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  •  ...Staff Pharmacist – Independent Pharmacy & Primary Care Services Benson, NC | Full-Time...  ...medication affordability programs and prior authorization support. Promote medication...  ...Chronic Care Management (CCM) Remote Patient Monitoring (RPM) Medication... 
    Remote work
    Full time
    Temporary work
    Work at office
    Monday to Friday

    In-Clinic Rx

    Benson, NC
    1 day ago
  •  ...Pharmacy Careers is seeking a Remote Prior Authorization Pharmacist to review medication requests from home, apply evidence-based criteria, and help patients access therapies with predictable schedules. This fully remote role emphasizes clinical judgment, clear communication... 
    Remote work
    Work from home
    Flexible hours
    Afternoon shift

    Pharmacy Careers

    Missoula, MT
    2 days ago
  •  ...Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start Dates! Pay Rate: 53.00 per hour depending...  ...:30am-8pm CST Job Description: Evaluate and review all prior authorization requests and render coverage determinations based on clinical... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Work from home
    Home office
    Monday to Friday

    A-Line Staffing Solutions

    Orlando, FL
    3 days ago
  •  ...Facilitate medication access by assisting with prior authorizations, drug therapy appeals, financial...  ...medication needs or,Clinical Pharmacist hospital practice experience (2 years)...  ...for monthly or weekly onsite attendance.Remote TypeHybridWork Location31 North AvenueScheduled... 
    Remote work
    Full time
    Immediate start
    Flexible hours
    2 days per week
    1 day per week

    Mass General Brigham

    Burlington, MA
    22 hours ago
  • $55 per hour

     ...55.00/hr Job Overview Location: Work from home (100% remote) - refer list of states below. Duration: 6 months contract...  ...and work instructions. Job Responsibilities Provides prior authorization services for formulary drugs, develops programs to provide optimal... 
    Remote work
    Contract work
    Temporary work
    Work from home

    Amerit Consulting

    United States
    2 days ago
  • $53 per hour

     ...Description Job Description   FULLY REMOTE - WORK FROM HOME, 40 hours per week....  ...30am - 4pm PST   Job Requirements: Pharmacist license in state of residence, active and in good standing Prior authorization experience in PBM or managed care environment... 
    Remote work
    Hourly pay
    Permanent employment
    Contract work
    Work from home
    Monday to Friday

    A-Line Staffing Solutions

    Las Vegas, NV
    4 days ago
  • $53 - $57 per hour

     ...Role:Clinical Pharmacist Advisor (Medicare) Location:Remote (Work From Home) — anywhere in the U.S.(must hold an active pharmacist license in your...  ...Preferred Skills Experience inPBM / Medicare Part D / prior authorization / coverage determinations Strong documentation and... 
    Remote work
    Work from home
    Monday to Friday
    Shift work

    A-Line Staffing Solutions

    Dallas, TX
    3 days ago
  • $144k - $170k

     ...Oncology, our Utilization Management Pharmacists are clinical leaders who ensure safe,...  ...lives and the future of oncology. REMOTE WORK FROM HOME JOB PURPOSE AND SUMMARY...  ...appropriate therapy selection, reduce avoidable prior authorization friction, and support value-based... 
    Remote work
    Work at office
    Work from home

    The Oncology Institute of Hope and Innovation

    Cerritos, CA
    5 days ago
  • $135k

     ...Pharmacist In Charge (Specialty) - Baton Rouge, LA House Rx is on a mission to make...  ...counseling, therapeutic substitution, and prior authorization reviews Be the workflow expert in...  ...ideas—no matter how radical. We are a remote-first company, however some pharmacy... 
    Remote work
    Full time
    Work from home

    House Rx LLC

    Baton Rouge, LA
    1 day ago
  • $144k - $170k

     ...looking for a Utilization Management Pharmacist, Oncology based in United States. This...  ...pathway criteria. Support prior authorization and utilization management workflows by...  ...experience, and internal equity. Fully remote, work-from-home position. Opportunity... 
    Remote work
    Full time
    Work from home

    jobgether

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

    Global Channel Management

    Chattanooga, TN
    3 days ago
  •  ...Remote, TX Contract Job Title: Prior Authorization Pharmacist Location:Remote Duration: 6+ months contract Job Description: ~ Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Responsibilities... 
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    Contract work

    US Tech Solutions

    Austin, TX
    3 days ago
  •  ...Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Responsibilities: This...  ...Pharm D. required with at least two years experience as a pharmacist in Managed care environment. Must have an active license... 
    Remote work
    Contract work

    US Tech Solutions

    United States
    3 days ago
  •  ...Job Description Job Description ************FULLY REMOTE******* The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy policies... 
    Remote work

    Insight Global

    Minneapolis, MN
    7 days ago
  •  ...Responsibilities: Evaluate and review all prior authorization requests and render coverage...  ...(CRU) line of business. Skills: Pharmacist, Insurance, Prior Authorization...  ...of Science - Pharmacy or Pharm.D. Remote must be licensed in the state of North... 
    Remote work

    SGS Consulting

    Remote
    more than 2 months ago
  • $115.2k - $158.4k

     ...community The Senior Consultative Pharmacist consults with patients, pharmacies and...  ...resolving medication-related issues, such as prior authorization requirements, formulary alternatives,...  ...information.Travel: While this is a remote position, occasional travel to Humana'... 
    Remote work
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office

    CenterWell

    Ohio
    5 days ago
  •  ...Doctor of Pharmacy (PharmD) degree, active Pharmacist license, and minimum 1+ years...  ...Multi-State Licensed Pharmacist for a remote Medication Therapy Management (MTM) Consulting...  ...improve patient outcomes. Review prior authorization requests, formulary exceptions, and... 
    Remote work

    RPh on the Go

    Nashville, TN
    10 days ago
  •  ...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 work
    Work at office

    SGS Consulting

    Remote
    more than 2 months ago
  •  ...It is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases... 
    Remote work

    US Tech Solutions

    United States
    1 day ago
  • $107k - $127k

     ...Description Senior Managed Care Pharmacist – Formulary / Pharmacy and...  ...) Work Arrangement: 100% Remote / Work from Home Location:...  ...& Communications Lifecycle: Author and revise multi-channel...  ...interventions, utilization management (Prior Authorization, Step Therapy,... 
    Remote work
    Permanent employment
    Full time
    Contract work
    Work from home
    Monday to Friday
    Shift work

    Novus Group

    Pittsburgh, PA
    a month ago
  • $90.9k - $129.9k

     ...balance, continuous learning, and career development.SummaryAs a Pharmacist Advisor at Gainwell, you will provide clinical expertise...  ...requirements and organizational objectives.In addition to prior authorization activities, this role will support state meetings and... 
    Remote work
    Full time
    Flexible hours

    Gainwell

    Texas
    2 days ago
  •  ...Job Description The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals...  ...environment -Ability to perform responsibilities and duties remotely with little to no supervision -Comfortable in a fast-... 
    Remote work

    Insight Global

    United States
    1 day ago
  • $102k - $191k

     ...Clinical Pharmacist Consultant (Hybrid) - PBM - Montvale, NJ HealthCare Support...  ...Collaborate with Care Management, Prior Authorization, Plan Build, Client Experience, Formulary...  ...- 5:00pm ~3 days in office / 2 days remote Compensation: ~ Competitive... 
    Remote work
    Work at office
    Local area
    Immediate start
    Monday to Friday

    HealthCare Support

    Montvale, NJ
    3 days 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
    22 hours ago
  •  ...Non-Billable Orientation (NBO) Job - Remote Managed Care Pharmacist Pharmacist License Required for WA, OR, or CA. 3+ Years in a Managed Care Environment Required (meaning dealing with Prior Authorizations, Audits, Appeals, ALJ Court hearings, etc). Rare weekends required... 
    Remote work
    Local area
    Weekend work

    Bestica Healthcare

    United States
    1 day 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... 
    Remote work
    Part time
    Work experience placement
    Relief
    Internship
    Flexible hours
    Shift work

    King's Daughters

    United States
    3 days ago
  • $55 per hour

     ...Pharmacist Job Description The primary role of the Pharmacist is to utilize clinical...  ...management reviews, including prior authorizations, coverage exceptions, and quantity limit...  ...Work Environment This is a fully remote position, available in any state except... 
    Remote work
    Long term contract
    Contract work
    Temporary work
    Work experience placement
    Shift work

    Actalent

    Nashville, TN
    2 days ago
  • $44 - $79 per hour

     ...Pharmacist At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers...  ...writing and communication ~1+ years of experience of prior authorization case review & rendering PA decisions ~ Intermediate level... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area
    Monday to Friday

    divvyDOSE

    United States
    3 days ago
  • $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...  ...in this role   ~ This position is remote ~0-10% of travel.  ~ Supports Gainwell... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Gainwell Technologies LLC

    Texas
    10 days ago
  • Remote Case Management Pharmacist - Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients through medication...  ...concerns, or potential interactions. Support prior-authorization and appeals processes when needed. Educate patients and... 
    Remote job
    Work from home

    Pharmacy Careers

    Birmingham, AL
    1 day ago