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- ...Pharmacist Advisor Location: Fully remote Duration: 06+ months contract Note: Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. Shift Timing: Business Hours are 7am - 8pm EST Monday - Friday...SuggestedContract workRemote workMonday to FridayShift work
US Tech Solutions
Grand Rapids, MI4 days ago - ...Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...SuggestedRemote workWork from homeFlexible hours
Pharmacy Careers
Honolulu, HI1 day ago - ...About the job Remote Coverage Review Pharmacist Remote Coverage Review Pharmacist needs 3 years and Doctor of Pharmacy... ...reviews and appeals including the review of medication related prior authorizations, pharmacy appeals, and member grievances focused on...SuggestedWork at officeRemote work
Global Channel Management
Chattanooga, TN4 days ago - ...Pharmacist Position Our client is looking for multiple Pharmacists with prior authorization experience. This is a remote position so you must have a secure and quiet place to work without interruptions. Responsibilities include evaluating and reviewing all prior authorization...SuggestedRemote work
ICONMA
Hempstead, NY1 day ago $43.22 - $77.21 per hour
...Pharmacist In Prior Authorization Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy...SuggestedHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRemote workMonday to FridayShift workNight shiftWeekend workPortland Staffing
Portland, ME2 days ago- ...Case Management Pharmacist Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring a... ...adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and...SuggestedRemote work
Pharmacy Careers
United States1 day 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...SuggestedHourly payWork experience placementRemote workPhenom People
Chicago, IL3 days ago- ...Prior Authorization Pharmacist Location: Remote The main focus of this position is to ensure that all prior authorizations are processed efficiently and accurately. This role requires a deep understanding of insurance policies and the ability to navigate complex...SuggestedRemote work
US Tech Solutions
Miami, FL4 days ago $110k - $150k
...Prescryptive's secure, mobile-first products connect consumers, pharmacists, and employers, ultimately providing people with the... ...pharmacy benefit management (PBM) operations by evaluating prior authorization (PA) requests and rendering final clinical determinations based...SuggestedRemote workFlexible hoursPrescryptive Health, Inc.
Washington DC4 days ago$55 per hour
...clinical skills to complete utilization management reviews (prior authorizations, coverage exceptions, quantity limit exceptions, and more).... ...by monthly quality and productivity goals. All new pharmacists are considered as potential long-term employees with a hope...SuggestedPermanent employmentContract workTemporary workRemote workRemote Staffing
United States2 days ago$55 per hour
...Pharmacist Position Your main role will be utilizing your clinical skills to complete utilization management reviews (prior authorizations, coverage exceptions, quantity limit exceptions, and more). You will complete these reviews independently amongst a team of your...SuggestedPermanent employmentContract workTemporary workRemote workMinnesota Staffing
Saint Paul, MN2 days ago- ...Consultant Pharmacist II Under the general direction of the Manager or Consultant Pharmacist Team Lead or designee, the Consultant... ...programs to provide clinical expertise in regards to prior authorization for member prescriptions and client member's drug therapy....SuggestedWork experience placementRemote work
UMass Chan Medical School
Westborough, MA13 hours ago $123.2k - $205.4k
...you. Current Need We are seeking an Oncology Clinical Pharmacist to work within The US Oncology Network of McKesson. An... ...Understanding of managed care trends, including step edits, prior authorization workflow and value?based care models a plus. Success managing...SuggestedRemote workMcKesson
Portland, OR3 days ago- ...verifying patient and insurance information, assisting with prior authorizations, and providing excellent customer support. The ideal... ...insurance verification and resolve billing issues Support pharmacists with medication management tasks Communicate with patients...SuggestedRemote work
Acro Service Corp
Chicago, IL6 days ago $128.75k - $239.25k
...Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits, and Oncology and medical... ...office locations. Required Qualifications ~ Licensed pharmacist in good standing in state of residence ~5+ years pharmacist...SuggestedHourly payFull timeTemporary workWork at officeLocal areaWork from homeFlexible hoursCVS Health
New York, NY13 hours ago$19.04 - $32.35 per hour
...workplace flexibility. Position Purpose: Work with the Pharmacists to accurately prepare prescription orders in a timely... ...medical office (i.e. biller, coder, office assistance, or prior authorization/certification) experience. Familiarity with drugs commonly...Hourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hoursAcariaHealth Pharmacy
Hawthorne, NY17 days ago$51.54 - $67.01 per hour
...where you'll play a critical role in ensuring safe, efficient, and effective medication management for patients of all ages. As a pharmacist, youll oversee the preparation, dispensing, and monitoring of medications, while leading and mentoring technical support staff....Hourly payFull timeInternshipRelocationRelocation packageShift workNight shiftAfternoon shiftLee Health
Fort Myers, FL25 days ago- ...Job Description UW Health is seeking a Pharmacist for a job in MIDDLETON, Wisconsin. Job Description & Requirements Specialty: Pharmacist Discipline: Allied Health Professional Duration: Ongoing Employment Type: Staff Work Schedule : \n 1...Work experience placementImmediate startRemote workMonday to FridayShift workAfternoon shift
UW Health
Middleton, WI7 days ago - ...providers and insured members regarding medication rejections, prior authorizations, duplicate therapies, among other matters. Essential... ...the health care insurer’s authorized lists. Consult the Pharmacist regarding medication authorization requests, if necessary....Full timeContract workImmediate startRemote workShift workRotating shift
Telemedik
Puerto Rico1 day ago - ...Job Description Jackson PharmacyPros is seeking a travel Pharmacist for a travel job in Waupun, Wisconsin. Job Description & Requirements ~ Specialty: Pharmacist ~ Discipline: Allied Health Professional ~ Duration: 13 weeks ~40 hours per week ~ Shift...Long term contractPermanent employmentFull timeContract workTemporary workRemote workRelocation packageShift work
Jackson PharmacyPros
Waupun, WI9 days ago - ...with every 4th weekend for pediatric staffing to provide advanced and uninterrupted levels of care to this patient population. This pharmacist will participate in collaborative rounding and consult management daily, weekly disposition rounds, pharmacy-based projects,...Full timeRelocationRelocation packageWeekend work
Parkview Health
Fort Wayne, IN4 days ago - ...Medication Access Pharmacist Help patients overcome the cost barrier—become their healthcare advocate. Key Responsibilities: Manage prior authorizations and appeal processes. Coordinate with insurance companies, providers, and support staff. Enroll patients...Remote work
- ...Case Management Pharmacist – Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring... ...adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and...Remote work
- ...Join ProHealth as a Pharmacist In-Charge (PIC) at our Maitland, Florida location and lead pharmacy operations to ensure compliance... ...to optimize drug therapy and patient outcomes. Manage prior authorizations, billing, and reimbursement processes for specialty medications...Local areaWork from home
$94.1k - $164.8k
...Job Summary: Pharmacist I is responsible for supporting the department, operational strategies, goals and vision. Pharmacists... ...utilize pharmaceutical and clinical expertise to review Prior Authorizations requests within a timely manner, to promptly serve our CareSource...Full timeWork at officeRemote work$129.9k - $150k
...Pricing and Contracting team, the Preferred Drug List (PDL) Pharmacist supports the clinical, operational and financial PDL needs... ...discontinuations and their impact; developing PDL-related prior authorization criteria; identifying needed therapeutic class reviews (TCRs...Full timeRemote workFlexible hours- ...Job Responsibilities: Prior experience with prior authorization (PA) reviews or clinical case reviews in a high-volume or production setting—look... ...or Pharm D. with at least two years' experience as a pharmacist is required. Must have an active license in good standing...Remote jobWork at office
- ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to...Remote workWork from homeFlexible hours
- ...Managers. Additionally, there are supervisors in each area to help support daily needs and department projects in conjunction with lead pharmacists and lead technicians. Parkview pharmacy is an early adopter of and a best-practice site for integrated technologies,...Full timeRelocationRelocation packageWeekend workAfternoon shift
Parkview Health
Fort Wayne, IN18 days ago - ...Job Responsibilities: Prior experience with prior authorization (PA) reviews or clinical case reviews in a high-volume or production setting—look... ...Required: Bachelor's Degree - BS Pharmacy and an active pharmacist license in the state of practice/residence and Preferred...Remote jobWork at office
