Remote Coverage Review Pharmacist Appeals & Compliance
Global Channel Management
A healthcare management company is seeking a Remote Coverage Review Pharmacist located in Tennessee. This role requires a Doctor of Pharmacy (PharmD) degree, clinical experience, and a solid understanding of regulatory guidelines. The Pharmacist will be responsible for reviewing medication-related prior authorizations, appeals, and grievances, working independently or in a team to deliver quality pharmaceutical services. Excellent communication and organizational skills are essential for this position. #J-18808-Ljbffr
- ...About the job Remote Coverage Review Pharmacist Remote Coverage Review Pharmacist needs 3 years and Doctor... ...associated with coverage reviews and appeals including the review of medication... ...criteria and ensures that decision letters meet regulatory compliance #J-18808-Ljbffr...Remote workWork at office
- A managed care organization is seeking an Appeals Pharmacist to review and process medication coverage appeals. This role is ideal for pharmacists with strong... ...collaborating with healthcare professionals, and ensuring compliance with regulations. The position offers competitive...Remote workFlexible hours
- ...care organization is seeking an experienced Appeals Pharmacist to advocate for patients by reviewing and processing medication coverage appeals. The role involves collaborating... ...healthcare professionals and ensuring compliance with regulations. The ideal candidate has...Remote workFlexible hours
- ...healthcare partner is seeking an Appeals Pharmacist to review and process medication coverage appeals. Applicants should have... ...professionals and ensuring compliance with regulations. The company offers... ..., with flexible work options including remote roles. #J-18808-LjbffrRemote workFlexible hours
- ...healthcare partner is seeking an experienced Appeals Pharmacist to advocate for fair medication access. In this role, you will review medication coverage appeals and collaborate with... ...healthcare professionals to ensure regulatory compliance. Candidates should possess a Doctor...Remote workFlexible hours
- ...Appeals Pharmacist – Ensure Fair Medication Access for Patients... ...Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role is... ...report appeal outcomes in compliance with state and federal... ...offer hybrid or fully remote options. Rewards:...Remote work
$80k - $90k
...Range: $80-90k The Medical Review Clinical Appeals Auditor (RN) is responsible... ...anti-harassment and other compliance and policy/procedures... ...programs, particularly the coverage and payment rules and regulations... ...to work independently in remote setting with minimum supervision...Remote workFor contractorsImmediate startWork from homeHome officeFlexible hoursShift work- ...A confidential managed care organization in New Hampshire is seeking an Appeals Pharmacist to review and process medication coverage appeals. The role requires a PharmD or Bachelor of Pharmacy degree and an active pharmacist license. You'll advocate for patients, applying...Remote work
$125k - $130k
...: Responsible for reviewing clinical coverage determination and appeals for different lines of... ...Active, unrestricted, pharmacist license required... ..., stay productive in a remote, high-volume, metric driven... ...including the reporting of non-compliance. This position...Remote workTemporary workWork at officeLocal areaFlexible hoursShift work$40.87 - $80.43 per hour
...Pharmacist Position At UnitedHealthcare, we're simplifying... ...flexibility to work remotely* from anywhere within... ...clinical status for appeals requests Conduct... ...area of expertise Review formulary and utilization... ...provider appeals of pharmacy coverage decisions Gather...Remote workHourly payWork experience placement- ...Itlearn360 is offering a remote Pharmacist 1 position primarily based in Phoenix, AZ, focusing on ensuring compliance with state and federal drug laws. The role involves conducting PA reviews and advising management on legislative needs. The ideal candidate will have...Remote work
- ...Beaverton, Oregon is seeking an experienced Appeals Pharmacist. The role involves reviewing and processing medication coverage appeals, ensuring fair access to medications.... ...salary, benefits, and potential for hybrid or remote work options. #J-18808-Ljbffr Pharmacy CareersRemote job
- ...Raleigh, NC is seeking an experienced Appeals Pharmacist to review medication coverage appeals. The ideal candidate will... ...with medical staff, and ensuring compliance with regulations. The role offers... ...with opportunities for hybrid or remote work. #J-18808-Ljbffr Pharmacy...Remote job
- ...Lexington is seeking an experienced Appeals Pharmacist to ensure fair access to medications for patients. This role involves reviewing medication coverage appeals and collaborating with healthcare... ...and flexibility, including potential remote options. #J-18808-LjbffrRemote work
- ...healthcare organization is seeking an experienced Appeals Pharmacist in Baton Rouge. This role focuses on reviewing medication coverage appeals to ensure fair access. The ideal... ...salary, comprehensive benefits, and potential for hybrid or remote work. #J-18808-Ljbffr...Remote work
- ...A healthcare organization is seeking an experienced Appeals Pharmacist to advocate for fair medication access for patients. Responsibilities include reviewing medication coverage appeals, collaborating with healthcare professionals, and preparing clinical rationales....Remote workFlexible hours
- ...A confidential managed care organization in the United States is seeking an experienced Appeals Pharmacist to advocate for patients by reviewing medication coverage appeals. The ideal candidate possesses a PharmD degree, an active pharmacist license, and strong clinical...Remote work
- ...organization in South Dakota is seeking an experienced Appeals Pharmacist to review medication coverage appeals. This role leverages clinical knowledge and... ...position offers competitive salary, comprehensive benefits, and flexibility for hybrid or remote work. #J-18808-LjbffrRemote work
- ...organization is seeking an experienced Appeals Pharmacist in Michigan to advocate for patients by reviewing and processing medication coverage appeals. This role offers competitive salary... ...judgment. Flexibility for hybrid or remote work options is available. #J-18808-...Remote work
- ...A confidential managed care organization is seeking an experienced Appeals Pharmacist to review and process medication coverage appeals. The ideal candidate will utilize their clinical knowledge and critical thinking skills to ensure fair and evidence-based decisions....Remote work
- ...organization in Las Vegas is seeking an Appeals Pharmacist to ensure fair medication access for patients by reviewing and processing medication coverage appeals. Ideal candidates will bring... ...benefits, and opportunities for hybrid or remote work. #J-18808-LjbffrRemote work
- A confidential managed care organization is seeking an experienced Appeals Pharmacist in Connecticut. This role involves reviewing and processing medication coverage appeals while leveraging clinical knowledge to advocate for fair decisions. The ideal candidate holds a...Remote work
- ...A healthcare organization is seeking an experienced Appeals Pharmacist in South Burlington, Vermont. The role involves reviewing and processing medication coverage appeals, ensuring fair access for patients. Candidates should hold a PharmD or Bachelor of Pharmacy degree...Remote workFlexible hours
- ...healthcare partner is seeking an experienced Appeals Pharmacist in Atlanta, GA. This role focuses on reviewing medication coverage appeals using clinical judgment to advocate... ...competitive salary, comprehensive benefits, and hybrid or fully remote work options. #J-18808-LjbffrRemote work
- ...organization is seeking an experienced Appeals Pharmacist in Denham Springs, Louisiana. This role involves reviewing and evaluating medication coverage appeals, ensuring fair access for... ...salary and benefits, with potential for hybrid or remote work options. #J-18808-LjbffrRemote work
- A confidential managed care organization seeks an experienced Appeals Pharmacist in Indianapolis, IN to review and process medication coverage appeals. The role includes evaluating clinical documentation and advocating for patients to ensure fair access to medications....Remote workFlexible hours
- ...organization in Wichita, Kansas is seeking an experienced Appeals Pharmacist to review medication coverage appeals. This role focuses on leveraging clinical... ...preferred. This position offers competitive salary and opportunities for flexibly remote options. #J-18808-LjbffrRemote work
- ...managed care organization is seeking an Appeals Pharmacist in Huntington, West Virginia. The role involves reviewing medication coverage appeals, applying evidence-based guidelines... ...comprehensive benefits, and potential for hybrid or remote work options. #J-18808-LjbffrRemote work
- ...managed care organization is hiring an experienced Appeals Pharmacist to review and process medication coverage appeals. This role aims to ensure fair access to... ...S. Competitive salary and benefits are offered, with flexibility for hybrid or remote work. #J-18808-LjbffrRemote work
- ...A-Line Staffing Solutions is seeking a Pharmacist Operations Advisor to support Medicare Part D... ...providers with pharmacy benefit requests. This remote role focuses on accurate case setup, clinical review, and ensuring compliance with Medicare guidelines. Ideal candidates...Remote work
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