Drug Utilization Review (DUR) Pharmacist - Remote
Pharmacy Careers
Remote DUR Pharmacist – Safe & Cost-Effective Medication UseWork From Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers — all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale. Key ResponsibilitiesConduct prospective, concurrent, and retrospective drug utilization reviews.Evaluate prescribing patterns against clinical guidelines and formulary criteria.Identify potential drug interactions, therapeutic duplications, and inappropriate therapy.Prepare recommendations for prescribers to optimize therapy and reduce risk.Document reviews and ensure compliance with state, federal, and health-plan requirements.Contribute to quality-improvement initiatives and pharmacy program development.What You'll BringEducation: PharmD or Bachelor of Pharmacy.Licensure: Active U.S. pharmacist license.Experience: Managed care, PBM, or health-plan preferred. Hospital and community pharmacists with strong clinical skills are encouraged to apply.Skills: Analytical mindset, detail orientation, excellent written and verbal communication.Why This Role?Shape prescribing decisions that affect thousands of patients.Build expertise in managed care and population-health pharmacy.Many DUR roles offer hybrid or fully remote schedules.Competitive salary, benefits, and career advancement.About Us We are a confidential healthcare partner providing managed-care pharmacy services nationwide. Our DUR pharmacists ensure medications are used safely, appropriately, and cost-effectively. Apply Today Advance your career in managed care — apply now for our Remote Drug Utilization Review Pharmacist opening.
- ...Remote Drug Utilization Review Pharmacist – Safe & Cost-Effective Medication UseWork from home analyze medication use patterns, apply clinical guidelines... ...expertise in managed care and population-health pharmacy.Many DUR roles offer hybrid or fully remote schedules.Competitive...Remote work
- ...The Clinical Pharmacy Reviewer (Pharmacist) evaluates complex prior authorization... ...role interprets complex drug criteria, formulary... ...medications. Through rigorous Drug Utilization Review (DUR) and objective decision-... ...? Collaborative remote culture Professional...Remote workLocal areaWork from home
$113.7k - $162.4k
.... Summary As a Preferred Drug List (PDL) Pharmacist supporting the Gainwell Pricing... ...criteria, support therapeutic class reviews, analyze net cost and utilization trends, and collaborate across... ...role This position is remote. Work hours: Eastern Time Zone...Remote workFull timeFlexible hours- ...Solutions is seeking PRN pharmacists to support our... ...Medicaid Services (CMS) reviewing the prior authorization... ...Medicare Prescription Drug Benefit Manual, FDA-approved... ...D requirements and utilization management principles,... ...: US-based fully remote/work-from-home position...Remote workContract workTemporary workReliefSeasonal workWork at officeWork from home
$134k - $146k
...Position Summary: The Lead Utilization Management Pharmacist will oversee and manage the... ...to prior authorization reviews, override requests, member/... ..., secondary, and tertiary drug resources to support decision... ..., stay productive in a remote, high-volume, metric driven...Remote workFull timeContract workLocal areaFlexible hoursShift workWeekend work- ...Remote Clinical Review Pharmacist – Work From HomeLeverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions... ...determinations.Collaborate with physicians, nurses, and utilization-management teams on complex cases.Document...Remote workWork from homeFlexible hours
- ...Centene Corp. is seeking a remote Pharmacy Formulary Specialist to define and... .... The role emphasizes evaluating drug use trends, literature reviews, and cost-of-care analyses, with flexible... ...and a current, unrestricted pharmacist license, with 3+ years in managed care...Remote workFlexible hours
- ...Remote Pharmacovigilance Pharmacist – Drug Safety From HomeContribute to global patient safety by collecting, evaluating, and documenting adverse events... ...and investigational products.Conduct literature reviews and support safety signal detection activities.Prepare...Remote workWork from homeFlexible hours
- ...BlueCross BlueShield of South Carolina is seeking a Remote RN Medical Reviewer II to perform medical reviews using clinical documentation and... ...documentation, determine medical necessity, and support claims and utilization practices in a work-from-home setup. The role requires...Remote workWork from home
$60k - $62k
...Job Description Remote- Work From Home, Jackson, Jackson, Michigan, United States... ...expertise. Position Overview The Utilization Review Specialist is responsible for all aspects... ...Confidentiality Laws. Knowledge of Drug-Free Workplace Policies. Knowledge of Corporate...Remote workFull timePart timeWork from homeFlexible hours- ...Elevance Health is seeking a Prior Authorization Clinical Pharmacist to evaluate and manage pharmaceutical use, supporting Drug Utilization Review (DUR), Drug Information Services (DIS), and formulary management. This full-time, virtual role requires a BA/BS in Pharmacy...Remote workFull time
$104k - $143k
...part of our caring community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist... ...necessity and comprehensive medication reviews for prescriptions requiring pre-... ...action. Job Description Location: Remote – United States Schedule: This...Remote workBi-weekly payDaily paidFull timePart timeApprenticeshipWork at officeWork from homeHome officeShift workWeekend workAfternoon shift- ...Opportunity: As a BlinkRx Pharmacist, you are the clinical... ...Verification and Dispensing Review and clinically verify new... ...appropriateness, drug-drug interactions, contraindications... ...daily prospective drug utilization review (DUR) to identify and resolve clinical...Remote workFull timeImmediate startRotating shift
$107.7k - $199.28k
...and clinical monitoring activities. Key Details : Remote Pharmacist (Specialty). Must be a licensed Pharmacist in Texas, Florida... ...include pharmacist verification of prescriptions, Drug Utilization Review (DUR), patient counseling, developing care plans, following...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hours$22k
...talent-first flexible/remote work approach, see below... ...the Head Compounding Pharmacist, the Compounding... ...compounding personnel Review and approve materials... ...Pharmacy and the Food and Drug Administration (FDA)... ...pharmacist duties such as drug utilization reviews, patient...Remote workCurrently hiringLocal areaRelocation packageFlexible hoursShift workDay shift- ...The Utilization Management Clinical Pharmacist is responsible for playing a critical role in... ...based, and cost-conscious drug therapy while supporting... ...RESPONSIBILITIES: Review prior authorization requests... .... Ability to work remotely will be provided to...Remote workFull timeWork at officeWeekend work
$168.79k - $281.3k
...patients. The Senior Pharmacist acts as an integral member... ...direct patient care, drug dispensing, research &... ...Lake Union location and remotely. This position may... ...comprehensive medication therapy review and other activities as... ...status. Utilize tools in educating the...Remote workFull timeTemporary workH1bVisa sponsorshipRelocation packageMonday to FridayFlexible hours- ...Opportunity: As a BlinkRx Pharmacist, you are the clinical... ...Verification and Dispensing Review and clinically verify new... ...appropriateness, drug-drug interactions, contraindications... ...daily prospective drug utilization review (DUR) to identify and resolve clinical...Remote workFull timeImmediate startRotating shift
- ...Lead Utilization Management Pharmacist overseeing daily clinical pharmacy functions. Ensure efficient... ...: Perform prior authorization reviews, appeal reviews, and override requests... ...Ability to work independently in a remote, metric-driven environment. Work...Remote workShift workWeekend work
- ...Point32Health, Inc. is seeking a Pharmacy Utilization Management (UM) Specialist to set up... ...multiple channels and ensure timely reviews by pharmacists or medical directors. A strong background... ...is essential. The role supports remote work and requires attention to detail,...Remote work
- ...Associate Clinical Pharmacist – Pharmacy AnalyticsFull... ...criteria, performing drug utilization analyses, evaluating digital... ...days (Monday, Friday) remote option.... ...clinical programs such as DUR and formulary/non-formulary... ...present therapeutic class reviews and drug monograph...Remote workPermanent employmentWork experience placementInternshipH1bWork at officeMonday to Friday
- ...because we are clinicians! Position Summary: The Utilization Management Pharmacist plays a vital role in promoting safe, effective, and appropriate... ...medication use. This position is responsible for reviewing prior authorization requests, supporting clinical programs...Remote workPermanent employmentContract workLocal areaWeekend work
- ...Judi Health in the United States is seeking a Utilization Management Pharmacist to review prior authorizations and support clinical programs. This role combines clinical decision-making with service excellence in a fast-paced, collaborative environment. You will assess...Remote work
- ...Point32Health is seeking a Pharmacy Utilization Management Specialist to set up and process prior... ...across multiple applications. You will review cases for regulatory and accreditation requirements and document notes for pharmacist or medical director review. In this...Remote work
- ...Judi Health, LLC is seeking a Lead Utilization Management Pharmacist to oversee daily clinical pharmacy functions... ..., including prior authorization reviews and education for members and... ...Pharmacy with 2+ years of experience. Remote work from the US with ET shift and weekend...Remote workShift workWeekend work
$62.89 - $92.44 per hour
...Clinical Pharmacist Schedule: Full-time (40 hours/week) Shifts: Monday... ...experience in investigational drug services, clinical research,... ...Healthcare Investigational Review Board, Clinical Trials Executive... .... If applying for a remote or hybrid role, this includes...Remote workHourly payFull timeMonday to FridayShift work$70 per hour
...LLC is a leading provider of remote and on-site clinical pharmacy... ...nationwide. Our team of experienced pharmacists provides comprehensive... ...support, and clinical chart reviews to ensure patient safety and... ...Identify and document potential drug interactions, duplicate...Remote workHourly payDaily paidPart timeLocal areaFlexible hours- ...Arkansas Blue Cross Blue Shield is seeking an experienced Utilization Management Nurse to perform clinical reviews for prior approvals, benefit inquiries, and inpatient/outpatient services. This role requires interpreting evidence-based criteria, guidelines, and policies...Remote workWork from home
- ...Broadway Ventures is seeking a Medical Reviewer for a remote role handling various claims (Radiology, Ambulance, Physical Therapy, Surgical... ...active RN license in the U.S., an Associate’s degree, and 2+ years in clinical work with utilization/medical review. #J-18808-LjbffrRemote work
- ...Centene Corporation is seeking a remote Nurse Reviewer to perform concurrent reviews, assess medical necessity, and contribute to discharge... ...candidates will have 2–4 years of acute care experience and knowledge of Medicare/Medicaid utilization management.J-18808-Ljbffr...Remote workWeekend work
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