Remote Clinical Pharmacist - UM & Medicare Advantage
Nebraskablue
Blue Cross and Blue Shield of Nebraska is looking for a Clinical Pharmacist to create and maintain clinical criteria for Utilization Management programs. This role involves clinical oversight, supporting Medicare Advantage processes, and ensuring URAC accreditation. Candidates must have a Doctor of Pharmacy degree from an accredited college and an active pharmacy license in Nebraska. Strong candidates will possess experience with PBM operations and clinical program development, contributing to a collaborative team atmosphere. #J-18808-Ljbffr
Vacancy posted 7 hours ago
Similar jobs that could be interesting for youBased on the Remote Clinical Pharmacist - UM & Medicare Advantage in Kansas City, MO vacancy
- ...Blue Cross and Blue Shield of Nebraska is looking for a Clinical Pharmacist to create and maintain clinical criteria for Utilization... ...programs. This role involves clinical oversight, supporting Medicare Advantage processes, and ensuring URAC accreditation. Candidates...Remote work
Nebraskablue
Florida, NY7 hours ago - ## Clinical PharmacistApplyremote type: Hybridlocations: Remote flexibility for candidates in FL, IA, KS... ...and other staff pharmacists. This position will be... ...Additionally, supporting Medicare Advantage processes, outreach,... ...Utilization Management (UM) programs: Develop...Remote workLive in
Nebraskablue
Florida, NY8 hours ago - ...The Medicare Advantage Clinical Pharmacist is responsible for optimizing medication therapy and improving health outcomes for patients enrolled in Medicare... ...Friday, approximately 8:30am-4pm. Primarily remote; occasional on-site meetings at Assembly Row in Somerville...Remote workFull timeMonday to Friday
Mass General Brigham Community Physicians
Somerville, MA2 days ago - ...City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring for a Clinical Pharmacist for Medicare STARS - Remote! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location:...Remote workPermanent employmentFull timeTemporary workRelocationShift work
Sentara Health
Norfolk, VA2 hours ago - ...UNITAS provides clinical staffing and consulting solutions, including... ...About the role The Clinical Pharmacist is responsible for the... ...documenting of Utilization Management (UM) requests (e.g. prior... .... Positions are available in Medicare and Commercial lines of business...SuggestedPermanent employmentContract workLocal area
Unitas Corporation
Lisbon Falls, ME8 hours ago $106.2k - $225k
...The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist - AMA Dual for a remote role open to candidates throughout the United States. This position requires managing Medicare-Medicaid coverage determinations and supporting clinical programs aimed...Remote workHispanic Alliance for Career Enhancement
Phoenix, AZ8 hours ago$102k - $184.3k
...development. Job Summary (Healthspring)The Clinical Pharmacist plays a vital role in advancing the... ...of drug therapy for Healthspring Medicare members. In this position, you will collaborate... ...Certification required #LI-FW1 #LI-Remote This is a Remote/Work-From-Home role...Remote workWork at officeWork from homeHCSC
United States5 days ago- ...The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist for a remote position. This role focuses on reviewing Medicare-Medicaid coverage determinations and involves responsibilities like drug utilization reviews and supporting clinical programs....Remote work
Hispanic Alliance for Career Enhancement
Oklahoma City, OK1 day ago $106.2k - $225k
...The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist to handle Medicare-Medicaid coverage determinations and support clinical programs from a remote location. This role requires proficiency in Microsoft tools and clinical pharmacy experience. Candidates...Remote workHispanic Alliance for Career Enhancement
Brooklyn, NY8 hours ago$106.2k - $225k
...The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist for a remote position open to candidates in the United States. The role involves conducting clinical reviews, supporting clinical programs, and ensuring effective communication across departments...Remote workHispanic Alliance for Career Enhancement
Indiana, PA8 hours ago$106.2k - $225k
...The Hispanic Alliance for Career Enhancement is looking for a Clinical Pharmacist - AMA Dual for a multi-dimensional remote role, focusing on clinical reviews and pharmacy-related queries. The position requires managed care pharmacist experience and a Doctor of Pharmacy...Remote workWork at officeHispanic Alliance for Career Enhancement
Springfield, IL7 hours ago$106.2k - $225k
...Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist - AMA Dual for a remote role open to qualified candidates within the United States... ...such as conducting Clinical Reviews for Medicare-Medicaid Coverage Determination and supporting clinical...Remote workFull timeHispanic Alliance for Career Enhancement
Topeka, KS9 hours ago$102k - $184.3k
...Health Care Service Corporation in Nashville is seeking a Clinical Optimization Pharmacist responsible for clinical pharmacy activities within the Medicare program. In this role, you will manage pharmacy programs and support provider groups with potential travel. The...Remote workHealth Care
Nashville, TN2 days ago$106.2k - $225k
...The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist - AMA Dual for a remote role. Responsibilities include conducting clinical reviews for Medicare-Medicaid Coverage, providing expertise on formulary decisions, and supporting clinical programs...Remote workFull timeHispanic Alliance for Career Enhancement
Charleston, WV8 hours ago$102k - $184.3k
...Clinical Pharmacist At HCSC, our employees are the cornerstone of our business and the foundation... ...of drug therapy for Healthspring Medicare members. In this position, you will collaborate... ...Certification required #LI-FW1 #LI-Remote This is a Remote/Work-From-Home role....Remote workWork at officeWork from homeHealth Care
United States1 day ago- ...The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist to provide comprehensive clinical support within a dynamic team. Responsibilities include conducting Medicare-Medicaid reviews, supporting clinical programs, and ensuring high-quality drug therapy...Remote workFull time
Hispanic Alliance for Career Enhancement
Lansing, MI1 day ago $106.2k - $225k
...The Hispanic Alliance for Career Enhancement is seeking a Clinical Pharmacist - AMA Dual. This full-time remote role involves clinical reviews and supporting health management programs, ensuring quality and efficiency in drug therapy. Candidates should have a Doctor of...Remote workFull timeHispanic Alliance for Career Enhancement
Helena, MT7 hours ago$106.2k - $225k
...Hispanic Alliance for Career Enhancement is looking for a Clinical Pharmacist - AMA Dual to manage clinical reviews and support programs for Medicare-Medicaid coverage. This remote position requires proficiency in Excel and requires an active Registered Pharmacist license...Remote workMonday to FridayHispanic Alliance for Career Enhancement
New York, NY8 hours ago- ...Walker Healthforce, LLC is looking for a Remote Clinical Pharmacist to support health care clients in New Jersey. This contract position requires... ...5 years of experience in pharmacy and strong knowledge of Medicare clinical programs, with responsibilities including...Remote workWeekly payContract work
Walker Healthforce, LLC
New York, NY1 day ago $104k - $143k
...community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who... ...in Federal prescription programs (Medicare/Medicaid reviews) Self-directed, but... ...peak season Travel: While this is a remote position, occasional travel to Humana's...Remote workDaily paidFull timeContract workApprenticeshipMonday to FridayFlexible hoursShift workWeekend workHumana
Phoenix, AZ2 days ago- ...PRN Clinical PharmacistCoordinate and help manage clinical programs... ...MTM), Annual Wellness Visits, Remote Patient Monitoring, Chronic... ...Pharmacy Practitioners (JCPP) Pharmacists' Patient Care Process to consistently... ..., such as Centers for Medicare & Medicaid Services (CMS) and...Remote workReliefWork at officeWeekend workAfternoon shift
Thrifty White
Osseo, MN1 day ago $10k
...Overview Sentara Health Plans is hiring a Clinical Pharmacist for Medicare STARS – a full‑time, permanent position (40 hours per week). Standard working hours are 8am to 5pm EST, Monday‑Friday. Remote opportunities are available in the following states: Alabama Delaware...Remote workPermanent employmentFull timeTemporary workMonday to Friday170 Sentara Health Administration, Inc.
Virginia, MN1 day ago- ...Completed application via the UM Careers website Letter... ...implementation and monitoring of clinical services for adult patients;... ...Education Pharmacists serve as preceptors for Doctor... ...eligible for hybrid or mobile/remote work mode are at the discretion...Remote workFull timeTemporary workPart timeWork experience placement
University of Michigan
Ann Arbor, MI5 days ago $91.7k - $163.7k
...Clinical Specialty Program Pharmacist Optum is a global organization that delivers care, aided by technology... ...'ll enjoy the flexibility to work remotely from anywhere within the U.S. as you... ...efforts (e.g., specialty, formulary, UM, mail, etc.) in coordination with client...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaUnitedHealthcare At Home
United States1 day ago$126.3k - $173.7k
...of our caring community The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist monitors drug development... ...practice experience Knowledge of Medicare as it relates to pharmacy... ...certification Travel: While this is a remote position, occasional travel to...Remote workFull timeTemporary workApprenticeshipHome officeHumana
Salt Lake City, UT1 day ago$113.33k - $170k
...Job Overview The Clinical Pharmacist I is responsible for reviewing coverage determinations and... ...quality improvement projects aligned with Medicare Star Ratings, HEDIS measures, and... ...CMS regulations, HIPAA, and Medicare Advantage plan compliance requirements. Medical...Remote workMonday to FridayShift workWeekend workE2E Alignment Healthcare USA, LLC
California, MO1 day ago- ...byebyeoffice is looking for a Clinical Pharmacist to join their remote team. This role focuses on conducting medication reviews and improving drug therapy effectiveness for Healthspring Medicare members. Key qualifications include a Doctor of Pharmacy degree and an...Remote work
byebyeoffice
Seattle, WA8 hours ago - ...Sentara Healthcare Inc is seeking a Clinical Pharmacist for Medicare STARS with remote opportunities available across several states. This full-time position requires a Bachelor's degree in Pharmacy and a valid Pharmacist License. As a Clinical Pharmacist, you will work...Remote workFull timeRelocation
Sentara Healthcare
Norfolk, VA2 days ago $121.6k - $164.5k
...Clinical Pharmacist Consultant Work from home within Oregon, Washington, Idaho... ...structures and application; Medicare/CMS regulations and... ...comprehensive member care. #LI-Remote The expected hiring range for... ...most of our roles. To take advantage of this flexible option, we...Remote workImmediate startWork from homeFlexible hoursJobRx, Inc.
Portland, OR8 hours ago$106.2k - $225k
The Hispanic Alliance for Career Enhancement seeks a Clinical Pharmacist - AMA Dual to handle Medicare-Medicaid Coverage Determination and provide clinical expertise. This remote role requires a Pharm.D. and relevant pharmacy experience. Responsibilities include conducting...Remote jobWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical Pharmacist - UM & Medicare Advantage. Be the first to apply!
Related searches
- hospital pharmacist Kansas City, MO
- clinical pharmacist Kansas City, MO
- remote nonprofit Kansas City, MO
- remote financial analyst Kansas City, MO
- remote real estate Kansas City, MO
- remote design intern Kansas City, MO
- remote legal internship Kansas City, MO
- software engineer internship remote Kansas City, MO
- remote data entry agent Kansas City, MO
- remote architect Kansas City, MO