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- ...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...Remote workWork from homeFlexible hours
Pharmacy Careers
United States1 day ago - ...Medication Access Pharmacist Help patients overcome the cost barrier—become their healthcare... .... Key Responsibilities: Manage prior authorizations and appeal processes. Coordinate with... ...Impact patient lives directly Hybrid or remote options Fast-growing access-focused pharmacy...Remote work
Pharmacy Careers
Santa Clarita, CA4 days ago - ...Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes A... ...potential drug interactions. Support prior authorization and appeals processes when needed.... ...Many organizations offer hybrid or fully remote work options. Rewards: Competitive...Remote work
Pharmacy Careers
United States1 day ago - ...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 States1 day ago $53 per hour
...Clinical Pharmacist Advisor – Medicare (Remote, Contract to hire) Job Type: Contract to hire Pay Rate: $53/hour Location: Fully Remote (U.S.) Schedule: Business hours between 7:00 AM – 8:00 PM EST Monday–Friday and 7:00 AM – 4:30 PM EST Saturday & Sunday...Remote workFull timeContract workFor contractorsMonday to FridayShift workA-Line Staffing Solutions
Dallas, TX2 days ago- ...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, CT20 hours ago $18.15 - $27.24 per hour
...leading health services company is seeking an Authorization Representative I to manage drug re-... ...of experience in processing pharmacy prior authorizations. Responsibilities include... ...position offers a full-time schedule with remote work options and a salary range of $18.1...Remote workHourly payFull timeElevance Health
Saint Louis, MO4 days ago- ...A healthcare company in Buffalo is seeking a Pharmacy Prior Authorization Specialist to manage prior authorization requests and appeals with insurance carriers. This full-time role requires strong communication and organizational skills, along with a high school diploma...Remote workFull time
Onco360
Buffalo, NY2 days ago - ...leading oncology pharmacy in Woodridge, IL is hiring a Pharmacy Prior Authorization Specialist. This full-time position focuses on managing... ...essential to help cancer patients access their treatments. Remote work options are available after training. #J-18808-Ljbffr...Remote workFull time
Onco360
Woodridge, IL2 days ago - ...organization in Houston, TX is seeking a full-time Pharmacy Prior Authorization Specialist. This position involves managing insurance pre-authorizations... ...claims and terminology. The role offers opportunities for remote work after initial training and includes a comprehensive...Remote workFull time
Onco360
Houston, TX2 days ago $23 per hour
...Overview Position: Pharmacy Prior Authorization Specialist Location: Houston, TX Job Id: 4865 #... ...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
Houston, TX1 day ago$19.81 - $28.3 per hour
...Management (PHM) model by partnering with pharmacists and the broader care team to improve... ...medication adherence. Assist with prior authorization follow‑up, formulary alternatives, refill... ...Friday, standard business hours. Remote with occasional in‑office requirements...Remote workHourly payFull timeWork at officeRelocation packageMonday to FridayShift workMass General Brigham
Somerville, MA2 days ago- ...Pharmacist Intern Program Internships at Optum. If you want an intern experience that will dramatically shape your career, consider... ...Growing together. As a Pharmacist Intern with OptumRx's Prior Authorization & Appeals team, you will get the opportunity to work with a...Remote jobHourly payMinimum wageFull timeWork experience placementInternshipLocal areaWorldwide
$40.87 - $80.43 per hour
...Pharmacist Position At UnitedHealthcare, we're simplifying the health care experience... ...You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you... ...Experience in Coverage Determinations (prior authorization) or member appeals Pharmacy reimbursement...Remote jobHourly payWork experience placement$9.6k
...Benefits Eligible: Yes Remote Eligible: No Department:... ...health care team, the clinical pharmacist provides consistent clinical... ...care for children. Prior experience in oncology or oncology... ...include assistance with prior authorizations and provide discharge...Remote workHourly payFull timeLocal areaRotating shiftStanford Medicine Children's Health
Palo Alto, CA1 day ago$91.7k - $163.7k
...You'll enjoy the flexibility to work remotely from anywhere within Pacific or Mountain... ..., prescription claims, and prior authorization data to assess the appropriateness of... ...~ Current, clear, and unrestricted pharmacist licensure in California ~ Successful...Remote workMinimum wageFull timeWork experience placementLocal areaUnitedHealth Group
United States3 days ago- ...Responsibilities include verifying insurance eligibility, facilitating prior authorizations, and collaborating with third‑party payers and clinical... ...Location Tampa Work Locations TGH Main Campus Eligible for Remote Work Hybrid Remote Job Pharmacy Organization Florida Health...Remote workFull timeMonday to FridayShift workDay shift
Tampa General Hospital
Tampa, FL2 days ago $128.75k - $261k
...Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits, and Specialty Guideline... ...office locations. Required Qualifications - Licensed pharmacist in good standing in state of residence - 5+ years pharmacist...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeCVS Health
United States4 days ago$51.92 - $88.46 per hour
...Clinical Staff Pharmacist Remote At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and... ...Utilization Management requests (e.g. formulary exceptions, prior authorization, step therapy, quantity limit exceptions) for delegated products...Remote jobWork experience placementLocal areaVisa sponsorshipWork visa- ...pharmacotherapeutic outcomes for patients and provides remote services to the infusion areas within... ..., initiatives, guidelines (i.e. prior authorization, reimbursement optimization, formula... ...(BS) degree is required. Registered Pharmacist (RPh) license required. UT Health...Remote work
- ...Clinical Pharmacist PANTHERx is the nation's largest rare disease pharmacy, and we... ...compliance and adherence. Facilitates prior authorizations and enrolls patients in financial... ...function of the job. Benefits: Hybrid, remote and flexible on-site work schedules...Remote workFull timeTemporary workPart timeLocal areaMonday to FridayFlexible hours
- ...Clinical Pharmacist - North Carolina License Required Durham, North Carolina Clinical... ...supportive clinical data needed for prior authorization approvals and development of care plan... ...current registration and all remote pharmacist activity to comply with local...Remote workLocal area
$200k
...location: Bay Pines, FL 1 vacancy Remote job: No Telework eligible: No Travel... ...Excepted Job family (Series): 0660 Pharmacist Supervisory status: No Security... ...Follows published criteria for use of Prior Authorization Drug Requests (PADRs). Educates...Remote workPermanent employmentFull timeSeasonal workWork at officeRelocationTrial periodRelocation packageMonday to FridayShift workAfternoon shift- ...Clinical Pharmacist, Clinical and Quality Programs CalOptima Join Us in this Amazing Opportunity The Team You'll Join... ...Utilizes clinical and regulatory guidelines in the review of drug prior authorization and appeals requests. ~ Adheres to regulatory...Remote workTemporary workWork at officeLocal areaFlexible hoursWeekend workAfternoon shift2 days per week
- ...Pharmacist Our company, Apotheco Pharmacy, is searching for a pharmacist. The pharmacist... ...for refills, medication changes, and prior authorizations. Making sure all drugs have a... ...occasionally required to stand. Work remotely: No Pharmacy hours: Per diem coverage...Remote workDaily paidPart timeMonday to Friday
- ...Setting: Closed Door Pharmacy We're hiring a licensed pharmacist for a contract position where you’ll use your clinical expertise... ...tenure amongst contract staff ~ Future opportunity for some remote days may be available Minimum Requirements: ~ Must have...Remote workWeekly payLong term contractFull timeContract workTemporary workLocal areaRelocation package
Jackson PharmacyPros
Waupun, WI20 hours ago - ...experience: Preferred Licenses/Certifications: Pharmacist license in the state of practice: Required All licensures... ...based and/or population based medication management activities, remote order verification, and all other areas as directed/necessitated...Remote workFull timeContract workWork experience placementDay shift
- ...experience: Preferred Licenses/Certifications: Pharmacist license in the state of practice: Required All licensures... ...based and/or population based medication management activities, remote order verification, and all other areas as directed/necessitated...Remote workFull timeContract workWork experience placementDay shift
- ...A leading healthcare provider seeks an MTM Pharmacist to enhance patient engagement through personalized, remote Medication Therapy Management services. Responsibilities include conducting sessions and documenting interventions to ensure compliance. This flexible role...Remote workFull timePart timeWork from homeFlexible hours
Pharmacy Careers
Huntington Beach, CA3 days ago - ...Call Center, Micro-Fulfillment, and/or remote) and provides pharmacy consulting services... ...Job Responsibilities Performs pharmacist tasks, including compounding, drug therapy... ...by the appropriate state licensing authority. Experience performing prescription dispensing...Remote workFull timeLocal areaShift work1 day per week
