Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Pharmacist Medical Reviewer - Healthcare Reviews

Gainwell Technologies

Gainwell Technologies is seeking a Pharmacist for Medical Reviewer roles supporting California healthcare programs. The position involves pharmacy and clinical reviews, claim adjudication support, drug utilization review, and drug-related authorization activities.

Must hold a current California pharmacist license, be in good standing, and have strong communication skills. Remote work setup with full-time hours and ongoing professional development are offered.

#J-18808-Ljbffr
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Remote Pharmacist Medical Reviewer - Healthcare Reviews in United States vacancy
  • Gainwell Technologies seeks a Medical Reviewer (Pharmacist) to provide pharmacy and clinical expertise...  ...Medical Review Services for California healthcare programs. The role includes pharmacy...  ...Review functions. It is a full-time remote role with a Monday-Friday schedule, reviewing... 
    Remote job
    Full time
    Monday to Friday

    Gainwell Technologies

    West Sacramento, CA
    1 day ago
  • $100k - $140k

    It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put...  ...is seeking a Medical Reviewer (Pharmacist) to provide pharmacy and clinical...  ...this role Full-time position. Remote work environment. Monday... 
    Remote job
    Full time
    Work from home
    Home office
    Monday to Friday
    Flexible hours

    Gainwell Technologies

    New York, NY
    2 days ago
  • A healthcare solutions provider is seeking a Remote Pharmacist to conduct VA quality reviews, focusing on clinical assessments without direct patient interaction. Candidates must...  ...U.S. Responsibilities include evaluating medical records and maintaining confidentiality.... 
    Remote work
    Flexible hours

    Visual Connections LLC

    United States
    3 days ago
  • $57 per hour

     ...ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts... 
    Remote work
    Hourly pay
    Work from home
    Flexible hours

    ProPivotal Staffing

    United States
    3 days ago
  •  ...The Clinical Pharmacy Reviewer (Pharmacist) evaluates complex prior authorization...  ...requests, appeals, and medication coverage determinations to...  ...commitment to high-quality healthcare delivery and regulatory...  ...Dane Street? Collaborative remote culture Professional growth... 
    Remote work
    Local area
    Work from home

    Dane Street

    United States
    4 days ago
  • $57 per hour

    Clinical Pharmacist Reviewer - Work From Home (MA) - Earn Up To $57/hr Remote position supporting clinical pharmacy services Competitive pay...  ...Help improve prior authorization & medication approval processes Work with top healthcare teams to optimize treatments Flexible... 
    Remote work
    Work from home
    Flexible hours

    ProPivotal Staffing

    Hingham, MA
    3 days ago
  •  ...Remote DUR Pharmacist – Safe & Cost-Effective Medication Use | Work From Home Analyze medication use patterns, apply...  ...home. This remote Drug Utilization Review Pharmacist role is ideal for...  ...About Us We are a confidential healthcare partner providing managed‑care pharmacy... 
    Remote work
    Work from home

    Pharmacy Careers

    United States
    1 day ago
  •  ...expert retrospective clinical reviews for the U.S. Department of Veterans Affairs (VA). As a Pharmacist, you will evaluate charts and...  ...direct patient care. Work is remote and compensated at a flat rate...  ...Routine Management Reviews, and Medical Advisory Opinions. Evaluate core... 
    Remote work
    Hourly pay
    Price work
    Temporary work
    Traineeship
    Local area
    Flexible hours

    Visual Connections, LLC

    Annapolis, MD
    4 days ago
  •  ...Street is seeking experienced otolaryngology reviewers to join our remote team. In this role you will evaluate medical records, prepare clinical summaries, and engage...  ...your schedule while contributing to high-quality healthcare assessments. Board-certified physicians with... 
    Remote work
    For contractors

    Dane Street

    United States
    1 day ago
  •  ...provider—we’re your trusted partner in innovation. Medical Review Nurse (Temporary Contract, Remote) Compensation rate: $32.5K/$31.25/hr. 6 month salary...  ...and the Centers for Disease Control (CDC) National Healthcare Safety Network (NHSN) based on the approved data validation... 
    Remote work
    Contract work
    Temporary work
    For contractors
    Live in
    Work at office
    Work from home
    Home office
    Monday to Friday

    Broadway Ventures

    Remote
    3 days ago
  •  ...DescriptionMilu Health is a digital healthcare provider that exists...  ...and resolve major medical issues for its...  ...Milu's provider team of pharmacists and nurses helps...  ...patients through medication review and reconciliation,...  ...our clinical team. This remote, part-time role is... 
    Remote work
    Part time

    Milu Health, Inc.

    United States
    5 days ago
  • $70 per hour

     ...pharmacy expertise to help evaluate AI-focused healthcare work by reviewing how prescription medication names are spoken. This remote opportunity applies specialized knowledge...  ...project needs arise.QualificationsLicensed Pharmacist, PharmD or RPh, or an experienced Pharmacy... 
    Remote work
    Hourly pay

    SaidGig

    New York, NY
    4 days ago
  •  ...A healthcare evaluation company is seeking a Medical Reviewer for a telework position. In this role, you will evaluate medical records and provide clinical summaries to clients. The ideal candidate is Board Certified in Medical Oncology with over 5 years of clinical experience... 
    Remote work
    For contractors

    Dane Street

    Washington DC
    3 days ago
  •  ...firm offers an exciting telework opportunity for a Physician Reviewer. In this role, you will leverage your clinical expertise to review...  ...and are passionate about making sound, objective decisions in healthcare. Join a team that values your expertise and supports your... 
    Remote work

    Dane Street

    Las Vegas, NV
    1 day ago
  •  ...Remote Clinical Review Pharmacist – Work From HomeLeverage your clinical knowledge in a fully remote Clinical...  ...safe, effective, and affordable medications.Develop specialized expertise in...  ...opportunities.About Us We are a confidential healthcare organization providing managed-care... 
    Remote work
    Work from home
    Flexible hours

    Pharmacy Careers

    United States
    3 days ago
  •  ...About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited...  ...is to support fair and accurate healthcare and disability-related decisions by leveraging...  ...questions. Reviews are conducted remotely and do not require direct patient interaction... 
    Remote work
    Full time
    For contractors
    Flexible hours

    Managed Medical Review Organization, Inc.

    New York, NY
    4 days ago
  • A healthcare technology company is seeking physicians with a minimum of 5 years clinical experience, preferably in Family Medicine, for a peer review role. Responsibilities include reviewing medical records and making standard of care determinations while working from... 
    Remote job
    Work from home
    Flexible hours

    Acentra Health, LLC

    New York, NY
    4 days ago
  •  ...Purpose: Perform clinical/coding medical claim review to ensure compliance with coding practices...  ..., building your skills while making healthcare more accessible and effective. It’s...  ...and a flexible approach to work with remote, hybrid, field or office work schedules... 
    Remote work
    Full time
    Part time
    H1b
    Work at office
    Flexible hours

    Centene Corporation

    Florida
    5 days ago
  • $100k - $120k

     ...Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and...  ...learning, and career development. Medical Reviewer (Optometrist) - Remote CA Summary Gainwell Technologies is... 
    Remote work
    Full time
    Work from home
    Home office
    Monday to Friday
    Flexible hours

    Gainwell Technologies

    West Sacramento, CA
    4 days ago
  • $48 - $51 per hour

     ...Job Title: Medical Reviewer / Safety Reviewer III (Contract, Remote) Job Description This contract Medical Reviewer / Safety Reviewer III role provides...  ...sciences, pharmacy, medical, nursing, or related healthcare field (such as PharmD or PhD, or equivalent... 
    Remote work
    Contract work
    Temporary work
    Monday to Friday
    Flexible hours

    Actalent

    North Chicago, IL
    5 days ago
  •  ...Gainwell Technologies is seeking a Medical Reviewer (Prosthetic and Orthotic Devices Specialist) to support California healthcare programs. You will review prosthetic and orthotic...  ...maintaining knowledge of standards and regulations. Remote work is supported. #J-18808-Ljbffr
    Remote work

    Gainwell Technologies

    United States
    3 days ago
  • $35 - $42 per hour

    Program Integrity Medical Record Reviewer III Location: Remote Compensation: $35 - $42 per hour Contract Length: 6 months with potential for full-time...  ...you will conduct detailed medical coding reviews of healthcare claims, supporting both pre-pay and post-pay claim reviews... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Local area
    Immediate start

    Medasource

    New York, NY
    2 days ago
  • $20 - $75 per hour

    A healthcare marketing company seeks freelance medical reviewers to assess the accuracy of healthcare content. Candidates should have a medical or dietetics background...  ...and ensuring medical information clarity. This remote role offers flexible hours and a pay range of $20-... 
    Remote job
    Hourly pay
    Extra income
    Freelance
    Flexible hours

    Swoop

    New York, NY
    4 days ago
  • Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity PsyPhyCare is seeking Medical Case Reviewers to support a federal healthcare program focused on evaluating vaccine- and countermeasure-related injury claims. These programs provide compensation... 
    Remote job
    Hourly pay
    Contract work

    PsyPhyCare

    New York, NY
    3 days ago
  • $48 - $51 per hour

    Medical Reviewer / Safety Reviewer III (Contract, Remote) This contract Medical Reviewer / Safety Reviewer III role provides scientific and medical review support...  ...sciences, pharmacy, medical, nursing, or related healthcare field (such as PharmD or PhD, or equivalent... 
    Remote work
    Contract work
    Temporary work
    Monday to Friday
    Flexible hours

    Actalent

    New York, NY
    2 days ago
  • $50k - $60k

     ...It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your...  ...is seeking a Medical Reviewer (Laboratory Specialist) to provide...  ...Full-time position. Remote work environment. Monday... 
    Remote work
    Full time
    Home office
    Monday to Friday
    Flexible hours

    Gainwell Technologies LLC

    Sacramento, CA
    1 day ago
  • Itemized Bill and Medical Record Reviewer job at Alaffia Health. New York, NY. About Alaffia & Our Mission Each year, the U.S. healthcare system suffers from over $500B in wasted spending due...  ...— direct access to Leadership LI-REMOTE #J-18808-Ljbffr Alaffia Health
    Remote work
    Flexible hours

    Alaffia Health

    New York, NY
    4 days ago
  • $20 - $75 per hour

     ...privacy-safe, award-winning omnichannel healthcare marketing, connects patients,...  ...MyHealthTeam is looking for freelance medical reviewers who will assess and improve the medical...  ...For This Role Is 20 - 75 USD per hour (Remote (United States)) #J-18808-Ljbffr Swoop
    Remote work
    Hourly pay
    Extra income
    Freelance

    Swoop

    New York, NY
    4 days ago
  • $125 per hour

    The Work You will review medical materials and AI-generated outputs for clinical review projects...  ...and improve how AI systems handle healthcare information. Classify source materials...  ...than 20 hours per week. Work arrangement: Remote contractor tasks. Location: Open to candidates... 
    Remote work
    Hourly pay
    Part time
    For contractors

    OpenTrain AI, Inc.

    New York, NY
    5 days ago
  • About This Role The Medical Coding Reviewer I position involves performing clinical and coding medical...  ...and analytical. Highlights Location: Remote, MO Schedule: Full Time, Day shift...  ...office) About Centene Centene is a leading healthcare provider committed to delivering... 
    Remote work
    Full time
    Work at office
    Flexible hours
    Day shift

    Centene

    Kansas City, MO
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Pharmacist Medical Reviewer - Healthcare Reviews. Be the first to apply!