Remote Utilization Management Pharmacist Prior Auth Expert
Capital Rx Inc.
New York, NY
- Remote job
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 authorization requests, ensure regulatory compliance, and provide expert guidance to members, providers, and pharmacies while maintaining patient privacy and data security. #J-18808-Ljbffr Capital Rx Inc.
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Pharmacist Prior Auth Expert in New York, NY vacancy
- Point32Health is looking for a Clinical Pharmacist to manage pharmacy prior authorization requests. This role involves reviewing cases, communicating with healthcare providers, and ensuring compliance with regulatory standards. The ideal candidate will hold a PharmD or...Remote job
- ...A healthcare services provider is seeking a remote Pharmacy Technician to contribute to pharmacy utilization management. Responsibilities include screening prior authorization requests, collaborating with healthcare professionals, and ensuring compliance with regulatory...Remote work
The Elitejob
United States2 days ago $130k
...Utilization Management Pharmacist (temp-to-hire) Remote About Judi Health Judi Health is a health technology company... ...position is responsible for reviewing prior authorization requests,... ...clinical programs, and providing expert guidance to members, providers, and...Remote workTemporary workLocal areaFlexible hoursShift workWeekend workJudi Health
United States5 days ago$144k - $170k
...information, visit At Starling Oncology, our Utilization Management Pharmacists are clinical leaders who ensure safe,... ...lives and the future of oncology. REMOTE WORK FROM HOME JOB PURPOSE AND... ...therapy selection, reduce avoidable prior authorization friction, and support value...Remote jobWork at officeWork from home- ...position. Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for performing... ...serving as a subject matter expert for pharmacy utilization... ...may be assigned. 1. Make prior authorization and step therapy...Remote workWork at officeShift work
WVU Medicine
United States1 day ago - ...Utilization Management Pharmacist UNITAS provides clinical staffing and consulting solutions, including contract... ...position is responsible for reviewing prior authorization requests, supporting clinical programs, and providing expert guidance to members, providers, and...Remote jobPermanent employmentContract workLocal areaWeekend work
- Oscar is hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. This role oversees a team of pharmacists performing clinical... ...based clinical decision-making. This fully remote position is open to candidates residing in...Remote job
$53 per hour
...Job Description Remote Prior Authorization Pharmacist (Pharmacist - Prior Auth) Location: Remote (continental U.S.; not available in New Mexico or... ...This is a great fit for pharmacists with PBM / managed care / health plan experience who are comfortable...Remote workFull timeLocal areaWork from homeHome officeShift workA-Line Staffing Solutions
United States1 day ago- ...Humana is seeking a Utilization Management Clinical Pharmacist 2 (VSP/PT) to perform medical necessity reviews and comprehensive medication reviews for... ...effective utilization and quality outcomes. The position is remote with occasional travel to Humana offices for training...Remote work
Humana
United States2 days ago - ...TrueScripts Management Service is seeking a detail-oriented Prior Authorization Coordinator for a remote role. You will review and process PA requests for pharmacy claims received electronically, by fax, or from providers or members, verifying documentation and ensuring...Remote work
TrueScripts Limited
United States2 days ago - JOB SUMMARY:The Utilization Management Clinical Pharmacist is responsible for playing a critical... ...serves as a clinical expert supporting medical injectable... ...RESPONSIBILITIES:Review prior authorization requests... ...systems. Ability to work remotely will be provided to qualified...Remote workWork at officeWeekend work
CommunityCare
Tulsa, OK5 days ago - ...Job Title Clinical Pharmacist Company Archimedes... ...in specialty drug management solutions. Founded with... ...cost case management and prior authorization of... ...for being the clinical expert for all specialty medications... ...St Louis, MO offices. Remote employment also...Remote work
Archimedes
United States4 days ago - ...About the Job Staff Pharmacist - Independent... ...physicians, nurses, care managers, and support staff... ...medication expert for patients and healthcare... ...Our pharmacy utilizes: PioneerRx... ...affordability programs and prior authorization... ...Management (CCM). Remote Patient Monitoring...Remote workFull timeTemporary workWork at officeMonday to Friday
In-Clinic Rx
Benson, MN2 days ago $59.5k - $116.6k
UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote jobWeekend work$53.46 - $79.52 per hour
...RN Supervisor Um Prior Auth Inspired by faith. Driven by innovation. Powered by humankindness... ...by law. As our Supervisor of Utilization Management (UM), under the guidance and... ...for high-quality patient care. As a remote employee, we will provide you with the...Remote workWork at office- ...VIVA is seeking a Tech I Prior Auth to handle inbound calls from providers, members, and pharmacies, guiding them through... ...reviews with accuracy and coordinating with pharmacists for escalations. Fully remote with training and shift considerations. Candidates should...Remote workTraineeshipShift work
VIVA
United States1 day ago - ...Job Title: Prior Authorization Pharmacist (Pennsylvania Pharmacist License Required... ...Location: 100% Remote (EST Hours) Start Date:... ...physicians, nurses, case managers, medical directors, providers... ...safe, and cost-effective utilization of healthcare services....Remote workContract workLocal area
Medasource
United States1 day ago - ...fill a Patient Support Advocate role. This remote position focuses on helping patients... ...access medications by navigating insurance, prior authorizations, and financial assistance... ...will collaborate with physicians and pharmacists to ensure timely therapy, document interactions...Remote job
- ...Summary The Clinical Pharmacist I is a volume-driven,... ...of initial prior authorization (PA) requests... ...comprehensive knowledge of modern managed care trends, evolving... ...guidelines, and utilization management workflows.... ...individual case reviews. Remote Productivity: Self-...Remote work
$135.79k - $178.23k
...Oscar. We're hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. Oscar is the first... ...: This position is fully remote and open to candidates residing... .... Serve as a clinical expert to review, troubleshoot, and...Remote workFull timeWork from homeHome office- Humana Inc. seeks a Pre-Authorization Nurse to review prior authorization requests, determine appropriate care, and educate providers on utilization management. The role requires independent clinical judgment, system data entry, and adherence to guidelines to support Humana...Remote job
- ...Looking for Pharmacist who have Remote Prior Authorization Experience & Must be licensed in the state of... ...healthcare providers, and appropriately utilizing clinical knowledge and resources... ...professionals following agreed‑upon approval & denial management processes. #J-18808-Ljbffr...Remote work
Managed Staffing
New York, NY1 day ago $120k - $125k
...The Clinical Care Pharmacist plays a vital role... ...responsible for reviewing prior authorization... ..., and providing expert guidance to... ...Schedule Location: Remote Shifts ~7a-4p... ...accordance with URAC/NCQA utilization review standards.... ...Experience in managed care or pharmacy...Remote workFull timeContract workShift workWeekend workMedix
United States5 days ago- ...Remote Clinical Utilization Management Pharmacist This remote Clinical Utilization Management Pharmacist role focuses on performing detailed clinical reviews... ...management requests, including formulary exceptions, prior authorizations, step therapy, and quantity limit...Remote workPermanent employmentFull timePart timeFor contractorsWork experience placementLive inWork at officeMonday to FridayShift workWeekend workAfternoon shift
Actalent
United States4 days ago - ...Remote Drug Utilization Review Pharmacist Safe & Cost-Effective Medication Use Work from home analyze medication use patterns, apply clinical guidelines... ...licensure: active U.S. pharmacist license, experience: managed care, PBM, or health-plan preferred. Hospital and...Remote jobWork from home
- ...SUMMARY:The Clinical Pharmacist - Population Health supports... ...Population Health Management (PHM) and Case... ...diagnosis, patient weight, prior therapies, laboratory... ...Collaborate with Pharmacy and Utilization Management teams to... ...management platforms. Remote work may be available...Remote workWork at office
CommunityCare
Tulsa, OK5 days ago $110.68k - $166.02k
...SummaryUnder the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing,... ...the daily caseload of pharmacy prior authorization (PA) requests for... ...and/or managed care setting• Expert knowledge of the principles and...Full timeContract workWork from homeFlexible hoursPoint32Health
Canton, MA5 days ago$50 - $60 per hour
...Companies is seeking a Clinical Pharmacist to join a leading... ...services organization for an remote contract opportunity based... ...Pharmacist will support pharmacy utilization management activities, evaluate... ...Pharmacist include: • Evaluate prior authorization and coverage...Remote workHourly payLong term contractContract workPiper Companies
United States4 days ago- ...Prior Authorization (PA) Pharmacist The Prior Authorization (PA) Pharmacist would facilitate efforts in the review of clinical documentation... ...and continually developing a strategy for Utilization Management. Responsibilities: Clinical evaluation of medication...Work at office
Staffing the Universe
McLean, VA2 days ago - ...Clinical Pharmacist OncoHealth is a leading... ...review process for prior authorizations, building... .... This is a remote opportunity with a... ...oncology setting, managed care, or relevant... ...use of OncoHealth's utilization management system,... ...is paired with expert guidance providing...Remote workLocal area
Oncohealth CORP
United States5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Pharmacist Prior Auth Expert. Be the first to apply!
Related searches
- cardiology pharmacist New York, NY
- pharmacist full time New York, NY
- oncology pharmacist New York, NY
- staff pharmacist New York, NY
- work from home pharmacist New York, NY
- pharmacist New York, NY
- mtm pharmacist New York, NY
- pediatric pharmacist New York, NY
- virtual pharmacist New York, NY
- veterinary pharmacist New York, NY