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
$163.2k - $192k
...venture-backed Health-Tech company. Our mission is... ...expensive and inefficient Pharmacy Benefit Management (PBM... ...the Manager, Clinical Review Operations and Quality... ...our prior authorization (PA) ecosystem. You will... ...best practices, clinical utilization review, P&T committee...Remote workFull timeTemporary workWork at officeFlexible hours$60 - $67.5 per hour
...Job Description Job Description Title: Remote Drug Utilization Review Pharmacist Duration : 3 month Pay Rate: $60-$67.50/hr Location... ...Must-Haves: Pharm.D. or Bachelor of Science in Pharmacy Active and unrestricted Pharmacist license in state of...Remote jobNight shiftAfternoon shift- ...Remote Drug Utilization Review Pharmacist Safe & Cost-Effective Medication Use Work from home analyze medication use patterns, apply clinical... ...and contributing to quality-improvement initiatives and pharmacy program development. What you'll bring includes education...Remote jobWork from home
- ...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
- ...people with the care, pharmacy benefits, data and resources... ...may work onsite or remotely across the country. Under... ...performance scorecard reviews, and interim and annual... ...and consistent manner utilizing established tools and processes... ...to complete pharmacy PA and Appeal forms and to...Remote jobInterim role
- ...Location: Fully remote Duration: 12 months... ...from providers, pharmacies, members, etc providing... ...documentation of reviews. Transfers all... ...authorization (PA) and drug benefit... ...Responsibilities: Utilizing multiple software... ...GED About US Tech Solutions: US...Remote workContract work
$18 - $32 per hour
...Senior Pharmacy PA/Appeals Technician Optum is a global organization that delivers care... ...pharmacists. The position provides clinical review for authorizations in keeping with... ...research, clinical information system utilizations and resolve formulary and benefit issues...Remote jobHourly payDaily paidMinimum wagePrice workFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hoursShift work$55.28 - $57.69 per hour
...1:00PM EST Must reside in PA or TN to be considered. Dragonfly... ...medical equipment (DME) and pharmacy solution. Built on a 20-year... ...care Provide clinical review and consultation on... ...teams on formulary management, utilization review, and pharmacy policy updates...Remote jobRelocation packageMonday to FridayShift work$140 - $145 per hour
...Oscar is hiring a Physician Reviewer to join our Utilization Management Team. You will determine the medical... ...of inpatient, outpatient, and pharmacy services by reviewing clinical information... ...evidence-based guidelines. This remote role is open to candidates in the United...Remote workHourly payWeekend work- ...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
- ...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 jobTemporary workMonday to FridayShift workAfternoon shift
$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$55 - $60 per hour
...We are seeking an experienced Utilization Management (UM) Registered... ...support outpatient utilization review and prior authorization activities... ...to work independently in a remote environment. Comfortable... ...RN License About US Tech Solutions: US Tech Solutions...Remote workHourly payContract work- The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent... ...department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...Teamwork (ACE-IT!). Medical (HDHP) w/Pharmacy Dental Vision Long Term Disability...Remote workMinimum wageWork at officeLocal areaFlexible hours
- ...UnitedHealth Group is seeking a Senior Pharmacy PA/Appeals Technician in Wyoming to provide prior authorization support and clinical review for formulary decisions. The role involves handling high volumes of calls, researching information, and ensuring accurate documentation...Remote workShift 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 workFlexible hoursWeekend 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$60.2k - $107.4k
...connecting people with the care, pharmacy benefits, data and resources... ...directly with providers to review medical necessity criteria... ...enjoy the flexibility to work remotely from anywhere within the U.S.... ...Managed Care experience Utilization Management experience Pay...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday$20 - $24 per hour
...Pharmacy Technician Phil is looking for a full... ..., Series D health-tech startup that is... ...Technician Location: Remote Fully remote working... ..., NY, OH, OK, OR, PA, SC, TN, TX, UT, VA... ...systems Review and update patient... ...and escalations Utilize reroute best practices...Remote workFull timeWork at officeMonday to FridayShift workAfternoon shiftEarly shift- ...Responsibilities As our eFill Pharmacy Tech, you will support patients... ...patient care. As a remote employee, we will provide you... ...criteria that are not met after reviewing the requested medication.... ...in a professional manner. Utilizes and adheres to a phone script...Remote workWork from home
$21.2 - $33.03 per hour
...Essential Accountabilities: Review of medical exception requests... ...issues. Implement formulary utilization management tools (i.e. prior... ...system issues relative to the Pharmacy benefit. Research and resolve... ...Please note: The opportunity for remote work may be possible for all...Remote workLive inWork at officeImmediate startWork from homeHome officeAfternoon shift$72.8k - $130k
...Sr Utilization Management NurseOptum is a global organization that delivers... ...people with the care, pharmacy benefits, data and resources... ...an occasional opportunity for remote work based on business needs.... ...providers to discuss care details, reviewing clinical information for...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area- ...and reduce the costs of pharmacy benefits for its... ...Position Summary As a Utilization Management Clinical Pharmacist... ...Functions Clinical Review & Adjudication... ...adjudicate prior authorization (PA) requests for accuracy... ...case reviews. Remote Productivity: Self-motivated...Remote work
$20.73 - $31.58 per hour
...work up to hours per week as pharmacy grows. Pharmacy Hours 8:... ...by regulation and policy. Utilizes pharmacy technology effectively... ...items to the pharmacist for review as appropriate based on... ...expectations. If applying for a remote or hybrid role, this includes...Remote workHourly payPart timeLocal areaMonday to Friday$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 wageFull timeWork experience placementLocal area$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$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 jobMinimum wageFull timeWork experience placementLocal area$107k - $127k
...Pharmacist – Formulary / Pharmacy and Therapeutics Strategy (PA Licensed) Role Type:... ...Work Arrangement: 100% Remote / Work from Home Location... ...role goes beyond daily review cycles to drive large-scale... ...design, innovative utilization management, and compliance...Remote workPermanent employmentFull timeContract workWork from homeMonday to FridayShift work$18.5 - $35.29 per hour
...received by phone, fax, or electronically and utilizes various computer resources, existing... ...research to support prior authorization reviews. Proactively completes prior... ...inquiry calls from provider's offices, pharmacies, and internal partners and uses various...Remote workHourly payFull timeTemporary workPart timeWork at officeLocal areaShift workNight shift
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