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- ...About the job Remote Coverage Review Pharmacist Remote Coverage Review Pharmacist needs 3 years and Doctor of Pharmacy (PharmD) Degree... ...appeals including the review of medication related prior authorizations, pharmacy appeals, and member grievances focused on...Remote workWork at office
Global Channel Management
United States13 hours ago - ...Job Description Molina Healthcare is hiring for a Pharmacist in our UM/Prior Authorization department. Candidates must be licensed to practice in... ...licensure within 90 days of starting. This position is remote and can be worked from a variety of locations within the...Remote workShift work
Molina Healthcare
United States13 hours ago - A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This work-from-home position is ideal for pharmacists looking to transition from retail or hospital settings, offering...Remote jobWork from home
- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to work from home evaluating prescription requests and ensuring medical necessity. This role offers flexibility with competitive compensation, benefits, and opportunities for growth...Remote jobWork from home
- A managed care organization is seeking a Remote Prior Authorization Pharmacist to review prescription requests, ensuring accuracy and necessity while working from home. This role involves communicating decisions to providers, documenting outcomes, and collaborating with...Remote jobWork from homeFlexible hours
- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This work-from-home position allows pharmacists to build expertise in managed care. Responsibilities include reviewing...Remote jobWork from homeFlexible hours
- ...A healthcare solutions provider is seeking a Pharmacy Prior Authorization Representative to support Connecticut Medicaid in a remote capacity. This role involves answering calls from prescribers and pharmacies, analyzing pharmacy claims, processing prior authorizations...Remote workRotating shift
Gainwell Technologies
Hartford, CT4 days ago - Remote Prior Authorization Pharmacist - Work From Home in Managed Care A c onfidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...Remote jobWork from homeFlexible hours
- A healthcare solutions company is seeking a Prior Authorization Pharmacist to review medication requests and collaborate with providers to ensure effective medication utilization. The role involves conducting peer discussions, supporting clinical call centers, and contributing...Remote job
$45.43 - $76.15 per hour
CVS Health Corporation seeks a Clinical Pharmacist specializing in Medicaid Prior Authorization. This fully remote role requires an active North Carolina pharmacist license and involves evaluating prior authorization requests, collaborating with healthcare providers, and...Remote jobHourly pay- A healthcare technology firm is seeking a Prior Authorization Pharmacist in Wisconsin. You will be responsible for reviewing medication requests and ensuring alignment with clinical guidelines. This role offers flexible work hours from home, allowing you to balance professional...Remote jobWork from homeFlexible hours
- A managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests from home. The role involves reviewing requests, applying standards, and communicating with healthcare providers. Ideal candidates will have a PharmD and strong...Remote jobFlexible hours
- A healthcare organization is hiring a Case Management Pharmacist in Ewa Beach, Hawaii. This role involves coordinating care for patients... ...needs, conducting medication reviews, and supporting prior authorization processes. Candidates should have a PharmD or Bachelor of...Remote jobFlexible hours
$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Woodridge, IL | Full-Time | Starting... ...ideal for candidates local to the area. Remote work possible after initial on-site... ...carriers. Collaborate with physicians, pharmacists, and other departments. Ensure HIPAA compliance...Remote workFull timeTemporary workLocal areaOnco360
Woodridge, IL13 hours ago- A confidential managed care organization seeks a Remote Prior Authorization Pharmacist to evaluate prescription requests and improve patient access to therapies. Ideal for pharmacists transitioning from retail or hospital settings. Responsibilities include reviewing prior...Remote jobFlexible hours
- A confidential healthcare provider is seeking a Remote Prior Authorization Pharmacist to join their team. This fully remote role involves evaluating prescription requests, ensuring medical necessity, and improving patient access to therapies. Ideal candidates will hold...Remote jobFlexible hours
- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This role offers 100% remote work and flexible scheduling, with a focus on improving patient access to safe therapies...Remote jobFlexible hours
$27 - $35 per hour
..., processing referrals, working through authorization and billing issues, and reconciling medication... ...in an office setting and has some prior knowledge of pharmacy and medical insurance... ..., TCH required Work Environment Remote but local to San Diego - Would need to...Remote workContract workTemporary workWork at officeLocal areaShift workTEKsystems
San Diego, CA1 day ago- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This fully remote position offers flexibility and the chance to build expertise in managed care. Candidates should...Remote job
$90k - $129.9k
...grow your career in a company that values work-life balance, continuous learning, and career development. Summary The Prior Authorization (PA) Pharmacist is responsible for reviewing prior authorization requests from providers to ensure safe and effective medication...Remote jobFull timeWork at officeWork from homeFlexible hours- A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This fully remote position offers flexible scheduling and opportunities for growth in managed care. Ideal...Remote jobFlexible hours
- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist. This role involves reviewing prescription requests, collaborating with healthcare providers, and ensuring compliance with regulations. Ideal candidates possess a PharmD or Bachelor...Remote jobFlexible hours
- Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes A confidential... ...potential drug interactions. Support prior authorization and appeals processes when needed. Educate... ...organizations offer hybrid or fully remote work options. Rewards: Competitive pay...Remote job
$57 - $58 per hour
Overview $57-$58 per hour Remote, NC Contract Duration: 06 months contract Duties The role involves ensuring the accuracy of case setup... .../PBM environment (preferred) Position Summary As a Clinical Pharmacist Advisor Medicare, you will be directly supporting Medicare Part...Remote workHourly payContract work- ...of life at end-of-life. Consultative Pharmacists work collaboratively with nurses and caregivers... ...and interpersonal skills in a remote or hybrid work environment. Maintain a... ...substitution, formulary management and prior authorization procedures Demonstrates understanding,...Remote workWork experience placementImmediate startHome officeRelocation package
$113.7k - $162.4k
...Contracting team, the Preferred Drug List (PDL) Pharmacist supports the clinical, operational and... ...their impact; developing PDL-related prior authorization criteria; identifying needed... ...expect in this role This position is remote Supports Gainwell Pharmacy Center of...Remote workFull timeFlexible hours- ...Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary. Develop knowledge and understanding...Remote workFull timeTemporary workWork at officeFlexible hours
Guardian Pharmacy
United States13 hours ago - ...Join us to start Caring. Connecting. Growing together. Pharmacist Intern - Prior Authorization & Appeals Team As a Pharmacist Intern with OptumRx's... ..., and critical thinking skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter...Remote jobHourly payMinimum wageFull timeWork experience placementInternshipLocal areaWorldwide
$90k - $115k
A prominent academic medical institution is seeking a Consultant Pharmacist II to join their remote Clinical Pharmacy Services team. This role involves reviewing prior authorization requests and providing pharmaceutical expertise to staff and clients. Candidates should...Remote job- A leading health services organization is seeking a Prior Authorization Specialist I to join their remote team. This role involves assisting healthcare providers and patients with prior authorization processes, answering calls, and documenting patient information. Ideal...Remote job
