Remote Health Plan Pharmacist - Medicare/Medicaid
JobRx, Inc.
- Remote job
Blue Cross Blue Shield of Arizona is seeking a pharmacist to support the Medicare and/or Medicaid formulary while providing clinical and economic data essential for decision-making. This remote position requires residency in Arizona and focuses on compliance and quality activities within pharmacy services. Applicants should have at least 5 years of experience as a pharmacist and a Pharm.D. degree. Responsibilities also include interfacing with network physicians and health plan members, designing educational programs, and auditing for compliance. #J-18808-Ljbffr JobRx, Inc.
- Role, Inc. is seeking an experienced pharmacist for a remote position within the state of Arizona. The candidate will manage and support the Medicare and/or Medicaid formulary, providing essential clinical and economic data for formulary decisions while ensuring compliance...Remote jobHealth Insurance
- ...Pharmacist needed for Remote / Work From Home Position! Multiple openings with a July... ...on clinical criteria and plan design. Includes verifying... ...the healthcare providers, health plans/employers, patients,... ...will be directly supporting Medicare Part D members and providers...Remote workHealth InsuranceHourly payFull timeWork at officeWork from homeHome officeMonday to Friday
- ...Job Title: Pharmacist Location: Remote Duration: 12+ months contract Job Description: ~... ...Advisor you will be directly supporting Medicare Part D members and providers with... ...assessments, and reviews as per the health plan/employer agreed criteria within the...Remote workHealth InsuranceContract work
$125k - $130k
...About Judi Health Judi Health is an enterprise... ...employers and health plans, including:... ...Utilization Management Pharmacist plays a vital role in... ...Commercial, Exchange, Medicare, and Medicaid plans. Accurately... ...location of the job. Remote, US Salary Range $125...Remote workHealth InsuranceTemporary workLocal areaFlexible hoursWeekend work$50 - $55 per hour
...Pharmacy Benefit Services) entity owned by 20 non-profit health plans serving 33 million members and benefits manager of government programs including Medicare and Medicaid. JOB OVERVIEW Location: Work from home (100% remote) - refer list of states below. Duration: 6 months...Remote workHealth InsuranceContract workWork from home- ...looking for a Medical Billing Specialist. This fully remote position focuses on Medicare and Medicaid billing, requiring two years of experience in... ...effectively with Facilities. Benefits include a private health care plan, DailyPay options, life insurance, and training...Remote workHealth Insurance
- ...will perform general Pharmacist duties, including but... ...department Follows all Medicare, Medicaid, HIPAA, and Private... ...lines of communication Plans and organizes work... ...the smart choice for health plans, providers, employers... ...-Life Balance: Remote or hybrid work options...Remote workHealth InsuranceWork at officeFlexible hours
- ...You Will Have The clinical pharmacist is responsible for supporting... ...will collaborate closely with Medicaid, Medicare and Commercial associates from the health plan, and the pharmacy benefit manager... ...week you are empowered to work remote. Compensation and Benefits...Remote workHealth InsuranceFor contractorsWork at officeLocal area2 days per week
€85 - €100 per day
...Staffing is now hiring a Clinical Pharmacist 1. This is a fully remote opportunity supporting Centene... ...eligibility, prescription benefits, and health plan coverage Evaluate... ...managed care Understanding of Medicare and Medicaid regulations About the Team...Remote workHealth InsuranceFull timeContract workWork at officeImmediate startMonday to Friday- ...a Medical Billing Specialist to work fully remote. This full-time position focuses on timely billing for Medicare, Medicaid, and Insurance. Candidates must have at least... ...significant benefits including a Private Health Care Plan and DailyPay options, fostering a supportive...Remote workHealth InsuranceFull time
- ...centralized Population Health Management (PHM)... ...partnering with pharmacists and the broader... ...primary focus on Medicare Advantage populations... ...Medicare Advantage, Medicaid, Commercial) with... ...: Health Plan / Medicare Advantage... ...hours. Remote with occasional in...Remote workHealth InsuranceFull timeWork at officeRelocation packageMonday to Friday
$107.7k - $199.3k
...our Medical Management/Health Services team. Centene... ...partner with health plans to drive pharmacy performance... ...measures across LOBs (Medicare, Medicaid, Marketplace) ~... ...PHARM-R - Registered Pharmacist Current state with no... ...: This is a remote role with travel of 50...Remote workHealth InsuranceFull timeContract workPart timeWork at officeFlexible hours- ...Overview: Sentara is hiring a Full-time Pharmacist for our Specialty Pharmacy Case... ...Specialty Pharmacist, Rx, prescription, Medicaid, health plan, BCPS, #Indeed, Inpatient/... ...For positions that are available as remote work, Sentara Health employs associates...Remote workHealth InsuranceFull timeTemporary workLocal areaShift workRotating shiftDay shift
$19.81 - $28.3 per hour
...Primarily support Medicare Advantage Star medication... ...scope and under pharmacist guidance. Support... ...Advantage, Medicaid, Commercial) with... ...initiatives and population health priorities.... ...Preferred Skills Health Plan / Medicare... ...standard business hours. Remote with occasional in...Remote workHealth InsuranceHourly payFull timeWork at officeRelocation packageMonday to FridayShift work- ...Description The Clinical Pharmacist is responsible for... ...designed to address Medicare Part D associated... ...Exchanges) and Health Insurance Plan Rankings • Identify... ...Center of Medicare & Medicaid Services (CMS) within... ...Wednesday & Thursday ) and remotely 2 days a week (Monday...Remote workHealth InsuranceWork at officeMonday to Friday2 days per week3 days per week
$118.88k - $139.31k
...Responsibilities The Clinical Strategy Pharmacist is a senior individual... ...in PBM, managed care, health plan, or related pharmacy... ...regulated populations (e.g., Medicare, Medicaid) preferred Ability to synthesize... ...operating in a fast-paced, remote-first environment with high...Remote workHealth InsuranceWork at officeHome office- ...ShiftRotatingOverview:Sentara is hiring a Full-time Pharmacist for our Specialty Pharmacy Case... ...Pharmacist, Rx, prescription, Medicaid, health plan,BCPS, #Indeed, Inpatient/Outpatient Pharmacy... ....For positions that are available as remote work, Sentara Health employs...Remote workHealth InsuranceFull timeTemporary workLocal areaRotating shiftDay shift
$126.3k - $173.7k
...have impact on Humana's Medicaid plans. Responsibilities... ...notifications Partners with pharmacists, data scientists,... ...cost trend and improve health outcomes Contributes to... ...experience Knowledge of Medicare/Medicaid as it relates... ...While this is a remote position, occasional travel...Remote workHealth InsuranceBi-weekly payTemporary workApprenticeshipWork at officeWork from homeHome officeFlexible hours- ...its mission to inspire health and make it easy. AZ... ...as hybrid, onsite or remote. While the majority... ...maintaining and supporting the Medicare and/or Medicaid formulary and... ...physicians, health plan members, medical services... ...more as a practicing pharmacist 3 years of...Remote jobHealth InsuranceWork experience placementWork at officeFlexible hoursShift work1 day per week
$83.49 - $116.18 per hour
Clinical Pharmacist - Chronic Pain/Neurology Employer offers compensation range of... ...8:00 AM-5:00 PM Shift: Day Remote: No Category: Pharmacy Job Summary... ...and pharmacotherapies. Knowledge of Health Plans such as Medicare, Medicaid, and commercial plans. Demonstrates...Remote workHealth InsuranceHourly payFull timeMonday to FridayShift work- ...MTM Pharmacist – Help Patients Get the Most Out of Their Medications Are you passionate... ...safety. Collaborate with prescribers, health plans, and care teams to resolve therapy issues... ...Flexibility: Many MTM pharmacist positions offer remote or hybrid work. Impact: Directly...Remote workHealth Insurance
- ...Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications... ...ensure compliance with state, federal, and health plan requirements. Contribute to quality... ...: Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive salary...Remote workHealth Insurance
- ...Medical Billing Specialist for a fully remote position. The candidate will ensure... ...accounts, requiring strong knowledge of Medicare, Medicaid, and Insurance billing processes.... ...approach. Benefits include a private health care plan and training opportunities. #J-18808-...Remote jobHealth InsuranceFull time
- ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization... ..., and clinical necessity. Apply plan criteria, evidence‑based guidelines,... ...outcomes in compliance with health‑plan policies and CMS/state regulations...Remote workHealth InsuranceWork from homeFlexible hours
- ...Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes A confidential... ...and outcomes in compliance with health plan and regulatory standards. Participate... ...organizations offer hybrid or fully remote work options. Rewards: Competitive...Remote workHealth Insurance
- ...Appeals Pharmacist – Ensure Fair Medication Access for Patients A confidential... ...evidence-based guidelines, plan policies, and regulatory... ...roles offer hybrid or fully remote options. Rewards: Competitive... ...partner working with health plans and managed care organizations...Remote workHealth Insurance
- ...Looking for Pharmacist who have Remote Prior Authorization Experience & Must be licensed in the state... ...determinations based on clinical criteria and plan design. Includes verifying insurance... ...to all the healthcare providers, health plans/employers, patients, and other healthcare...Remote workHealth Insurance
$61 - $76 per hour
...A California-licensed pharmacist is needed to join a remote Medication Therapy Management (MTM) pilot program... ...enrolled as an ORP provider in California Medicaid (Medi-Cal).... ...details of our healthcare benefits plan can be found here . This posting is...Remote workHealth InsuranceWeekly payContract workPart time10 hours per weekFlexible hours- ...Clinical Pharmacist The clinical pharmacist is an operation based role that conducts clinical... ...will apply clinical knowledge to plan approved criteria for prospective and concurrent... ...of case decision to physician, health-plan/employer, patient and other healthcare...Remote workHealth InsuranceWork experience placement
- ...Clinical Pharmacist The clinical pharmacist is an operation based... ...apply clinical knowledge to plan approved criteria for prospective... ...setup and clinical review of Medicare appeals cases. Review... ...assessments, and reviews as per the health plan/employer agreed criteria...Remote workHealth Insurance
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