Remote Utilization Management Pharmacist (Specialty Meds)
CommunityCare
CommunityCare, Inc. is seeking an Utilization Management Clinical Pharmacist to optimize medication use, support formulary development, and ensure compliant, cost-conscious therapy.
This role provides clinical expertise for medical injectable and specialty medications and collaborates with multidisciplinary teams. The ideal candidate holds a PharmD or BS in Pharmacy with an active US license and 5+ years in managed care or PBM settings, and can work remotely.
#J-18808-Ljbffr- ...Actalent is seeking a fully remote Clinical Pharmacist focused on utilization management for specialty medications, with emphasis on oncology and other complex therapies. You will review coverage determinations, prior authorizations, formulary exceptions, and step therapy...Remote work
- ...WVUH West Virginia University Hospitals in Morgantown seeks an E-Med Pharmacist to provide centralized clinical pharmacy services evenings, order verification, and medication management for hospitalist, psychiatric, and hospice populations. The role requires strong...Remote workMonday to FridayAfternoon shift
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...Purpose: Coordinate and assist in managing and participating in pharmacy services... ...activities. Key Details : Remote Pharmacist (Specialty). Must be a licensed Pharmacist in Texas... ...verification of prescriptions, Drug Utilization Review (DUR), patient counseling, developing...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hours- ...Point32Health, Inc. is seeking a Pharmacy Utilization Management (UM) Specialist to set up and process... ...channels and ensure timely reviews by pharmacists or medical directors. A strong... ...operations is essential. The role supports remote work and requires attention to detail,...Remote work
- ...Lead Utilization Management Pharmacist overseeing daily clinical pharmacy functions. Ensure efficient processing of medication requests while... ...prior authorization. Ability to work independently in a remote, metric-driven environment. Work Requirements:...Remote workShift workWeekend work
- ...coaching. Our extensive experience includes Pharmacy Benefit Management, Long-Term Care, Retail Pharmacy, Hospital, and... ...because we are clinicians! Position Summary: The Utilization Management Pharmacist plays a vital role in promoting safe, effective, and appropriate...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 authorization cases across multiple applications... ...and accreditation requirements and document notes for pharmacist or medical director review. In this role you will handle...Remote work
- ...Specialty Pharmacy Account ManagerSuccessfully manage key specialty pharmacy health plan and employer client account relationships resulting in client satisfaction... ...of existing specialty suite of reports, new utilization management reports requested by clients, and internal...Remote workContract workTemporary workRelocation package
- ...Judi Health, LLC is seeking a Lead Utilization Management Pharmacist to oversee daily clinical pharmacy functions, including prior authorization reviews... ...a PharmD or BS in Pharmacy with 2+ years of experience. Remote work from the US with ET shift and weekend/holiday...Remote workShift workWeekend work
- ...Ascension is seeking a pharmacist to provide advanced clinical pharmacy care,... ...counseling and ongoing pharmacotherapy management for patients with complex specialty conditions. You will perform MTM,... ...therapy and safety. This remote role supports Infectious Disease (...Remote work
$134k - $146k
...care. To learn more, visit Position Summary: The Lead Utilization Management Pharmacist will oversee and manage the daily clinical pharmacy... ...independently with minimal supervision, stay productive in a remote, high-volume, metric driven call center environment...Remote workFull timeContract workLocal areaFlexible hoursShift workWeekend work- ...The Utilization Management Clinical Pharmacist is responsible for playing a critical role in optimizing medication... ...supporting medical injectable and specialty medication utilization management,... ...systems. Ability to work remotely will be provided to qualified candidates...Remote workFull timeWork at officeWeekend work
$104k - $143k
...Become a part of our caring community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity... ...appropriate courses of action. Job Description Location: Remote – United States Schedule: This is a VSP (Variable...Remote workBi-weekly payDaily paidFull timePart timeApprenticeshipWork at officeWork from homeHome officeShift workWeekend workAfternoon shift- ...Specialist - Adult Outpatient Specialty Clinics PharmacistPosition Summary This ambulatory pharmacist will work with other pharmacists... ...as medication monitoring and management for patients receiving... ...annually and must comply with the remote work program and related policies...Remote workPart timeFlexible hoursAfternoon shift
$50.48 - $84.62 per hour
A leading healthcare company is seeking a Pharmacist for a hybrid work model role in Chandler, AZ. The position requires a Bachelor’s degree... ...a current Arizona license. Responsibilities include reviewing specialty medication orders, conducting assessments, and educating...Remote jobHourly pay- ...society.Job SummaryThis full-time pharmacist position will serve as the... ...of the new Troy Center for Specialty Care (TCSC) Infusion and OR... ..., Medication Therapy Management (MTM) services, and administer... ...eligible for hybrid or mobile/remote work mode are at the discretion...Remote workFull timeMonday to FridayWeekend workDay shiftAfternoon shift
- ...To ensure client satisfaction and retention, the full-time Minnesota Licensed Specialty Pharmacist will manage key specialty pharmacy health plan and employer client relationships remotely, overseeing contract deliverables and providing innovative solutions to drive profitability...Remote workFull timeContract work
- ...Specialty Pharmacist – High-Impact TherapiesSpecialty pharmacy is one of the fastest-growing areas... ..., and rare diseases. Many roles offer remote or hybrid flexibility.Key... ...counseling and ongoing support for patients managing complex or chronic conditions.Monitor...Remote work
- ...Remote DUR Pharmacist – Safe & Cost-Effective Medication UseWork From Home Analyze medication use... ...providers — all from home. This remote Drug Utilization Review Pharmacist role is ideal for... ...U.S. pharmacist license.Experience: Managed care, PBM, or health-plan preferred. Hospital...Remote work
$29 - $62 per hour
...About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing... ...Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST... ...~2+ years of clinical experience in med surg or specialty area preferred ~ Managed Care...Remote workWork at officeWork from homeAfternoon shift- ...Lumicera Health Services is expanding its remote Specialty Pharmacy team and seeks a remote Intake Specialist I to enroll new patients and manage records. You will translate prescription information, support prior authorizations, and ensure accurate payer data within our...Remote workMonday to FridayShift work
$55.53 - $93.08 per hour
...Pharmacist - Specialty CompoundingWe're building a world of health around every... ...the physician. You will utilize your excellent written and... ...treatments, and supporting remote patients on a routine schedule... ...selection and supply management.Collect, interpret and evaluate...Remote workHourly payFull timeTemporary work- ...Lumicera is seeking an Intake Specialist I to enroll new Specialty Pharmacy patients and ensure complete patient records with demographics... .... You will translate prescription information for dispensing, manage calls, and assist with triage for prior authorizations while...Remote work
- ...everywhere. Job Details The Specialty Pharmacist Navigator seeks... ...This hybrid role is largely remote and is intended for an Rph... ...prior authorization paperwork; manage denials. Triage prescriptions... ...on the full and effective utilization of qualified individuals....Remote workFull timeWork at officeLocal area
- ...Ohio State University is seeking a Clinical Applications Pharmacist to develop, test, train, maintain, and support clinical systems used in medication management with a primary focus on accuracy of medication information. You will be part of the Pharmacy Informatics Team...Remote work
$44 - $79 per hour
...Responsibilities: Review and manage specialty medication therapies for complex, chronic... ...Oversee prior authorizations and utilization management, ensuring compliance with payer... ...degree Current, unrestricted Pharmacist license for the state in which this position...Hourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayWeekend work- ...UC San Diego Health seeks a Pharmacist I/II to deliver comprehensive direct patient care across ambulatory care settings, conducting virtual and in-person visits to optimize medication therapy for acute and chronic diseases. Under applicable policies and collaborative...
- ....Job SummaryUnder the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and managing... ...licenseCertification by the Board of Pharmacy Specialties in a relevant area of pharmacy practice (e.g.,...Contract workWork at officeWork from home
- ...Specialty Pharmacy Clinical Pharmacist Specialty Pharmacy is an exciting, dynamic and... ...specialty disease state management to provide clinical services... ...follow up with patients utilizing our pharmacies for their... ...schedule, with primarily remote work with potential for onsite...Remote workTemporary workFlexible hours
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