ...Centerstone offers comprehensive employee benefits including health coverage and retirement plans. Join a team dedicated to delivering transformative...Remote workHealth InsurancePart time
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