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
- ...medical equipment (DME) and pharmacy solution. Built on a 20-year... ...Competitive Pay ($120,000 PA, $115,000 TN) Comprehensive... ...will do Provide clinical review and consultation on medication... ...teams on formulary management, utilization review, and pharmacy policy updates...Remote work
- ...Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential... ...to quality improvement initiatives and pharmacy program development. What You'll... ...Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive...Remote work
- ...Remote, RI Contract Job Title: Prior... ...calls from providers, pharmacies, members, etc... ...documentation of reviews. Transfers all... ...prior authorization (PA) and drug benefit... ...Responsibilities: Utilizing multiple software... ...GED About US Tech Solutions: US Tech...Remote workContract work
- ...Technologies in the United States is seeking a Pharmacy Support Specialist focused on prior... ...screening and clinical accuracy. You will review medication profiles and collaborate with... ..., escalations, and approvals. This fully remote role requires a high school diploma, Pharmacy...Remote job
- Actalent is hiring for a 100% remote Pharmacy Technician. This remote opportunity requires an AZ State Pharmacy Technician License and involves... ...determinations and prior authorizations. The role includes reviewing requests, obtaining clinical information, and documenting...Remote job
- ...scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history,... ...What you will do Provide clinical review and consultation on medication requests,... ...internal teams on formulary management, utilization review, and pharmacy policy updates....Remote workRelocation package
$219k - $286.9k
...'re Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first... ...of inpatient, outpatient, and pharmacy services by reviewing clinical information... .... Work Location: This is a remote position, open to candidates who reside...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ...objectives Responsibilities: Reviews documentation and evaluates Potential Quality... ...~ Must have prior authorization utilization experience ~ Experience with Medcompass... ...Registered Nurse License? About US Tech Solutions: US Tech Solutions is a...Remote work
$23.89 - $42.69 per hour
...outcomes by connecting people with the care, pharmacy benefits, data and resources they need... ...Analyst will accurately and efficiently review and extract pertinent case details from... ...provided, as well as interpreting and utilizing ICD 9 and 10, CM and PCS, CPT coding system...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area$29 - $52 per hour
...connecting people with the care, pharmacy benefits, data and resources... ...Perform clinical coverage review services, which require interpretation... ...A background in utilization review for an insurance company... ...*All employees working remotely will be required to adhere to...Remote workHourly payMinimum wageFull timeWork experience placementLocal area$89.9k - $160.6k
...to apply for the Clinical Pharmacist Utilization Management - Remote PST role at Optum . Optum is a... ...by connecting people with the care, pharmacy benefits, data and resources they need... ...assigned daily prior authorization case reviews to meet production and performance...Remote jobMinimum wageFull timeWork experience placementLocal areaMonday to Friday$238k - $357.5k
...outcomes by connecting people with the care, pharmacy benefits, data and resources they need... ...Director Oncology will provide utilization review determinations and support case and disease... ...You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you...Remote jobFull timeWork experience placement$238k - $357.5k
...outcomes by connecting people with the care, pharmacy benefits, data and resources they need... ...Director Oncology will provide utilization review determinations and support case and disease... ...You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you...Remote jobFull timeWork experience placementLocal area$18 - $19 per hour
$18-$19 per hour remote, RI Contract Job Summary: The Tech I Prior Auth. takes in-bound... ...calls from providers, pharmacies, members, etc providing... ...documentation of reviews. Transfers all clinical... ...calls/fax/ePA requests utilizing appropriate courteous and...Remote workHourly payContract workTraineeshipWork experience placement$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... ...enjoy the flexibility to work remotely from anywhere within the U.S....Remote jobMinimum wageWork experience placementLocal area- ...connecting people with the care, pharmacy benefits, data and resources... ...the flexibility to work remotely from anywhere within the U.S.... ...presenting regular client performance reviews, including identification of... ...cost savings opportunities, utilization and cost reports...Remote jobMinimum wageFull timeContract workWork experience placementLocal area
- ...based role that conducts clinical reviews of medical data collected to... ...to decision cases Utilize work instructions and Medicare... ...disease-states for the Specialty Pharmacy programs administered within the... ...Preferred. About US Tech Solutions: US Tech Solutions...Remote workContract work
- 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 jobFlexible hoursWeekend workDay shift
- ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist... ...working in a cohesive and rewarding environment. This is a fully remote or office/home hybrid position. Responsibilities Review...Remote workWork at officeFlexible hours
- ...Pharmacy Technician Molina Healthcare is hiring for a Pharmacy... ...certified. This role is 100% remote, and the hours will be Mon-Fri... ...Standard Time. This role will be reviewing prior authorization requests... ...designed to enhance the utilization of targeted drugs and identification...Remote jobWork at office
- ...Pharmacy Tech III, Mentor Sign on bonus: $3,000 for certified technicians... ...but are not limited to: Utilizes pharmacy systems to process... ...including par levels, order review and submission, returns processing... ...: Professional Travel: No Remote Work: No University...Remote workFull timeTraineeshipWork experience placementRelocation package
- ...Collaborates with healthcare providers and pharmacies to obtain necessary documentation,... ...prescription needs, and support accurate review. Initiates prior authorization renewals... ...information, and administrative support related to PA workflows. Performs other duties as...Remote jobLocal area
$41.36 - $100 per hour
...including doctors, nurses, business people, tech experts, researchers, and systems... ...including the peer-to-peer process. Perform utilization review to evaluate for the appropriate level... ...Job Details (if applicable) Remote Type Remote Work Location 1153...Remote jobHourly payDaily paidShift work- ...Pharmacy Strategy And Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple...
$24.02 - $31.22 per hour
...pacemakers and ICDs, monitor remote access of devices:... ...template for physician review) and authorization (... ...coordination of device tech vendors and representatives... ...duties in safe manner utilizing sound work practices,... ...coverage & In-House Employee Pharmacy Dental Plan...Remote workFull timeTemporary workPart timeWork at officeLocal areaFlexible hours$16.15 - $28.8 per hour
...connecting people with the care, pharmacy benefits, data and resources... ...Excela Health Drive, Latrobe, PA and include the other... ...insurance eligibility / benefits Utilizes computer systems to enter access... ...respectful manner Generates, reviews and analyzes patient data...Hourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation packageShift work- Pharmacy Intern - TN or PA Job Category: Pharmacy Management & Operations Requisition Number: PHARM006993 Part-Time Remote Tennessee, USA Description Dragonfly Health is the leading care-at-home... .... For further information, please review the Know Your Rights notice from the...Remote workPart timeInternshipLocal area
- Oncology MD or DO Utilization Review - Remote - contract 1099 4 days ago. Be among the first 25 applicants. Oncology Utilization Review State Medical Licenses required: Florida, Minnesota or Oregon. Flexible Independent Contractor (1099) Opportunity . ABOUT MRIoA Founded...Remote jobContract workFor contractorsFlexible hours
- 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 jobFlexible hours
- ...IT Procurement Analyst Middletown, PA / Hybrid • 6+ Months Currently Remote but can change to hybrid. Only candidates... ...and goods receipts as needed Review monthly invoicing for all staff... ...standards, policies, and procedures Utilize various software and/or technology...Remote workDaily paidWork at office
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