Remote Supervisor, Utilization Management Pharmacist
Capital Rx
- Remote job
Judi Health in the United States seeks a Director of Clinical Pharmacy Operations to supervise a team of clinical pharmacists, drive key programs, and engage in hands‑on activities like prior authorizations and provider outreach. This fully remote leadership role supports patient care and cross‑functional collaboration. The ideal candidate will hold an active pharmacist license with 2+ years PBM experience, strong communication skills, and proven remote leadership in a high‑volume setting. #J-18808-Ljbffr Capital Rx
$128k - $160k
...Supervisor, Utilization Management Pharmacist Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States... ...while making a meaningful impactall in a fully remote, high-performing, and collaborative environment. Position...Remote workLocal areaFlexible hoursNight shift$90.42 - $113.02 per hour
...Benefits Eligible: Yes Remote Eligible: No... ...you. Job Summary The Supervisor is responsible for the supervision and management of the daily operations... ...and workflows for both pharmacists and pharmacy technicians... ...and technical equipment utilized in pharmacy. Knowledge...Remote workHourly payFull timeLocal areaRotating shift$125k - $130k
...generation of care. To learn more, visit Position Summary: The Utilization Management Pharmacist plays a vital role in promoting safe, effective, and... ...experience, knowledge, skills, and location of the job. Remote, US Salary Range $125,000—$130,000 USD All employees are...Remote workTemporary workLocal areaFlexible hoursWeekend work$144k - $170k
...For more information, visit . At Starling Oncology, our Utilization Management Pharmacists are clinical leaders who ensure safe, effective, and compassionate... ...directly impacts lives and the future of oncology. REMOTE WORK FROM HOME JOB PURPOSE AND SUMMARY The Utilization...Remote jobWork at officeWork from home$67.68k - $105.77k
...Work From Home Work From Home Work From Home, Indiana 46544 The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management...Remote workLocal areaWork from home- Starling Oncology seeks a Pharmacist to lead oncology utilization management, shaping evidence-based pathways and payer-aligned criteria. This remote, full-time role collaborates with leadership, physicians, and revenue cycle teams to optimize therapy access and reduce...Remote jobFull time
- ...Managing the daily operations of the Utilization Management Coordinator team, the full-time remote Utilization Management Supervisor will ensure timely processing of prior authorization requests, provide staff coaching, and maintain compliance with regulatory requirements...Remote workFull time
- ...Clinical Utilization Management Pharmacist Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for performing drug utilization review for initial determinations and/or appeals for our ASO clients, Medicare...Remote workWork at officeShift work
- TriWest Healthcare Alliance seeks a Nurse to supervise daily Utilization Management operations under the TRICARE contract. You will coordinate across teams to meet contractual metrics and ensure quality, efficient care delivery. The role builds staff capability and supports...Remote jobContract work
$135k - $145k
...Utilization Management Pharmacist Trainer Charlotte, North Carolina, United States; Denver, Colorado,... ...Collaborate with pharmacy managers, supervisors, and other relevant stakeholders to... ...supervision, staying productive in a remote, high-volume, and metric driven call...Remote workWork at officeLocal areaFlexible hours- ...Brigham Health Plan Holding Company, Inc. seeks a Supervisor, Clinical to oversee the DSNP utilization management team and coach licensed staff. The role... ...project participation to meet business needs. The remote position requires MA RN licensure, 3-5 years in managed...Remote job
- Mass General Brigham Health Plan Holding Company, Inc. is seeking a supervisor to oversee the DSNP utilization management staff. The role focuses on coaching, supervising, and evaluating licensed clinical staff, with potential involvement in cross-project initiatives. The...Remote job
- Mass General Brigham Health Plan is seeking a supervisor to manage DSNP utilization management staff, ensuring quality reviews and regulatory compliance... ..., and coordinate cross-functional projects as needed. Remote role with daytime schedule, mostly Monday-Friday; MA regulations...Remote jobMonday to Friday
- ...has something to contribute Position Summary As a Utilization Management Clinical Pharmacist, you will join TruDataRx’s dynamic team of physicians,... ...apply complex clinical data to individual case reviews. Remote Productivity: Self-motivated, highly organized, and...Remote work
- ...are classified as hybrid, onsite or remote. While the majority of our employees... ...of Arizona. PURPOSE OF THE JOB The Utilization Review Supervisor coordinates the activities of the UR... ...Preferred Work Experience 1 year of managed care/health plan experience 1 year of...Remote workFull timeWork experience placement2 days per week1 day per week
- ...Interim Utilization Management Supervisor We are seeking an experienced Registered Nurse to serve as an Interim Utilization Management Supervisor... ...operational priorities. You can lead and support employees in a remote work environment. You are comfortable addressing...Remote workContract workInterim roleImmediate start
$99.47k - $144.64k
...opportunities, and much more. The supervisor will work closely with the Manager, Clinical, to oversee the daily operations... ...DSNP (SCO and OneCare products) utilization management staff. The supervisor... ...) Working Conditions This is a remote role that can be done from most US...Remote workWork at officeMonday to FridayFlexible hoursShift workWeekend work$75.3k - $135.4k
...a clinical professional on our Medical Management/Health Services team. Centene is a diversified... .... Supervises day-to-day activities of utilization management team. Responsibilities:... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workFull timePart timeWork at officeFlexible hours- A healthcare provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization team. This role requires 5+ years of clinical experience and 3+ years in utilization management. You'll manage staffing, coordinate referrals...Remote job
- Centene Corp. is seeking a Supervisor, Utilization Management (RN) to lead and supervise our Clinical Review team. This role focuses on ensuring appropriate care for our members and promotes adherence to compliance standards through effective team management and continuous...Remote jobFlexible hours
- CorVel Corporation is looking for a Utilization Review Supervisor RN to direct operations in Rancho Cucamonga. The role includes managing day-to-day operations, ensuring quality service, and handling HR matters. This remote position requires strong communication skills,...Remote job
- ...Remote Drug Utilization Review Pharmacist Remote DUR Pharmacist Safe & Cost-Effective Medication Use | Work From Home Analyze medication use patterns... ...Licensure: Active U.S. pharmacist license. Experience: Managed care, PBM, or health-plan preferred. Hospital and...Remote jobWork from home
- ...Remote Drug Utilization Review Pharmacist Safe & Cost-Effective Medication Use Work from home analyze medication use patterns, apply clinical guidelines... ...: Active U.S. pharmacist license. Experience: Managed care, PBM, or health-plan preferred. Hospital and community...Remote jobWork from home
- Pharmacy Careers is seeking a Remote Drug Utilization Review (DUR) Pharmacist to analyze medication use patterns, apply clinical guidelines, and collaborate... ...on clinical analysis and scalable outcomes across managed care settings. You will evaluate prescribing patterns...Remote job
- Pharmacy Careers is seeking a Remote DUR Pharmacist to analyze medication use patterns, apply clinical... .... This remote role focuses on drug utilization reviews across settings, evaluating... ...PharmD or Bachelor of Pharmacy, with managed care/PBM experience preferred, and strong...Remote job
- Optum is seeking a Sr Utilization Management Nurse in the Boston, MA region to ensure accuracy in medical record coding, support appropriate payments... .... Travel within Massachusetts is required, with occasional remote work based on business needs. The role requires an active MA...Remote jobCasual work
- ...tracking project progress and managing financial aspects. Key tasks... ...role, working in an office, remote, and/or field settings. Job Duties... ...issues to the appropriate supervisor or maintenance personnel.... ...minimum of 3 years electric utility or telecommunications industry...Remote workPermanent employmentFull timeTemporary workFor contractorsWork experience placementFor subcontractorWork at officeLocal area
- Judi Health seeks a pharmacist trainer to develop and deliver training programs for pharmacist staff, enhancing knowledge, efficiency,... ...materials, ensure regulatory compliance, and collaborate with managers to address training needs across the organization. #J-18808-Ljbffr...Remote job
- ...is the industry leader in specialty drug management solutions. Founded with the goal of... ...create clinical policies. The Clinical Pharmacist is responsible for being the clinical expert... ...Brentwood, TN or St Louis, MO offices. Remote employment also considered. Responsibilities...Remote workWork at office
- 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
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