Remote Clinical Review Pharmacist - Utilization Management
Actalent
Actalent is seeking a Clinical Review Pharmacist for a fully remote contract position based in Salt Lake City, UT. Candidates will evaluate Utilization Management requests, consulting with healthcare providers and ensuring adherence to formularies. Required qualifications include a PharmD, a pharmacist license, and 2+ years of retail experience. Benefits include health insurance, a 401(k) plan, and transportation benefits. The position emphasizes productivity, accuracy, and a strong attendance record. #J-18808-Ljbffr
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Remote Clinical Review Pharmacist - Utilization Management in Salt Lake City, UT vacancy
$55 per hour
...Actalent is seeking a Clinical Pharmacist for a fully remote role to review utilization management requests. This position requires a PharmD or BS in Pharmacy and a current pharmacist license. Your responsibilities include evaluating requests, determining coverage...Remote workActalent
Phoenix, AZ6 days ago- ...Actalent is seeking a Clinical Pharmacist for a fully remote opportunity. In this role, you will review utilization management requests and make informed decisions while collaborating with healthcare providers and team members. The ideal candidate should have a PharmD...Remote workHourly pay
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Phoenix, AZ2 days ago $55 per hour
...Actalent is seeking a dedicated Clinical Pharmacist for a fully remote position. The role involves reviewing utilization management requests, making informed decisions, and communicating effectively with clients and healthcare providers. Qualified candidates should hold...Remote workActalent
Nashville, TN2 days ago$55 per hour
...Actalent is seeking a dedicated Clinical Pharmacist to join our team in a fully remote capacity, responsible for reviewing utilization management requests. The ideal candidate will have a PharmD and at least two years of clinical pharmacy experience. This position requires...Remote workActalent
Dallas, TX4 days ago- ...Actalent is seeking a dedicated Clinical Pharmacist to join our remote team in Oklahoma City. This role involves reviewing utilization management requests and requires precision, clinical judgment, and effective communication. The ideal candidate holds a PharmD or a BS...Remote work
Actalent
Oklahoma City, OK4 days ago $55 per hour
...Actalent is seeking a dedicated Clinical Pharmacist for a fully remote position. You will be responsible for reviewing utilization management requests and making clinical decisions based on specific criteria. The ideal candidate needs to have a Doctor of Pharmacy (PharmD...Remote workActalent
Denver, CO4 days ago- ...Actalent is seeking a dedicated Clinical Pharmacist to join our remote team. The role involves reviewing utilization management requests and making informed decisions based on specific criteria, requiring precision and clinical judgment. The ideal candidate must hold a...Remote work
Actalent
Dallas, TX2 days ago $104k - $143k
...part of our caring community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist... ...and comprehensive medication reviews for prescriptions requiring pre-authorization... ...season Travel: While this is a remote position, occasional travel to...Remote workDaily paidFull timeContract workApprenticeshipMonday to FridayFlexible hoursShift workWeekend workHumana
Phoenix, AZ5 days ago$89.9k - $160.6k
...OverviewJoin to apply for the Clinical Pharmacist Utilization Management - Remote PST role at OptumOptum is a global organization that delivers care, aided... ...ResponsibilitiesResponsibilitiesCompletes assigned daily prior authorization case reviews to meet production and performance metrics as...Remote workMinimum wageFull timeWork experience placementLocal areaMonday to FridayOptum
Denver, CO3 days ago$91.7k - $163.7k
...Clinical Pharmacist Optum is a global organization that delivers care... ...outcomes through completion of utilization management functions for value-based... ...the flexibility to work remotely * from anywhere within the... ...prior authorization case reviews to meet production and...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to FridayGenoa Telepsychiatry
United States6 days ago$55 per hour
...Women Veterans Interactive is seeking a dedicated Clinical Pharmacist for a fully remote position. This role involves reviewing utilization management requests, making informed clinical decisions based on specific criteria, and collaborating with healthcare providers....Remote workHourly payWomen Veterans Interactive
Nashville, TN13 hours ago- ...Clinical Pharmacist - Utilization Management Archimedes Location US- ID 2026-6002 Category Archimedes Position Type Full-Time Remote No Company Archimedes About Us Archimedes - Transforming the Specialty...Remote workFull timeWork at office
Navitus Health Solutions
Madison, WI1 day ago - ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board... ...with management and providing guidance on clinical questions. This is a unique opportunity to work...Remote workFull timeWork from home
ExamWorks
New York, NY2 days ago - ...is looking for an experienced Registered Nurse in Peoria, Illinois. The role focuses on utilization review, clinical consultation, and effective patient support within a fully remote setting. Candidates should have an active Illinois RN license and significant...Remote workWork from home
Guidehealth
Peoria, IL4 days ago - A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote jobFull timeWork at officeWork from home
$120.24k - $214.93k
...Resp & Qualifications PURPOSE: The Clinical Pharmacist will perform comprehensive clinical services with a focus on utilization management for specialty drugs covered under the... ...compliant with regulatory mandates. Reviews pharmacy market information and trends...Work experience placementImmediate startCareFirst BlueCross BlueShield
Baltimore, MD3 days ago- ...Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug... ...use, applying clinical guidelines, and collaborating... ...roles offer hybrid or fully remote schedules. Rewards:...Remote work
Pharmacy Careers
Kalispell, MT4 days ago $211.2k - $277.2k
...Physician Reviewer - Utilization Management You will determine the medical appropriateness of inpatient... ...and pharmacy services by reviewing clinical information and applying evidence-based... .... Work Location: This is a remote position, open to candidates who reside...Remote workFull timeLocal areaWork from homeHome officeWeekend workOscar Health
United States1 day ago- ...Part-Time | Remote (U.S. Based) Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering evidence-based solutions for more than Physician Advisor (Utilization Review) Part-Time | Remote...Remote workPart timeWork at officeWork from home10 hours per weekFlexible hoursShift workWeekend work
Medical Review Institute
Salt Lake City, UT4 days ago - ...A healthcare organization is seeking a Physician Clinical Reviewer specializing in Dermatology to join their utilization management team. This remote role involves reviewing medical service requests, collaborating with healthcare professionals, and ensuring compliance...Remote work
Prime Therapeutics
Baton Rouge, LA4 days ago $45k - $70k
...A healthcare services company is seeking a Utilization Management Nurse Reviewer to ensure medical services are used appropriately. The role involves... ...nursing license and have at least 2 years of clinical nursing experience, along with strong communication and...Remote workDane Street
New York, NY2 days ago$260k - $275k
...Medix™ is seeking a Board-Certified Physician for a fully remote, non-clinical role in Utilization Management. The position involves reviewing clinical documentation to determine the appropriateness of inpatient, outpatient, and pharmacy services. Ideal candidates will...Remote workMedix
New York, NY2 days ago- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing... ...This position offers a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
IntePros
New York, NY2 days ago - ...Actalent is seeking a Remote Clinical Pharmacist in Houston, TX, responsible for reviewing utilization management requests and making clinical decisions. The role requires strong communication skills and the ability to prioritize tasks. A PharmD or Bachelor of Science...Remote workContract work
Actalent
Houston, TX5 days ago - ...healthcare provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license... ...This position offers the flexibility of remote work while supporting professional growth...Remote work
Guidehealth
Chicago, IL4 days ago - ...Location: Florida - Remote WHY JOIN FCS... ...locations in our network. Utilizing innovative clinical research, cutting-... ...Clinical Oncology Pharmacist will serve as a... ...monitoring, protocol management, medication information... ...Reviews drug utilization reports...Remote workPrivate practiceWork at officeLocal areaWork from home
Florida Cancer Specialists
Sarasota, FL1 day ago - ...Clinical Pharmacist The Clinical Pharmacist will help our communities... ...thrive by optimizing medication management to allow our physicians... ...medication management services utilizing prescribed workflows.... ...their medication management review and recommendations and not...Remote workLocal area
Stellus Rx
United States1 day ago - ...A leading healthcare analytics firm is seeking a Registered Nurse for a remote role focused on utilization review and clinical determinations. The position requires strong communication skills, 5+ years of varied healthcare experience, and an active RN license in Illinois...Remote work
Guidehealth
Chicago, IL4 days ago - ...Specialist in Albany, GA. Responsibilities include managing insurance notifications and certifications for Utilization Review, ensuring compliance with regulations while... ...Nursing and have relevant experience in acute clinical care and Utilization Review. The position...Remote workFull time
Phoebe Putney Memorial Hospital
Albany, GA4 days ago - ...MVP Health Care is seeking a Sub-Acute RN UM Reviewer-Medicare to join our Utilization Management team. In this remote role, you will conduct clinical reviews to ensure compliance with Medicare guidelines and support high-quality patient outcomes. The ideal candidate...Remote work
MVP Health Care
New York, NY4 days ago
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