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  •  ...Staff Pharmacist Independent Pharmacy & Primary Care Services Benson, NC | Full-Time | MondayFriday | No Weekends About In...  ...Assist patients with medication affordability programs and prior authorization support. Promote medication adherence through patient engagement... 
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    In-Clinic Rx

    Benson, NC
    4 days ago
  •  ...evaluation- Facilitate medication access by assisting with prior authorizations, drug therapy appeals, financial assistance, and other Patient...  ...managing patients’ specialty medication needs or,Clinical Pharmacist hospital practice experience (2 years) preferably in one or... 
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    Full time
    Immediate start
    Remote work
    Flexible hours
    2 days per week
    1 day per week

    Mass General Brigham

    Burlington, MA
    2 days ago
  • Molina Healthcare is seeking remote Certified Pharmacy Technicians to join the Prior Authorization team. Candidates will review prior auth requests and work Mon-Fri 11am-7:30pm MST or 12:30pm-9pm MST; training about 7 weeks 9am-5:30pm MST. Required: CPhT or active state... 
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    Molina Healthcare

    New York, NY
    3 days ago
  •  ...Pharmacist Our client, a Retail Pharmacy company, is looking for multiple Pharmacists with prior authorization experience to work remotely. Responsibilities: Evaluate and review all prior authorization requests and render coverage determinations based on clinical... 
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    ICONMA

    United States
    4 days ago
  •  ...projects to enhance pharmacy operations. Collaborates with pharmacists and healthcare teams to improve patient care and recruitment...  ...at pickup. • Processes insurance claims, completes prior authorizations, and manages billing. • Maintains medication inventory, storage... 
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    Part time
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    King's Daughters

    United States
    3 hours agonew
  •  ...Pharmacist, Prior Authorization (PA) & Appeals The pharmacist is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy policies, and health plan benefits. In this fast-paced, high... 
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    Insight Global

    United States
    21 hours ago
  •  ...Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help... 
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    Afternoon shift

    Pharmacy Careers

    United States
    2 days ago
  •  ...Supporting operational strategies and goals, the full-time salaried Registered Pharmacist will conduct Prior Authorization reviews for Medicaid and Marketplace medications, engage with providers, and collaborate with pharmacy staff in a remote work environment. Key responsibilities... 
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    Full time
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    Virtual Vocations Inc

    United States
    1 day ago
  •  ...healthcare management company is seeking a Remote Coverage Review Pharmacist located in Tennessee. This role requires a Doctor of...  ...Pharmacist will be responsible for reviewing medication-related prior authorizations, appeals, and grievances, working independently or in a... 
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    Global Channel Management

    Chattanooga, TN
    16 hours ago
  • JOB SUMMARY:The Utilization Management Clinical Pharmacist is responsible for playing a critical role in optimizing medication use...  ..., and operational goals.KEY RESPONSIBILITIES:Review prior authorization requests for medical injectable, specialty, and other high-... 
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    CommunityCare

    Tulsa, OK
    16 hours ago
  • $110.68k - $166.02k

     ...direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and managing the daily caseload of pharmacy prior authorization (PA) requests for coverage determinations (CD), and exceptions. The Clinical... 
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    Point32Health

    Canton, MA
    16 hours ago
  • $79.7k - $142.6k

     ...on the challenge of reinventing the health system. As a Clinical Pharmacist, and you'll play an important role in enhancing clinical pharmacy programs such as drug utilization review, prior authorization, health outcomes, disease state management, care management and other... 
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    UnitedHealth Group

    Schaumburg, IL
    1 day ago
  • $79.7k - $142.6k

     ...this opportunity to start doing your life's best work.(sm)The pharmacist who fills this position will participate in all aspects of...  ...Formulary Operations, Pharmacist, drug utilization, prior authorization, Irvine, CA, California, Schaumburg, IL, Illinois, Telecommute... 
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    UnitedHealth Group

    Irvine, CA
    2 days ago
  • $122k - $128k

     ...care note/assessments for supportive clinical data needed for prior authorization approvals and development of care plan recommendations....  ...interventions including but are not limited to comprehensive pharmacist consultation, motivational interviewing/coaching, drug... 
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    Shields Health Solutions

    New York, NY
    16 hours ago
  • $23 per hour

     ...Position: Pharmacy Prior Authorization Specialist Location: Denver, CO Job Id: 5495 # of Openings: 1 Pharmacy Prior Authorization Specialist...  ...with insurance carriers. Collaborate with physicians, pharmacists, and other departments. Ensure HIPAA compliance while handling... 
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    Onco360

    Denver, CO
    16 hours ago
  •  ...Pharmacist Position at Apotheco Pharmacy Our company, Apotheco Pharmacy, is searching for a pharmacist. The pharmacist will oversee...  ...when applicable for refills, medication changes, and prior authorizations. 13. Making sure all drugs have a minimum of 6 months prior... 
    Daily paid
    Part time
    Remote work
    Monday to Friday

    Apotheco Pharmacy Group

    Providence, RI
    1 day ago
  • $60 - $70 per hour

     ...Remote MTM Pharmacist This MTM Pharmacist role focuses on defining and developing standard and custom formularies while providing...  ...and overall pharmacy performance. Monitor and review prior authorization requests to ensure appropriate medication use and adherence... 
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    Actalent

    Atlanta, GA
    4 days ago
  • $40.87 - $80.43 per hour

     ...Pharmacist At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers...  ...or formularies Experience in Coverage Determinations (prior authorization) or member appeals Pharmacy reimbursement (third party... 
    Remote job
    Hourly pay
    Work experience placement

    Phenom People

    Minnetonka, MN
    3 days ago
  • UnitedHealth Group is seeking a Pharmacist to evaluate prescriptions, review clinical data, and render prior authorization decisions. This remote role requires an active state license and strong communication with providers, patients, and internal teams. You will work... 
    Remote job
    Monday to Friday

    Colorado PA

    Houston, TX
    1 day ago
  • About the job Remote Coverage Review Pharmacist Remote Coverage Review Pharmacist needs 3 years and Doctor of Pharmacy (PharmD) Degree...  ...and appeals including the review of medication related prior authorizations, pharmacy appeals, and member grievances focused on... 
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    Work at office

    Globalchannelmanagement

    Chattanooga, TN
    16 hours ago
  • $120k - $125k

    Position Overview The Clinical Care Pharmacist plays a vital role in ensuring safe, effective, and appropriate medication use. This position is responsible for reviewing prior authorization requests, supporting clinical programs, and providing expert guidance to members... 
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    Full time
    Contract work
    Shift work
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    Medix™

    New York, NY
    1 day ago
  • $135k

     ...Pharmacist In Charge (Specialty) - Baton Rouge, LA House Rx is on a mission to make specialty medications more accessible and...  ...supporting patient counseling, therapeutic substitution, and prior authorization reviews Be the workflow expert in all aspects of the... 
    Full time
    Remote work
    Work from home

    House Rx

    Baton Rouge, LA
    1 day ago
  • UnitedHealth Group is seeking a pharmacist to evaluate prescriptions, assess patient histories, and render timely PA decisions. The role supports appeals, requires strong clinical knowledge, and offers telecommuting from anywhere in the United States. The position emphasizes... 
    Remote job

    Wapa

    Houston, TX
    1 day ago
  • Remote Case Management Pharmacist - Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients...  ...therapy, adherence concerns, or potential interactions. Support prior-authorization and appeals processes when needed. Educate patients and... 
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    Work from home

    Pharmacy Careers

    Birmingham, AL
    3 days ago
  • $60 - $70 per hour

     ...is actively recruiting several clinical Pharmacists to support a leading national health...  ...decision-making process for pharmacy drug authorizations and appeals . This fully remote...  ...and render clinical determinations for prior authorization and appeal requests. Conduct... 
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    MedOP Solutions

    New York, NY
    1 day ago
  • Pharmacy Careers is seeking a Remote Prior Authorization Pharmacist to work from home with a flexible schedule and high clinical impact. As a fully remote role, you will review medication requests, apply evidence-based criteria, and determine approvals or denials while... 
    Remote job
    Work from home
    Flexible hours

    Pharmacy Careers

    Kansas City, MO
    2 days ago
  • $144k - $170k

     ...information, visit At Starling Oncology, our Utilization Management Pharmacists are clinical leaders who ensure safe, effective, and...  ...to promote appropriate therapy selection, reduce avoidable prior authorization friction, and support value-based oncology care. The... 
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    Work from home

    Remote Genie

    Brooklyn, NY
    1 day ago
  • $130k - $160k

     ...evaluation. Facilitate medication access by assisting with prior authorizations, drug therapy appeals, financial assistance, and other Patient...  ...managing patients' specialty medication needs or, Clinical Pharmacist hospital practice experience (2 years) preferably in one or... 
    Full time
    Work at office
    Immediate start
    Remote work
    Flexible hours
    Shift work
    2 days per week
    1 day per week

    Mass General Brigham

    Burlington, MA
    16 hours ago
  •  ...Oncology is seeking an experienced Utilization Management Pharmacist to lead evidence-based medication review in a remote, payer...  ...internal formulary standards. The role emphasizes reducing prior authorization friction, optimizing therapy, and maintaining documentation... 
    Remote job

    Remote Genie

    Brooklyn, NY
    1 day ago
  • $60 - $70 per hour

    Actalent is seeking a Remote MTM Pharmacist to define formularies, develop MTM programs, and guide plan design for Medicaid and Medicare...  ...The role focuses on evidence-based medication management, prior authorization review, and cross-functional collaboration to improve... 
    Remote job
    Hourly pay
    Contract work

    Actalent

    Detroit, MI
    1 day ago