Remote Clinical Consultant Pharmacist - Health Plans
Optum
- Remote job
Optum is seeking a Clinical Consultant Pharmacist to lead contract relationships, provide clinical analysis, and serve as the primary liaison for assigned accounts. You will collaborate with clients to implement clinical programs and deliver proactive recommendations across the OptumRx portfolio. The role emphasizes education for clients, pharmacists, members and physicians, with opportunities to influence formulary strategies and market intelligence. Remote work is allowed nationwide. #J-18808-Ljbffr Optum
$128k - $160k
Clinical Account Consultant / Pharmacist - Denver, CO HealthCare Support is looking for a strategic... ...client implementations, plan changes, and formulary... ...3 days in office / 2 days remote Compensation:Competitive... ...experience of 3-5 years in a health plan or pharmacy benefits...Remote workHealth InsuranceWork at officeLocal areaImmediate startMonday to Friday- ...UnitedHealth Group seeks a Clinical Consultant Pharmacist to lead contract relations, provide clinical pharmacy analysis, and coordinate client... ...active pharmacist license in good standing, and 1+ year of health plan or client-facing experience, with strong presentation...Remote workHealth InsuranceContract work
$91.7k - $163.7k
...Clinical Consultant Pharmacist Optum is a global organization that delivers care,... ...team will directly improve health outcomes by connecting people... ...the flexibility to work remotely from anywhere within the U.... ...to clients and responds to plan-specific clinical inquiries...Remote jobHealth InsuranceMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal area- Dragonfly Health is seeking a Clinical Consulting Pharmacist to provide remote clinical review and consultation on medication requests, prior authorizations, and benefit determinations. The role supports complex case reviews, therapy optimization, and cost-effective prescribing...Remote jobWork from home
- UnitedHealth Group seeks a Clinical Consultant, TPA, to serve as the primary liaison between clinical... ...client initiatives. The role supports remote work from anywhere in the U.S., with a... ...while aligning with Optum and UHG strategies. #J-18808-Ljbffr Texas Health InstituteRemote job
- UnitedHealth Group’s Optum unit seeks a Clinical Consultant for TPA to provide clinical support... ...recommendations and program enhancements. This remote role within the U.S. focuses on... ...or BS in Pharmacy, a valid U.S. pharmacist license, and 3+ years of experience, with...Remote job
- UnitedHealth Group's Optum unit is seeking a Clinical Consultant, TPA to serve as the primary liaison between clinical operations, product teams... ...pharmacy service delivery for client accounts. You’ll work remotely from anywhere in the U.S. and collaborate to drive clinical...Remote job
- Site: Mass General Brigham Health Plan Holding Company, Inc.Mass General Brigham relies... ...growth opportunities, and much more.The Clinical Pharmacist II for COMM/Exchange will be... ...Eastern TimeThis position is eligible for remote work from approved U.S. locations, subject...Remote workHealth InsuranceFull timeWork at officeMonday to FridayFlexible hours
$111.2k - $185.3k
...Here, we focus on the health, happiness, and well-... ...by a team of pharmacists and software engineers... ...prescription drugs. The Clinical Pharmacist - Sales primarily... ...(Employer, Health Plan, Consultant/Broker, State/Local... ...well-qualified fully remote individual. What You’...Remote workHealth InsuranceFull timeTemporary workWork experience placementWork at officeLocal area- ...Sentara Health Plans is seeking a flexible time pharmacist to support the Central Medication Refill Program in a remote, PRN/as-needed role. The pharmacist will manage patient drug therapy... ...license, BLS, and 2 years of clinical or ambulatory experience. The position...Remote workHealth InsuranceReliefFlexible hours
- ...SCAN Health Plan is seeking a clinical pharmacist to join a multidisciplinary care team and support high‑risk seniors across field and remote settings, including Riverside, CA. You will conduct comprehensive medication reviews, optimize therapy, and collaborate with physicians...Remote workHealth Insurance
- ...Remote Clinical Review Pharmacist – Work From HomeLeverage your clinical knowledge in a fully remote Clinical... ...Evaluate prescriptions and treatment plans for safety, appropriateness, and cost... ...and decisions according to health-plan and regulatory requirements.Participate...Remote workHealth InsuranceWork from homeFlexible hours
- ...McKesson is seeking a Clinical Pharmacist to support the Sales team with clinical and industry... ...across employer groups, health plans, consultants, and government accounts. The role requires... ...KS, with consideration for a fully remote candidate. A PharmD/RPh and 4+ years...Remote workHealth InsuranceWork at office
- ...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... ...compliance with state, federal, and health-plan requirements.Contribute to...Remote workHealth Insurance
- ...Formulary Management Pharmacist – Influence Therapy Access At ScaleShape... ...new drugs, analyzing clinical and economic data, and supporting... ...and often hybrid or remote flexibility. Key ResponsibilitiesEvaluate... ...lists in compliance with health-plan, PBM, and regulatory...Remote workHealth Insurance
- ...Remote Case Management PharmacistCoordinate care for complex patients | Work from... ...from a remote setting. Ideal for pharmacists who enjoy clinical problem-solving and want a more sustainable... ...and outcomes in compliance with health-plan and regulatory standards.Participate...Remote workHealth Insurance
- ...Remote Appeals Pharmacist – Fair Medication AccessWork From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in... ...appeals and grievances.Apply plan policies, evidence-based guidelines... ...partner working with health plans and managed-care organizations...Remote workHealth Insurance
- ...Position Title: Clinical Pharmacist 1 Work Location: Remote Assignment Duration: 3 Months Work Schedule: 9am - 6pm EST No OT Position Summary... ...* Verifies member's eligibility in the appropriate health plan eligibility system. * Records carrier and group...Remote workHealth InsuranceWork at office
$91.7k - $163.7k
...will directly improve health outcomes by... ...Growing together. The Clinical Consultant serves as the primary... ...flexibility to work remotely * from anywhere within... ...clients and respond to plan-specific clinical inquiries... ...for clients, pharmacists, members and physicians...Remote jobHealth InsuranceMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal area- ...Clinical Pharmacist - Prior Authorization Pharmacist Clinical ****Seeking Pharmacists who are licensed in North Carolina or Kansas!*... ...necessity criteria, and coordinates with internal stakeholders or health plan medical directors as needed. Serves as a clinical...Remote workHealth InsuranceFull timeContract workWork experience placementMonday to Friday
- ...of a thriving ecosystem of health systems, payers, and technology... ..., healthsystem, and health plan clients and earned repeated... ...Position Summary Details The Clinical Consultant (CC) - Level I supports... ...learning principles. Conduct remote and onsite training as assigned...Remote workHealth InsurancePermanent employmentFull timeWork at officeHome office
- ...UnitedHealthcare, we're simplifying the health care experience, creating... .... Growing together The Clinical Practice Consultant is a direct, provider-... ...with providers and Health Plan staff to improve member... ...have the flexibility to work remotely* as you take on some tough...Remote jobHealth InsuranceHourly payMinimum wageFull timeWork experience placementWork at officeLocal area
$126.3k - $173.7k
...community We are seeking a Clinical Pharmacist to join our primary care organization... ...panel, regardless of health plan coverage and may involve... ...clinic locations. In this remote position, you will report to... ...guidelines. Provide consultation to healthcare providers on...Remote workHealth InsuranceFull timeTemporary workApprenticeshipWork from homeHome office$116.9k - $187.1k
...arrangements that include remote and hybrid... ...loan repayment. We offer health, dental, and vision insurance... ...bonuses and investment plans, and are committed to growing... ...Act as an expert on clinical pharmacy issues.... ...related field Valid Pharmacist license in the state of...Remote workHealth InsuranceWork at officeWork from homeFlexible hours2 days per week1 day per week$134.67k - $179.43k
...Clinical Oncology Pharmacy CoordinatorResponsible... ...drug therapy.Consults with medical / nursing... ...National Jewish Health.Adaptability:... ...Licensure: Colorado Pharmacist License required.... ...Multiple Cigna health plans for Colorado, regional office and remote employees. Health...Remote workHealth InsuranceFull timePart timeWork experience placementWork at officeLocal area$101.6k - $133k
...Judi Health is a health technology company providing benefit administration... ...to employers, unions, health plans, and government entities. Judi... ...: Responsible for reviewing clinical coverage determination and... ..., stay productive in a remote, high-volume, metric driven environment...Remote workHealth InsuranceWork at officeLocal areaFlexible hoursShift work$135k - $145k
...Utilization Management Pharmacist TrainerCharlotte,... ...StatesAbout Judi HealthJudi Health is a health technology... ..., unions, health plans, and government entities... ...accurate, up-to-date, clinically relevant, compliant with... ...productive in a remote, high-volume, and metric...Remote workHealth InsuranceWork at officeLocal areaFlexible hours$53.38 - $57.43 per hour
...-being and optimizing health outcomes by leveraging... ..., providing essential consultations, and contributing to a... ...adhering to established clinical guidelines.... ...A current and valid Pharmacist License in Florida is... ...health, vision, and dental plans, paid sick leave, and...Remote workHealth InsuranceHourly payTemporary workPart time$45.43 - $76.15 per hour
...re building a world of health around every... ...Summary Ready to take your Clinical Pharmacist skills to the next level... ...reviews as per the health plan/employer-agreed... ...clinical guideline criteria, consulting physicians and other... ...as needed. This is a remote role open to qualified...Remote workHealth InsuranceHourly payFull timeTemporary workLocal area$62.89 - $92.44 per hour
...Intermountain Health Intermountain Medical Center... ...team. This will be a clinical pharmacist position in Abdominal... ...related clinical consultation and clarification to... ...expectations. If applying for a remote or hybrid role, this... ...providers, a health plan division called...Remote workHealth InsuranceHourly payFull timeLocal areaMonday to FridayWeekend work
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