Remote Pharmacy Tech: Utilization Review & PA
The Judge Group Inc
- Remote job
A healthcare staffing firm is seeking a Pharmacy Technician to support retail pharmacy operations remotely. This role involves processing prescriptions, performing prior authorization reviews, and coordinating care for patients. Candidates should have at least 2 years in retail pharmacy, ideally with experience in utilization review. A strong knowledge of insurance processes is essential. This position offers a unique opportunity to work within healthcare while ensuring safe and effective medication use. #J-18808-Ljbffr The Judge Group
- ...healthcare staffing firm is seeking a Pharmacy Technician to support retail pharmacy operations remotely. This role involves processing... ...prior authorization reviews, and coordinating care for patients... ..., ideally with experience in utilization review. A strong knowledge of...Remote work
- ...Remote DUR Pharmacist Safe & Cost-Effective Medication Use Work From Home Analyze... ...providers all from home. This remote Drug Utilization Review Pharmacist role is ideal for... ...to quality-improvement initiatives and pharmacy program development. What You'll Bring...Remote jobWork from home
$55.28 - $57.69 per hour
...medical equipment (DME) and pharmacy solution. Built on a 20-year... ...will do Provide clinical review and consultation on medication... ...teams on formulary management, utilization review, and pharmacy policy updates... ...pharmacist license in PA, TN ~ Ability to obtain additional...Remote workRelocation packageShift workNight shift- ...Specialist Location: Fully remote Duration: 12... ...from providers, pharmacies, members, etc... ...documentation of reviews. Transfers all clinical... ...prior authorization (PA) and drug benefit... ...Responsibilities: Utilizing multiple software... ...diploma or GED US Tech Solutions is a...Remote workContract work
$91.7k - $163.7k
...people with the care, pharmacy benefits, data and resources... ...flexibility to work remotely from anywhere within... ...relevant peer groups Review prescriber-specific opportunities... ...communication, utilizing professional acumen,... ...based in the Philadelphia, PA area will be given...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$92.4k - $138.6k
...possible in healthcare. The Manager for Utilization Review is responsible for the leadership and... ...limited to, physicians, nurse practitioners, PA's, and the department managers for... ...experimentation, and application of AI. This is a remote position; however, candidates must be...Remote workTemporary workWork at officeLocal area$21.5 per hour
...scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history,... ...profiling requirements for hospice partners Review and process faxed medication orders... ...emergency needs What we look for ~ Current PA or TN Pharmacy Technician (CPhT) license...Remote jobLocal areaShift work$218.59k - $275k
...and thoughtfully reviewed by our team. We know... ...supporting pharmacy operations, supply... ...This is a full-time, remote position. Preference... ..., OR; Harrisburg, PA; McDonough, GA; Northlake... ...and workflows utilizing AI, robotics, and... ...large-scale tech organizations across...Remote workFull timeFlexible hours- ..., Registered Nurse - Pre-Certification Pharmacy Review 1 day ago Be among the first 25 applicants... ...millions of members. Our big-hearted, tech-savvy team fights to ensure that our... ...processing coverage determinations and utilization management reviews for specialty medications...Full timeWork at office
$248.5k - $373k
...connecting people with the care, pharmacy benefits, data and resources... ...coverage and medical claims reviews. Our role is to empower... ...clinical knowledge in various utilization management activities with a... ...skills*All employees working remotely will be required to adhere to...Remote workMinimum wageFull timeWork experience placementLocal area$112.7k - $193.2k
...connecting people with the care, pharmacy benefits, data and resources... ...-based criteria set for Utilization Management and Medical Necessity... ...and InterQual Medical Review Service are Optum's flagship... ...enjoy the flexibility to work remotely * from anywhere within the U....Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- ...Senior Pharmacy PA/Appeals Technician Optum is a global organization that delivers care, aided by technology, to help millions of people... ...including phone, fax, and electronic systems. The technician reviews request information against established criteria, verifies...Remote jobMonday to FridayShift workAfternoon shift
- ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three...Remote workFlexible hoursWeekend workDay shift
- Benture is seeking qualified Pharmacists or Pharmacy Technicians for a remote, hourly contract role in the United States. You will review audio samples of medication names, assess pronunciation accuracy, and score using a structured rubric. This role emphasizes attention...Remote jobHourly payContract work
- UnitedHealth Group, via Optum, seeks a Senior Pharmacy PA/Appeals Technician in Wyoming to handle prior authorizations and clinical reviews while delivering high-quality member... ...Responsibilities include managing high call volume, utilizing clinical information systems, and...Remote jobFlexible hours
- ...Job Title: Pharmacy Tech Address: Greensburg, PA Job Description Fill prescriptions and prepare IV medications... ...government regulations. Support the final review and packaging of prescriptions for... ...or 9am-5:30pm; 2 holidays per year. Remote: Onsite Environment: Work under...Remote workFull timeRotating shiftWeekend workDay shift
$44 - $79 per hour
...Pharmacist PA/Appeals - Remote in Vermont & Maine Optum is a global organization that delivers... ...outcomes by connecting people with the care, pharmacy benefits, data and resources they need... ...Pharmacist, you will support clinical review, decisioning, and communication related...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift work- ...and reduce the costs of pharmacy benefits for its... ...initial prior authorization (PA) requests. Operating in... ...High-Volume Case Review: Evaluate and adjudicate... ...clinical guidelines, and utilization management workflows.... ...individual case reviews. Remote Productivity: Self-motivated...Remote work
$134.6k - $230.8k
...connecting people with the care, pharmacy benefits, data and resources... ...organization supporting utilization management operations across... ...advisor functions, peer-to-peer review support, and appeals operations... ...the flexibility to work remotely * from anywhere within the U....Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$18 - $32 per hour
...Senior Pharmacy PA/Appeals Technician Optum is a global organization that delivers care, aided by technology to help millions of people... ...skills as well as research, clinical information system utilizations and resolve formulary and benefit issues using the appropriate...Remote jobHourly payDaily paidMinimum wagePrice workFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hoursShift work- ...Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness of services, utilizing clinical criteria and guidelines. Qualified candidates should have an active Maine RN...Remote workFlexible hours
$29 - $52 per hour
...Optum Clinical Claim Review Nurse Optum is a global organization that delivers care... ...outcomes by connecting people with the care, pharmacy benefits, data and resources they need... ...in one of the following areas Utilization Management, pre-authorization, claim review...Remote jobHourly payMinimum wageFull timeContract workTemporary workWork experience placementWork at officeLocal area$17.5 per hour
...Pharmacy Tech Our client is looking for a Pharmacy Technician (CPhT... ...authorization experience to help review, process, and move... ...information, apply established PA criteria, approve requests that... ...Benefits & Extras Fully remote opportunity (1 week training...Remote work$28.94 - $51.83 per hour
...Ssbv Clinical Claims Review Rn Optum is a global organization that delivers care, aided... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...Undergraduate or higher degree A background in utilization review for an insurance company or...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaHome office- ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist... ...in a cohesive and rewarding environment. This is a fully remote or office/home hybrid position. Your Responsibilities:...Remote workWork at officeFlexible hours
- ...culture, and its talent-first flexible/remote work approach, see below and visit ABOUT... ...a commitment to the mission of the pharmacy and goals of Hims & Hers. You will strive... ...Perform pharmacist duties such as drug utilization reviews, patient counseling, and dispensing...Remote workCurrently hiringLocal areaFlexible hoursShift work
$29 - $52 per hour
...connecting people with the care, pharmacy benefits, data and resources... ...Oncology Preservice Review Nurse you will be performing... ...enjoy the flexibility to work remotely * from anywhere within the U.... ...additional research Identify and utilize appropriate resources to conduct...Remote jobHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeHome officeWeekend workAfternoon shift$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization that... ...connecting people with the care, pharmacy benefits, data and resources... ...occasional opportunity for remote work based on business needs.... ...to discuss care details, reviewing clinical information for appropriateness...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area- ...Pharmacy Technician Position Our pharmacy technician positions have undergone an exciting... ...state, federal, and company policy. Reviews and complies with the Walgreen Co. Pharmacy... ...Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and...Remote workApprenticeshipLocal areaImmediate start
- ...Pharmacy Tech III, Adult Inpatient Joining our team comes with several... ...but are not limited to: Utilizes pharmacy systems to process prescriptions... ...including par levels, order review and submission, returns... ...: Entry Level Travel: No Remote Work : No University HospitalsRemote workHourly payFull timeTraineeshipWork experience placementImmediate startRelocation packageRotating shiftAfternoon shift
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