Remote Pharmacist: PA & Appeals (VT/ME)
Wapa
Portland, ME
- Remote job
UnitedHealth Group seeks a Pharmacist PA/Appeals to join as a remote clinician supporting Vermont and Maine operations. The role focuses on prior authorization reviews, appeals determinations, and collaboration with providers, members, and internal teams to ensure compliant, timely decisions. You'll apply benefit criteria and regulatory guidelines, document actions thoroughly, and uphold privacy and security standards while delivering high-quality service from a home office. #J-18808-Ljbffr Wapa
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Pharmacist: PA & Appeals (VT/ME) in Portland, ME vacancy
- UnitedHealth Group is seeking a Senior Pharmacy PA/Appeals Technician to support prior authorization and appeals processes. The role involves... ...in multiple systems, and ensuring complete documentation. Remote work available for Maine or Vermont residents, with 8-hour shifts...Remote jobShift workWeekend work
$44 - $79 per hour
...Pharmacist At UnitedHealthcare, we're simplifying the health care experience, creating healthier... ...interactions, and clinical status for appeals requests Conduct Quality Assurance and... ...authorization case review & rendering PA decisions ~ Intermediate level of computer...Remote workHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayUnitedHealthcare At Home
United States15 hours ago$44 - $79 per hour
...Pharmacist PA/Appeals - Remote in Vermont & Maine Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift work- UnitedHealth Group is seeking a Pharmacist PA/Appeals for remote work in Maine and Vermont. The role involves clinical review, decisioning, and communication related to prior authorization and appeals, using established criteria and regulatory guidelines. You will collaborate...Remote job
- UnitedHealth Group seeks a Pharmacist PA/Appeals for remote work supporting Vermont and Maine. The role focuses on clinical review, decisioning, and appeals in pharmacy prior authorization, with collaboration across providers, members, and internal teams. Responsibilities...Remote job
$59 per hour
...Job Description Job Description Remote Prior Authorization and Appeals Pharmacist Compensation: $59/hr Duration : 6 – 10 months, contract to hire... ...Description: The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating...Remote workContract workLocal areaImmediate startShift workInsight Global
Orlando, FL5 days ago$55.28 - $57.69 per hour
...alternatives when appropriate. Support complex case reviews and appeals with accurate clinical documentation. Identify... ...required; PharmD preferred ~ Full, current, and unrestricted pharmacist license in PA, TN ~ Ability to obtain additional state licensure based...Remote workRelocation packageShift workStateServ Medical LLC
Memphis, TN4 days ago$75 per hour
...Compensation: $75/hour Location: Remote Role Responsibilities Process and manage... ...medication authorisations. Manage appeals for denied pharmacy authorisations, including... ..., step therapy protocols, and payer PA criteria across commercial and government...Remote workContract workSummer workMercor
San Francisco, CA9 days ago- ...Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair...Remote workWork from home
Pharmacy Careers
Nashua, NH2 days ago $128k - $160k
...expert on prior authorization and appeals operations that are compliant... ...of prior authorization pharmacists, staff schedules, skilling, performance... ...for select administrative PA functions. Oversight of... ...of leadership experience in a remote environment. This position description...Remote workContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...Senior Pharmacy PA/Appeals Technician Optum is a global organization that delivers care, aided by technology, to help millions of... ...accurate, timely, and professional service to members, providers, pharmacists, and internal business partners. This role is responsible for...Remote jobTemporary workFlexible hoursShift work
- Judi Health is seeking a Clinical Appeals Reviewer to review coverage determinations and appeals for Commercial and Medicare lines, ensuring... ...with thorough detail, while maintaining turnaround times in a remote environment. This remote role allows you to work from a secure...Remote jobWork from homeHome office
- WellDyne is seeking a remote Prior Authorization Clinical Pharmacist to handle clinical reviews for PA programs, under the direction of the Manager, Clinical Services. This role focuses on retail clients and adherence to regulatory standards. The candidate should be licensed...Remote job
$40.87 - $80.43 per hour
...Pharmacist At UnitedHealthcare, we're simplifying the health care experience, creating... ...You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take... ...drug interactions, and clinical status for appeals requests Conduct Quality Assurance and...Remote jobHourly payWork experience placement- A healthcare management company is seeking a Remote Coverage Review Pharmacist located in Tennessee. This role requires a Doctor of Pharmacy (PharmD... ...responsible for reviewing medication-related prior authorizations, appeals, and grievances, working independently or in a team to...Remote work
Global Channel Management
United States15 hours ago $107k - $127k
...Description Job Description Senior Managed Care Pharmacist – Formulary / Pharmacy and Therapeutics Strategy (PA Licensed) Role Type: Full-Time, Regular... ...daytime business hours) Work Arrangement: 100% Remote / Work from Home Location: Pennsylvania (Must...Remote workPermanent employmentFull timeContract workWork from homeMonday to FridayShift workNovus Group
Pittsburgh, PA2 days ago$54 - $91 per hour
Staff Pharmacist, Specialty - Evernorth - Remote - (PA License) Job Summary: This role involves supporting pharmacy operations by understanding billing, reimbursement, and third‑party payer requirements, as well as the workflow of electronic health record systems at CarepathRx...Remote jobHourly payWork at officeLocal areaWork from homeFlexible hoursShift workNight shiftWeekend work$101.6k - $133k
...Responsible for reviewing clinical coverage determination and appeals for different lines of business such as Commercial and Medicare... ...work independently with minimal supervision, stay productive in a remote, high-volume, metric driven environment with shifting...Remote workTemporary workWork at officeLocal areaFlexible hoursShift work- ...Health in New York, NY seeks a subject-matter expert in prior authorization and appeals to oversee operations across multiple lines of business. This role manages a team of appeals pharmacists and staff, ensuring compliance and high quality of care. The position requires...Flexible hours
- ...Position Title: Clinical Pharmacist 1 Work Location: Remote Assignment Duration: 3 Months Work Schedule... ...OT Position Summary: Pharmacy Appeals Department - Dept 247 Inclusive... ...) Pharmacy Ops Dept includes PA and Appeals - no key projects Evaluate...Remote workWork at office
Spectraforce Technologies
Houston, TX1 day ago - Remote Clinical PharmacistSkip to main contentWe use cookies and tracking... ...our careers.Remote Clinical Pharmacist page is loaded## Remote... ...PharmacistApplylocations: Reading, PA: USA > PA > Remotetime type:... ...authorizations, manage denials/appeals.* Demonstrate ability to...Remote jobFull timeWork at officeLocal areaMonday to Friday
- ...digital health company focused on cancer care, seeks a Clinical Pharmacist to oversee prior authorization case reviews, develop protocols,... ...years in oncology settings or managed care. The position is remote with an EST schedule (12:30 PM-8:30 PM). You will synthesize evidence...Remote job
- ...Utilization Management Clinical Pharmacist, you will join TruDataRx’s... ...adjudicate prior authorization (PA) requests for accuracy and against... .... Evaluate and adjudicate appeal requests for clinical... ...to individual case reviews. Remote Productivity: Self-motivated,...Remote work
Career Opportunities
Norwich, VT4 days ago - ...knowledgeable, and highly trained pharmacists and support staff, plays a... ...coordinating prior authorizations and appeals, and ensuring timely patient... ..., payer prior authorization (PA) & appeal portals (e.g.... ...differential may be applied for remote employees who reside out of state...Remote workFull timeWork at officeMonday to FridayShift work
- ...role involves handling prescription intake, addressing rejected claims, and submitting necessary third-party authorization requests. Remote work is available for licensed Utah professionals. The team highlights purpose, supportive culture, and growth opportunities as...Remote job
$115k - $135k
...Surgery - Orthopedic Location: Brattleboro, VT Employer: CompHealth Pay: $115,0... ...recreation, and small-town New England appeal, conveniently located just an hour north... .... Full-time, permanent position PA-C, experience in Orthopedic Surgery Team...Hourly payPermanent employmentFull timeContract workImmediate startRelocation packageShift workCompHealth
Brattleboro, VT1 day ago- This position is located onsite at our Warrendale, PA location.This position has a 7-week rotating schedule of (4) 10- hour shifts... ...efficient medication fulfillment. As a Quality Assurance Staff Pharmacist, you will play an important role in pharmacist verification, quality...Full timeLocal areaWork from homeMonday to FridayShift work
- ...healthcare! Location: Pittsburgh, PA Licensure Required: PharmD... ...Prior Authorization and Appeals. Serves as primary point of... ...of Pharmacy or Registered Pharmacist degree from an ACPE accredited... ...job. Benefits: Hybrid, remote and flexible on-site work schedules...Remote workFull timeTemporary workPart timeWork at officeLocal areaFlexible hours
Pantherx Specialty LLC
Pittsburgh, PA4 days ago - ...About the job Remote Coverage Review Pharmacist Remote Coverage Review Pharmacist needs 3 years and Doctor of Pharmacy (PharmD) Degree... ...various activities associated with coverage reviews and appeals including the review of medication related prior authorizations...Remote workWork at office
Global Channel Management
United States2 days ago $22 per hour
...leading workforce management provider is seeking a Pharmacy Tech Support Call Center Representative in Detroit, MI. This is a temporary remote position, offering a pay rate of $22/hr. Candidates should have 2-4 years of experience in Specialty and/or Retail Pharmacy,...Remote jobTemporary work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Pharmacist: PA & Appeals (VT/ME). Be the first to apply!
Related searches
- work from home pharmacist part time Portland, ME
- remote no experience Portland, ME
- informatica remote Portland, ME
- marketing remote Portland, ME
- data science internship remote Portland, ME
- customer service representative remote Portland, ME
- remote customer service manager Portland, ME
- remote medical coder (no experience in coding) Portland, ME
- frontend internship remote Portland, ME
- remote work hr Portland, ME