Remote Clinical Pharmacist: Utilization & Coverage Decisions
Actalent
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 in Pharmacy and a current pharmacist license are required.Potential benefits include medical, dental, vision coverage, and a 401(k) retirement plan. This is a contract-to-hire position, fully remote.J-18808-Ljbffr
$104k - $143k
...caring community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical... ...to related areas. Makes decisions regarding own work methods... ...11pm ET Some weekend coverage may be required Mandatory... ...Travel: While this is a remote position, occasional travel...Remote workDaily paidFull timeContract workApprenticeshipMonday to FridayFlexible hoursShift workWeekend work- ...Actalent is hiring a Clinical Review Pharmacist for a 100% remote position, focusing on reviewing Utilization Management requests. Ideal candidates... ...include evaluating coverage requests, consulting with healthcare... ...and consistent clinical decisions across teams. Benefits...Remote workFull timeContract work
$89.9k - $160.6k
...Overview Join to apply for the Clinical Pharmacist Utilization Management - Remote PST role at Optum . Optum is a global organization that delivers... ...- Friday (Five 8-hour days). Rotating weekend coverage. 100% telecommuter position. Under general supervision...Remote workMinimum wageFull timeWork experience placementLocal areaMonday to Friday$55 per hour
...Actalent is seeking a Contract Pharmacist based in Miami, FL. The ideal candidate... ...include reviewing utilization requests and conducting clinical evaluations, requiring strong clinical decision-making skills. This fully remote position offers a pay range of $...Remote workContract work$120.24k - $214.93k
...Qualifications PURPOSE: The Clinical Pharmacist will perform comprehensive... ...services with a focus on utilization management for specialty... ...and monitoring, coverage criteria development, clinical... ...reasoning skills in clinical decision-making, planning and organizing...SuggestedWork experience placementImmediate start- ...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...Remote workContract work
- ...Position Work Mode: 100% Remote - in the U.S. SHIFT:... ...previous prior authorization decisions. Verify coverage in member's prescription... ...request using professional clinical judgment on a case-by-case... ...purposes, including drug utilization of non-formulary drugs and...Remote workWork at officeShift work
- ...Position Title: Clinical Pharmacist 1 Work Location: Remote Assignment Duration: 3 months... ...eligibility and prescription coverage. Reviews chart notes, lab... ...Compiles and analyzes drug utilization data. Supports formulary decisions and P&T Committee. Education...Remote workWork at office
- ...Location: Florida - Remote WHY JOIN FCS At Florida... ...in our network. Utilizing innovative clinical research, cutting-edge... ...Clinical Oncology Pharmacist will serve as a member... ...solving, analysis, decision-making, planning, time... ...Prescription Drug Coverage - Vision & Dental Insurance...Remote workPrivate practiceWork at officeLocal areaWork from homeFlexible hours
$55 - $60 per hour
...UNITAS provides clinical staffing and consulting... ...The Clinical Pharmacist is responsible... ...and documenting of Utilization Management (UM) requests... ...of the decision as it pertains to... ...clinical product coverage issues. Collaborate... ...role is: 55 - 60 USD per hour (Remote)Remote workHourly payPermanent employmentContract workLocal area$106.2k - $225k
...Position SummaryThe Clinical Pharmacist - AMA Dual will be a... ...of Medicare-Medicaid Coverage Determination/Redetermination... ...(IDT), Drug Utilization Review, Formulary development... ...related to formulary decisions made by the Pharmacy... ...core teams.Remote role open to qualified...Remote workHourly payFull timeTemporary workLocal areaShift workWeekend work$91.7k - $163.7k
...Clinical Pharmacist Optum is a global organization that delivers care, aided by technology to... ...care and outcomes through completion of utilization management functions for value-based... ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday$106.2k - $225k
...Position Summary The Clinical Pharmacist - AMA Dual will be a... ...of Medicare-Medicaid Coverage Determination/... ...Management (IDT), Drug Utilization Review, Formulary development... ...related to formulary decisions made by the Pharmacy... ...core teams. Remote role open to qualified...Remote workHourly payFull timeTemporary workLocal areaShift workWeekend work$55 - $60 per hour
...seeking an experienced and clinically driven Managed Care Pharmacist to join a remote healthcare team... ...authorizations and drug utilization review, and the ability... ...healthcare coverage (medical, dental, and... ..., reproductive health decision making, medical condition...Remote workHourly payContract workLocal areaMonday to FridayShift work- ...make better health decisions. At AZ Blue,... ...hybrid, onsite or remote. While the... ...job Provide utilization and drug interaction... ...member benefits and coverage criteria. Perform... ...as a practicing pharmacist 3 years or more... ...initiatives. Act as a clinical resource to FEP...Remote workFull timeWork experience placementWork at officeFlexible hoursShift work1 day per week
$55 per hour
...Actalent is hiring for Remote Clinical Pharmacist! We are seeking a dedicated Clinical... ...responsible for reviewing utilization management requests and making informed decisions based on client-specific... ...Conduct clinical evaluations for coverage determination requests,...Remote workContract workTemporary workImmediate start$135.67k - $179.43k
...Neurology Ambulatory Clinical Pharmacist position offers a unique... ...-based clinical decision-making Provide direct... ...Work closely with the Utilization Management and Prior... ...Comprehensive Medical Coverage: Multiple Cigna health... ...regional office and remote employees. Health Savings...Remote workFull timePart timeWork experience placementWork at officeLocal area- ...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
- ...make better health decisions. At AZ Blue, we... ...hybrid, onsite or remote. While the... ...the medical drug coverage criteria and policies... ...Assist health plan pharmacists by creating and updating clinical criteria for medical... ...medical drug PA grid, utilization management...Remote workFull timeWork experience placement1 day per week
$135.67k - $179.43k
...Allergy, and Immunology Clinical Pharmacist position offers the... ...to guide clinical decision-making and therapy adjustments... ...closely with the Utilization Management and Prior... ...Medical Coverage: Multiple Cigna health... ...regional office and remote employees. Health Savings...Remote workFull timePart timeWork experience placementWork at officeLocal area$121.6k - $164.5k
...Clinical Pharmacist Consultant Work from home within Oregon... ...or guiding clinical decisions based on best... ...may include providing coverage recommendations for medications... ...management, drug utilization management, medication... ...member care. #LI-Remote The expected hiring...Remote workImmediate startWork from homeFlexible hours$55 per hour
...Remote Clinical Pharmacist Medicare UM We are seeking a Remote Clinical Pharmacist... ...to review Medicare utilization management requests, including... ...or deny medication coverage and is ideal for pharmacists... ...to make approval or denial decisions Use independent clinical...Remote jobFull timeContract workTemporary workLive inWork from home$55 per hour
...Remote Clinical Pharmacist Opportunity We are seeking a dedicated Clinical Pharmacist... ...responsible for reviewing utilization management requests and making informed decisions based on client-specific... ...Conduct clinical evaluations for coverage determination requests,...Remote jobContract workTemporary work$53 - $56 per hour
...Contract Location: Remote Duration: 6+... ...: The Pharmacist/Clinician is an operation... ...criteria based & clinical review of medical... ...and render coverage determinations based... ...and appropriately utilizing clinical... ...guarantee that the decisions regarding cases are...Remote workHourly payContract workLocal areaMonday to FridayShift work- ...Clinical Pharmacist, Coverage Determination Location: Birmingham, AL Job Description The Coverage Determination Pharmacist will provide... ...at the health plan regarding clinical pharmacy decisions and programs. This position will serve as a clinical reviewer...Immediate startFlexible hours
$80.41k - $156.8k
...is hiring for a Pharmacist in our UM/Prior Authorization... ...This position is remote and can be worked... ...drug/provider utilization patterns and... ...management), clinical pharmacy services... ...responsible for reviewing coverage determinations... ...determination decisions. Works with...Remote workWork experience placementShift work- ...requests for medication coverage determination for... ...appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by... ...policy review to make decisions on medication coverage... ...CERTIFICATIONS Required Registered Pharmacist Preferred None SKILLS...Remote workFor contractorsWork at officeLocal area
- ...State and Territorial Epidemiologists is seeking a Clinical Pharmacist for a remote position within the United States. This role... ...conducting clinical reviews for Medicare-Medicaid coverage, supporting drug utilization programs, and ensuring communication with prescribers...Remote work
$130k - $160k
...ensure safe, effective utilization that is tailored to... ...disease areas depending on clinic needs. Work with... ...Brigham values to govern decisions, actions and behaviors... ...needs or, Clinical Pharmacist hospital practice experience... ...0K annually. Remote Type Hybrid...Remote workFull timeWork at officeImmediate startWork from homeFlexible hoursShift work2 days per week1 day per week- ...6 Summary Location: 100% Remote Shift: Mon - Fri 10am - 6... ...Responsibilities Review 140 to 160 clinical prior authorizations or coverage determinations daily.... ...Required: Current state pharmacist license Years of... ...by importance: Clinical decision making Ability to learn new...Remote workShift workWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical Pharmacist: Utilization & Coverage Decisions. Be the first to apply!
- clinical pharmacist Houston, TX
- hospital pharmacist Houston, TX
- remote coding part time Houston, TX
- franchise development manager (remote) Houston, TX
- junior devops remote Houston, TX
- telecommute Houston, TX
- call center remote Houston, TX
- remote ruby on rails developer Houston, TX
- remote wordpress Houston, TX
- remote contract Houston, TX


