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
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Coverage Review Pharmacist Appeals & Compliance in Chattanooga, TN vacancy
- ...About the job Remote Coverage Review Pharmacist Remote Coverage Review Pharmacist needs 3 years... ...associated with coverage reviews and appeals including the review of medication related... ...clinical criteria and ensures that decision letters meet regulatory compliance...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
- ...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
- ...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...Remote work
- ...A confidential managed care organization is seeking an Appeals Pharmacist in Virginia to review medication coverage appeals. This role combines clinical knowledge and advocacy to ensure fair access to medications. Ideal candidates possess a PharmD and an active U.S. pharmacist...Remote work
$40.87 - $80.43 per hour
...Pharmacist At UnitedHealthcare, we're simplifying the... ...flexibility to work remotely* from anywhere within... ...and clinical status for appeals requests Conduct Quality... ...area of expertise Review formulary and... ...provider appeals of pharmacy coverage decisions Gather...Remote workHourly payWork experience placement- ...organization is seeking an experienced Appeals Pharmacist in Dover, Delaware. This role focuses on reviewing and processing medication coverage appeals using clinical knowledge to ensure... ...offers competitive compensation and potential for remote work. #J-18808-Ljbffr...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- ...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
- 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. Strong...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
- ...A confidential managed care organization in Bothell, WA, seeks an experienced Appeals Pharmacist. In this role, you'll review and process medication coverage appeals, ensuring fair access for patients through collaboration with healthcare professionals and by applying...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
- A managed care organization is seeking an experienced Appeals Pharmacist to review and process medication coverage appeals. This role offers impact in patient care, opportunities for professional growth, and flexible work arrangements. Ideal candidates will hold a PharmD...Remote workFlexible hours
- 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
- 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 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 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
- ...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
- A confidential healthcare partner is seeking an Appeals Pharmacist to ensure fair access to medications for patients. The role involves reviewing medication coverage appeals and collaborating with healthcare professionals. Candidates should have a Doctor of Pharmacy or...Remote workFlexible hours
- ...organization in Los Angeles is seeking an experienced Appeals Pharmacist to oversee medication coverage appeals. The role involves reviewing clinical documentation, collaborating with... ...salary, comprehensive benefits, and potential for hybrid or remote work. #J-18808-LjbffrRemote 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
- 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 job
- ...Pharmacist needed for Remote / Work From Home Position! Multiple openings with a July... ...Description: Evaluate and review all prior authorization requests and render coverage determinations based on... ...Part D requests, in compliance with Medicare guidelines, while...Remote workHourly payFull timeWork at officeWork from homeHome officeMonday to Friday
- A healthcare partner is seeking an experienced Appeals Pharmacist in Charlotte, NC to review medication coverage appeals and advocate for fair access to medications... ...offers competitive salary and benefits with flexibility for remote options. #J-18808-Ljbffr Pharmacy CareersRemote job
- A healthcare organization is seeking an Appeals Pharmacist in St. Louis, Missouri, to review and process medication coverage appeals. The ideal candidate will have a PharmD... ...benefits are offered, with potential hybrid or remote work options. #J-18808-Ljbffr Pharmacy...Remote job
- A confidential managed care organization is seeking an Appeals Pharmacist to review medication coverage appeals. This individual will leverage clinical knowledge to advocate for patients, ensuring fair decisions. Responsibilities include reviewing clinical documentation...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Coverage Review Pharmacist Appeals & Compliance. Be the first to apply!
Related searches
- oncology pharmacist Chattanooga, TN
- work from home pharmacist part time Chattanooga, TN
- production pharmacist Chattanooga, TN
- infectious disease pharmacist Chattanooga, TN
- pharmacist Chattanooga, TN
- prior authorization pharmacist Chattanooga, TN
- research pharmacist Chattanooga, TN
- government pharmacist Chattanooga, TN
- retail pharmacist Chattanooga, TN
- pharmacist long term care Chattanooga, TN

