Remote Clinical Pharmacist Supervisor - Prior Authorization
name
- Remote job
Oscar is hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. This role leads a team of pharmacists performing clinical reviews for prior authorizations and appeals, driving operational excellence and evidence-based decision making. The position is fully remote in the U.S. (excluding certain states) with travel for meetings. It reports to the Manager, Pharmacy Utilization Management and offers full benefits, annual bonuses, and a #J-18808-Ljbffr name
$135.79k - $178.23k
...Job Description Hi, we're Oscar. We're hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team.... ...Management. Work Location: This position is fully remote and open to candidates residing in the U.S., excluding...Remote workFull timeWork from homeHome office- ...Inc. uses objective clinical data to help clients... ...Summary The Clinical Pharmacist Operations Manager is... ...(SLAs) across all prior authorization and appeals workflows... ...Clinical Pharmacist Supervisors and the Clinical Pharmacist... ...Experience leading remote or hybrid clinical...Remote workShift work
- ...Remote Case Management Pharmacist - Coordinate Care for Complex Patients | Work From Home Support... .... Ideal for pharmacists who enjoy clinical problem-solving and want a more sustainable... ...interactions. Support prior-authorization and appeals processes when needed....Remote workWork from home
- ...Remote Prior Authorization Pharmacist – Work From Home in Managed CareA confidential managed care organization is seeking a motivated Remote Prior... ...authorization requests for accuracy, appropriateness, and clinical necessity.Apply plan criteria, evidence-based...Remote workWork from homeFlexible hours
- ...Remote Prior Authorization PharmacistTransition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help patients get the therapies they need — with predictable schedules...Remote workWork from homeFlexible hoursAfternoon shift
- ...Motion Recruitment is actively hiring a remote Clinical Pharmacist in North Carolina. This position is a 6-month W2 contract, requiring... ...10 AM - 7 PM shift. Responsibilities include reviewing prior authorization requests, tracking compliance, making outreach to Medicare...Remote workContract workShift work
- ...seeking a Formulary Management Pharmacist to influence therapy access at... ...decisions in a hybrid/remote-friendly environment. The role... ...update formulary lists and provide clinical support for utilization management and prior-authorization criteria. #J-18808-Ljbffr...Remote work
- ...Pharmacy Careers is seeking a Medication Access Pharmacist to help patients start therapy on time by navigating prior authorizations, insurance requirements, and financial assistance programs, with remote or hybrid options available. In this role you will support prescribers...Remote work
- ...2026 Summary Location: 100% Remote Shift: Mon - Fri 10am - 6:30pm EST... ...Responsibilities Review 140 to 160 clinical prior authorizations or coverage determinations daily.... ...or PharmD Required: Current state pharmacist license Years of experience required...Remote workShift workWeekend work
- ...evaluating new drugs, analyzing clinical and economic data, and... ...challenge and often hybrid or remote flexibility. Key... ...for utilization management, prior-authorization criteria, and step-therapy... ...Pharmacy.Licensure: Active U.S. pharmacist license.Experience: Managed...Remote work
- ...Job TitleWork Mode: 100% Remote - Open to any time zone EXCEPT PST Shift: 9 AM – 6 PM... ...Duration: 3 monthsResponsibilitiesDevelop clinical criteria for medications, recommend... ...clinical programs to be initiatedMonitor prior authorization requestsProvide clinical support to...Remote workLocal areaShift work
- ...initiatives and programs. The pharmacist supports all of our... ...I Conducts drug prior authorization, exception and... ...whether the submitted clinical information and patient... ...policy discussions with supervisors to ensure consistency... ...be opportunity for remote work within all jobs...Remote workWork from homeHome office
- ...Clinical PharmacistUNITAS provides clinical staffing and consulting solutions, including... ...clinicians!About the RoleThe Clinical Pharmacist is responsible for the processing and... ...Management (UM) requests (e.g. prior authorization, step therapy, formulary exceptions) for...Remote workPermanent employmentContract workLocal area
- ...Summary Location: 100 % Remote Shift: 9am – 6pm EST, No OT... ...Summary Reviews a completed prior authorization request received from the... ...for approval. A pharmacist will review medication requests... ...contributes drug references and clinical information to facilitate...Remote workWork at officeShift work
$110k - $115k
...Clinical Service Center PharmacistRemedi SeniorCare... ...Clinical Service Center Pharmacist works in... ...Rd, Troy, OH 45373. Remote after training with occasional... ...documentation associated with prior authorization submissionsProvides... ...either their direct supervisor, Human Resources or...Remote workCasual workWork at officeMonday to FridayWeekend work$135k - $145k
...Utilization Management Pharmacist TrainerCharlotte,... ...for pharmacists on prior authorization systems, processes,... ...accurate, up-to-date, clinically relevant, compliant... ...pharmacy managers, supervisors, and other relevant... ...staying productive in a remote, high-volume, and...Remote workWork at officeLocal areaFlexible hours$101.6k - $133k
...Position Summary: Responsible for reviewing clinical coverage determination and appeals for... ...detailed and thorough documentation in prior authorization cases, appeals cases, and overrides.... ...supervision, stay productive in a remote, high-volume, metric driven environment...Remote workWork at officeLocal areaFlexible hoursShift work- ...Clinical PharmacistDothouse Health is a diverse, multi-disciplinary... ...is seeking a Clinical Pharmacist to join our integrated primary... ...monitoring (CGM) and remote blood pressure monitoring,... ...by assisting with complex prior authorizations, formulary restrictions, medication...Remote workFull time
- ...Specialty Pharmacist NavigatorOur team members are at the heart... ...This hybrid role is largely remote and is intended for an Rph... ...including third-party payor(s) and clinical information.Process... ...sourcing.Prepare and submit prior authorization paperwork; manage denials.Triage...Remote workWork at officeLocal area
$21.59 - $32.39 per hour
...seeking a Ambulatory Pharmacy Representative Remote for a Per Diem/Relief, Day position.... ...patient demographic, insurance, clinical, and non-clinical information.Collects... ...requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior...Remote workDaily paidWork experience placementLive inWork at officeLocal areaRelocation$50 - $60 per hour
...Piper Companies is seeking a Clinical Pharmacist to join a leading healthcare insurance and... ...pharmacy services organization for an remote contract opportunity based in North Carolina... ...Pharmacist include: • Evaluate prior authorization and coverage review requests by...Remote workHourly payLong term contractContract work$148k - $175k
...Overview Regional Clinical Pharmacist- Remote Job Summary The Regional Clinical Pharmacist provides educational and consultant services in... ...drug requests using predetermined criteria. 5. Review prior authorization requests using predetermined criteria. 6. Maintain current...Remote workTemporary workWork at officeFlexible hours- ...our pharmacy team members — pharmacists, pharmacy managers, and... ...train as needed in-person and remote training through instructor... ...TherigySTM, and Sectyr/Bluesight.Clinical & Operational Competency:... ...workflows including prior authorizations, copay and financial assistance...Remote workFull timeTemporary work
- ...Position Title: Clinical Pharmacist 1 Work Location: Remote (Preferred - NC, IN, WA, NH, GA) Assignment Duration: 3 Months Work Schedule... .... Key Responsibilities: Reviews a completed prior authorization request received from the provider and/or reviews...Remote workWork at office
- ...Clinical Pharmacist Job Purpose: Provide integrated support to patients and physicians by providing... ...supportive clinical data needed for prior authorization approvals and development of care... ...Maintaining current registration and all remote pharmacist activity to comply with...Remote workWork at officeLocal area
- ...Clinical Pharmacist OncoHealth is a leading digital health company dedicated to helping health... ...the case review process for prior authorizations, building/maintaining protocols, and... ...new products and services. This is a remote opportunity with a designated work schedule...Remote workLocal area
$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 workHourly payWork from homeFlexible hours- ...this position. Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for performing drug utilization... .... Other duties may be assigned. 1. Make prior authorization and step therapy determinations for drug...Remote workWork at officeShift work
- ...Seeking a Remote Licensed Prior Authorization Pharmacist to join a fully remote team, where the pharmacist will evaluate prior authorization requests, apply clinical criteria, and communicate coverage determinations while working part-time or full-time hours, including...Remote workFull timePart time1 day per week
- ...To support patient access to specialty medications, a Remote Clinical Pharmacist - Prior Authorizations will perform clinical assessments, review medical information, and communicate with healthcare providers while working flexible 8-hour shifts in a fully remote environment...Remote workFlexible hours
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