Remote Pharmacist - Utilization Management (PA)
$80.41k - $156.8kMolina Healthcare
- Remote job
Molina Healthcare is seeking a Pharmacist for the UM/Prior Authorization department. This remote position requires candidates to be licensed in Florida or eligible to obtain licensure within 90 days. Responsibilities include liaising with clients, ensuring coverage compliance, and contributing to quality metric improvements. Ideal candidates hold a Doctor of Pharmacy degree and have 1-2 years of experience. The salary ranges from $80,412 to $156,803 annually, with a generous benefits package offered. #J-18808-Ljbffr Molina Healthcare
- ...Consultative Pharmacist 2 - Remote (TN, PA) Job Category: Pharmacy Management & Operations Requisition Number: CONSU006810 Posted: April 23, 2026 Full-Time... ...internal teams on formulary management, utilization review, and pharmacy policy updates. What...Remote workFull time
- ...Consultative Pharmacist 2 - Remote (TN or PA) Job Category: Pharmacy Management & Operations Requisition Number: CONSU006932 Posted: May 20, 2026 Full-Time... ...Educate internal teams on formulary management, utilization review, and pharmacy policy updates. What...Remote workFull time
$80.41k - $156.8k
Molina Healthcare is seeking a Pharmacist for the UM/Prior Authorization department. This remote position requires candidates to be licensed in Florida or eligible to obtain licensure within 90 days. Responsibilities include liaising with clients, ensuring coverage compliance...Remote job- Humana Inc is seeking a Utilization Management Clinical Pharmacist 2 in Rhode Island. This role involves conducting comprehensive medication reviews and making independent decisions related to patient care and medication utilization. Candidates must possess a Pharm.D or...Remote jobFlexible hours
$104k - $143k
Humana Inc is seeking a Utilization Management Clinical Pharmacist 2 to conduct medical necessity and medication reviews for pre-authorization prescriptions. This role involves advising patients and providers to ensure quality outcomes and effective utilization of resources...Remote jobFlexible hours$104k - $143k
Humana Inc in Phoenix, Arizona seeks a Utilization Management Clinical Pharmacist 2 (VSP/PT). This pharmacist will conduct medication reviews and make decisions independently to ensure quality patient outcomes. The position offers flexible hours, a potential pay range...Remote jobFlexible hours$104k - $143k
Humana Inc is seeking a Utilization Management Clinical Pharmacist 2 to join their caring community in Boston, Massachusetts. This role requires completing medication reviews and advising patients to promote quality outcomes. Successful candidates will have a Bachelor'...Remote jobFlexible hours$104k - $143k
Humana Inc. seeks a Utilization Management Clinical Pharmacist 2 to perform medical necessity reviews and advise patients and providers on medication utilization. This position demands a Bachelor's degree or Pharm.D and an active pharmacy license, focusing on effective...Remote jobFlexible hours- Humana Inc is seeking a Utilization Management Clinical Pharmacist 2 to join our community. This role focuses on conducting medical necessity reviews for... ...active license, and strong communication skills. This remote position offers flexible hours and opportunities for limited...Remote jobFlexible hours
$104k - $143k
Humana Inc in Austin, Texas is seeking a Utilization Management Clinical Pharmacist 2 (VSP/PT) who will complete medication reviews and ensure quality patient outcomes. The role involves determining appropriate courses of action while promoting cost-effective medication...Remote jobFlexible hours$104k - $143k
Humana Inc is looking for a Utilization Management Clinical Pharmacist 2 to conduct medical necessity reviews and comprehensive medication analyses. This remote position offers flexibility with hours and may require travel for training or meetings. Ideal candidates will...Remote jobFlexible hours$80.41k - $156.8k
...Healthcare is hiring for a Pharmacist in our UM/Prior Authorization... ...starting. This position is remote and can be worked from a variety... .... Molina Pharmacy Services/Management staff work to ensure that... ...requirements, reviewing drug/provider utilization patterns and pharmacy costs...Remote jobWork experience placementShift work$125k
Remote Judi Health is an enterprise health technology company... ...full-service pharmacy benefit management (PBM) solutions to self-... ...Position Summary The Clinical Care Pharmacist plays a vital role in... ...and accreditation (URAC/NCQA) utilization review standards. Provide clear...Remote workTemporary workLocal areaWeekend work- ...Clinical Pharmacist - Utilization Management Archimedes Location US- ID 2026-6002 Category Archimedes Position Type Full-Time Remote No Company Archimedes About Us Archimedes - Transforming the Specialty...Remote workFull timeWork at office
$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... ...overtime during peak season Travel: While this is a remote position, occasional travel to Humana's offices for...Remote workDaily paidFull timeContract workApprenticeshipMonday to FridayFlexible hoursShift workWeekend work- Actalent is seeking a dedicated Clinical Pharmacist to join our remote team in Oklahoma City. This role involves reviewing utilization management requests and requires precision, clinical judgment, and effective communication. The ideal candidate holds a PharmD or a BS...Remote job
$55 per hour
Actalent is seeking a dedicated Clinical Pharmacist to join our team in a fully remote capacity, responsible for reviewing utilization management requests. The ideal candidate will have a PharmD and at least two years of clinical pharmacy experience. This position requires...Remote job- Actalent is seeking a dedicated Clinical Pharmacist to join our remote team. The role involves reviewing utilization management requests and making informed decisions based on specific criteria, requiring precision and clinical judgment. The ideal candidate must hold a...Remote job
$55 per hour
Actalent is seeking a Clinical Pharmacist for a fully remote role to review utilization management requests. This position requires a PharmD or BS in Pharmacy and a current pharmacist license. Your responsibilities include evaluating requests, determining coverage approvals...Remote job$91.7k - $163.7k
...Clinical Pharmacist Optum is a global organization that delivers care, aided by technology... ...and outcomes through completion of utilization management functions for value-based patients in... ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday- ...Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR)... ...Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive...Remote 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
- ...healthcare organization is seeking a motivated Remote Prior Authorization Pharmacist to improve patient access to effective therapies... ...100% remote position allows pharmacists to utilize their clinical judgment in managed care. Ideal candidates will have a PharmD, active...Remote jobFlexible hours
$110.68k - $166.02k
...Clinical Pharmacist Under the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and... ...daily caseload of pharmacy prior authorization (PA) requests for coverage determinations (CD), and...Contract workWork at officeWork from home$110.68k - $166.02k
...Job Summary Under the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and... ...the daily caseload of pharmacy prior authorization (PA) requests for coverage determinations (CD), and exceptions...Full timeContract workWork from homeFlexible hours$67.5k - $126k
A healthcare organization is seeking a Registered Pharmacist to review requests for medication coverage determinations. The role involves evaluating clinical information against medical policy criteria, conducting research as needed, and ensuring accurate claims processing...Work at office$22 per hour
A leading workforce management provider is seeking a Pharmacy Tech Support Call Center Representative in Detroit, MI. This is a temporary remote position, offering a pay rate of $22/hr. Candidates should have 2-4 years of experience in Specialty and/or Retail Pharmacy,...Remote jobTemporary work- ...Description Job Description Staff Pharmacist – Independent Pharmacy &... ...physicians, nurses, care managers, and support staff to improve... ...Technology Our pharmacy utilizes: PioneerRx pharmacy management... ...Care Management (CCM) Remote Patient Monitoring (RPM) Medication...Remote workFull timeTemporary workWork at officeMonday to Friday
$50 - $60 per hour
...to the public) integrating telehealth, remote patient care, robotics automation, and digital medication management. We currently operate in PA and NJ and are expanding nationwide.... ...Summary AidRx is seeking a Full-Time Pharmacist to join our advanced LTC pharmacy team...Remote workHourly payPermanent employmentFull timeWork from homeMonday to Friday- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to work from home evaluating prescription requests and ensuring medical necessity. This role offers flexibility with competitive compensation, benefits, and opportunities for growth...Remote jobWork from home
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