Pharmacist, Utilization Management (PA) & Appeals
$67.5k - $126kSanta Barbara Cottage Hospital
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. The ideal candidate has a Bachelor's degree in Pharmacy, 1-3 years of relevant experience, and strong communication skills. This position is office-based, offering a pay range of $67,500 to $126,000. #J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Pharmacist, Utilization Management (PA) & Appeals in New York, NY vacancy
- ...coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical... ...Preferred None LICENSES OR CERTIFICATIONS Required Registered Pharmacist Preferred None SKILLS Oral & Written Communication Skills...SuggestedFor contractorsWork at officeLocal areaRemote work
Santa Barbara Cottage Hospital
New York, NY1 day ago - ...Appeals Pharmacist Ensure Fair Medication Access for Patients A confidential managed care organization is seeking an experienced Appeals Pharmacist to review, evaluate,... ...license in the U.S. Prior managed care or utilization management experience preferred retail and...SuggestedRemote job
- ...Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role...SuggestedRemote work
Pharmacy Careers
Corona, NY3 days ago - ...organization is seeking a motivated Remote Prior Authorization Pharmacist to improve patient access to effective therapies. This 100% remote position allows pharmacists to utilize their clinical judgment in managed care. Ideal candidates will have a PharmD, active...SuggestedRemote workFlexible hours
Pharmacy Careers
Passaic, NJ5 days ago $94k - $160k
...Consultant Principal - Remote## **Job Description**The Network Management Consultant is responsible for development, performance and... ...contract documents including agreements and applications for utilization in contracting/re-contracting activities based on new network...SuggestedContract workWork experience placementLocal areaRemote workVisa sponsorshipWork visaPrime Therapeutics
New York, NY1 day ago$92.88k - $178.2k
...As part of the Comprehensive Medication Management Program, conduct interviews, develop,... ...and optimizing patient outcomes, drug utilization and patient compliance, detecting and/or... ...of pharmacy ~ Current, unrestricted Pharmacist License in accordance with a respective...Work experience placement3 days per weekEmblemHealth
New York, NY4 days ago- ...U.S. Army Pharmacist (67E): Providing Treatment Assistance to our Nation’s Heroes. U.S. Army Pharmacists are vital to the health and well... ...-being of our nation’s heroes. By providing expert medication management and treatment support, they ensure Soldiers are prepared for...Permanent employmentLocal area
AppCast
New York, NY7 days ago $50 - $55 per hour
...profit health plans serving 33 million members and benefits manager of government programs including Medicare and Medicaid.... ...SUMMARY Performs prospective and/or retrospective drug utilization review and appeals per State and Federal regulations. Participates in the distribution...Contract workRemote workWork from homeAmerit Consulting
New York, NY1 day ago$60 - $70 per hour
...actively recruiting several clinical Pharmacists to support a leading national health... ...for pharmacy drug authorizations and appeals . This fully remote opportunity allows... ...assigned to support pharmacy operations and utilization management. Qualifications Doctor of Pharmacy (...Contract workTemporary workRemote workFlexible hoursShift workWeekend workMedOP Solutions
New York, NY1 day ago- ...MTM Pharmacist - Help Patients Get the Most Out of Their Medications Are you passionate about patient care and looking for a... ...life balance? We're seeking MTM Pharmacists (Medication Therapy Management) to join our growing team. In this role, you'll use your...Remote work
Pharmacy Careers
Flushing, NY3 days ago $96.71k
...and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding... ...interpretation, profiling of cost and utilization plan data, provider relations and implementation... ...B.S. and current unrestricted NY state Pharmacist license are required. Doctorate in...Full timeContract workPart timeFlexible hoursMetropolitan Jewish Health System
New York, NY3 days ago- ...Direct message the job poster from Managed Staffing, Inc. Looking for Pharmacist with 2 years’ recent experience reviewing and processing prior authorizations... ...and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with...Contract workRemote workWork from home
Managed Staffing
New York, NY1 day ago $96.71k - $116.06k
...and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding... ...interpretation, profiling of cost and utilization plan data, provider relations and implementation... ...B.S. and current unrestricted NY state Pharmacist license are required. Doctorate in...Full timeContract workPart timeWork at officeFlexible hoursMJHS
New York, NY2 days ago- ...Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring a detail... ...drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers...Remote work
Pharmacy Careers
Corona, NY5 days ago - ...Under the direction of the collaborative clinical team lead, performs clinical services relating to the review, evaluation and management of drug therapy to a patient, being treated by a physician for a specific disease or associated disease states, in accordance with...Shift work
NYC Health Hospitals
New York, NY5 days ago - ...New Jersey, Pennsylvania, and Delaware Summary: The Pharmacy Technician supports retail pharmacy operations while performing utilization management functions to ensure safe, cost-effective, and medically necessary medication use. This role combines traditional dispensing...Contract workRemote work
The Judge Group
New York, NY28 days ago $44.09 - $78.7 per hour
...quarter Holiday Requirement: 3 holidays per year Primary Responsibilities Support utilization review determinations for specialty medication populations, and broader case and disease management teams to achieve optimal clinical outcomes Provide clinical guidance in the...Hourly payMinimum wageFull timeWork experience placementLocal areaRemote workMonday to FridayShift workWeekend workOptum
New York, NY2 days ago$55 - $67 per hour
...infusion pharmacy in the New York, NY area requires two skilled pharmacists for a 13-week contract opportunity with the possibility of... ...critical home infusion therapies and comprehensive medication management. Responsibilities: Accurately accept and...Contract workImmediate startMonday to FridaySoliant Health
New York, NY3 days ago- ...Lead, Nuclear Pharmacist Memorial Sloan Kettering Cancer Center is hiring for a Lead, Nuclear Pharmacist Position in Murray Hill, New... ...medications for various applications in MITS. - Provide management of nuclear pharmacy operations and staff, project management,...
BANDANA
New York, NY5 days ago - ...Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior... ...in the U.S. Experience: Prior authorization, utilization management, or managed care preferred retail or hospital...Remote jobWork from homeFlexible hours
$100k
Join to apply for the Pharmacist - Clinic Pharmacy - Per Diem role at... ...interactions, or patient drug utilization. Orders and maintains... ...United States . Philadelphia, PA $100,000.00 - $180,700.00 3 weeks... ...Health/Fox Chase Cancer Center Manager, Pharmacy 340B (Revenue...Daily paidPart timeWork at officeRemote work- ...Your job is more than a job. The Manager of Pharmacy Operations develops, plans, and implements department initiatives and services... ...EXPERIENCE QUALIFICATIONS Required: 5 years of experience as a pharmacist in an acute care hospital; 3 years of experience in a supervisory...Immediate startRelocation packageShift work
LCMC Health
New York, NY3 days ago $116.72k - $175.08k
...Pharmacist Coordinator – Compounding and Regulatory Compliance The Pharmacist Coordinator... ...Compounding and Regulatory Compliance manages daily sterile and non-sterile... ...also monitors inventory levels based on utilization trends, oversees automation workflows,...Full timeTraineeshipLocal areaMount Sinai Hospital
Brooklyn, NY3 days ago- A major healthcare provider in New Jersey is looking for a District Support Pharmacist to manage pharmacy operations, ensure patient safety, and provide care. This role involves filling in pharmacist shifts across various locations while supporting team management and...Shift work
$60 - $76 per hour
A healthcare provider in Georgia is seeking a District Support Pharmacist. The role requires managing patient health through dispensing, counseling, and immunizing practices. The ideal candidate will hold an active pharmacist license and possess strong customer service...Hourly payFull time- A national health services provider seeks a District Support Pharmacist to enhance patient care and supervise pharmacy operations in Kentucky. This role emphasizes customer service, teamwork, and communication skills, requiring an active pharmacist license. Responsibilities...Shift work
- A leading healthcare company is hiring a District Support Pharmacist in New York. This role involves managing pharmacy operations, supporting patient health through dispensing and counseling, and covering pharmacist scheduling gaps. The ideal candidate must possess an active...
- ...The North West Company is hiring Pharmacists to serve remote and northern communities across Canada, including the Northwest Territories. This role offers competitive salary and full relocation support for those willing to contribute to underserved areas. As a Pharmacist...Full timeRemote workRelocationRelocation package
The North West Company
New York, NY4 days ago - ...difficult or complex related issues. Assists management in staff scheduling, prioritizing and... ...) in pharmacy software system while utilizing the Health System's electronic medical... ...information, and/or health matters to licensed Pharmacist. Navigates insurance plans and bills...Hourly pay
- A healthcare solutions provider is seeking a 340B Pharmacy Operations Specialist to support the 340B Infusion Leakage Program. This role involves pre-qualification screening for infusion providers and ensuring compliance with HRSA standards. Candidates should have 1–3 ...Remote work
VALID8 Financial
New York, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Pharmacist, Utilization Management (PA) & Appeals. Be the first to apply!
Related searches
- prior authorization pharmacist New York, NY
- remote prior authorization pharmacist New York, NY
- overnight pharmacist New York, NY
- graduate pharmacist New York, NY
- government pharmacist New York, NY
- pharmacist New York, NY
- pharmacist per diem New York, NY
- pharmacist long term care New York, NY
- cvs pharmacist New York, NY
- pharmacist night shift New York, NY