Clinical Pharmacist - Managed Care (Remote)
Pharmacy Careers
- Remote job
Remote Drug Utilization Review Pharmacist Safe & Cost-Effective Medication Use
Work from home analyze medication use patterns, apply clinical guidelines, and collaborate with providers all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale. Key responsibilities include conducting prospective, concurrent, and retrospective drug utilization reviews, evaluating prescribing patterns against clinical guidelines and formulary criteria, identifying potential drug interactions, therapeutic duplications, and inappropriate therapy, preparing recommendations for prescribers to optimize therapy and reduce risk, documenting reviews and ensuring compliance with state, federal, and health-plan requirements, and contributing to quality-improvement initiatives and pharmacy program development.
PharmD or Bachelor of Pharmacy, licensure: active U.S. pharmacist license, experience: managed care, PBM, or health-plan preferred. Hospital and community pharmacists with strong clinical skills are encouraged to apply. Shape prescribing decisions that affect thousands of patients, build expertise in managed care and population-health pharmacy, many DUR roles offer hybrid or fully remote schedules, competitive salary, benefits, and career advancement.
About us we are a confidential healthcare partner providing managed-care pharmacy services nationwide. Apply today advance your career in managed care apply now for our remote drug utilization review pharmacist opening.
Pharmacy Careers
- ...Remote Drug Utilization Review Pharmacist Safe & Cost-Effective Medication Use Work from home analyze medication use patterns, apply clinical guidelines... ...in managed care and population-health pharmacy, many DUR roles offer hybrid or fully remote schedules, and enjoy...Remote jobWork from home
- ...Remote DUR Pharmacist Safe & Cost-Effective Medication Use Work From Home Analyze medication use patterns, apply clinical guidelines... ...collaborate with providers all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical...Remote jobWork from home
$60 - $67.5 per hour
...Job Description Job Description Title: Remote Drug Utilization Review Pharmacist Duration : 3 month Pay Rate: $60-$67.50/hr Location: Remote... ...employment Experience conducting Drug Utilization Reviews (DUR) Experience reviewing prescriptions for...Remote workNight shiftAfternoon shift- ...information about this position. Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is primarily responsible for performing drug utilization review for initial determinations and/or appeals for our ASO clients, Medicare Advantage plan...Remote workWork at officeShift work
$100k - $140k
...Medical Reviewer (Pharmacist) - Remote CA It takes great medical minds to create powerful solutions that solve some of healthcare... ...supports pharmacy review, claim adjudication, drug rebate activities, drug utilization review, Treatment Authorization Requests (TARs),...Remote jobFull timeWork from homeHome officeMonday to FridayFlexible hours$144k - $170k
...At Starling Oncology, our Utilization Management Pharmacists are clinical leaders who ensure... ...the future of oncology. REMOTE WORK FROM HOME JOB PURPOSE... ...teams to align medication review processes, pathway logic, evidence... ..., payer policy resources, drug databases, spreadsheets,...Remote jobWork at officeWork from home- ...Position Summary As a Utilization Management Clinical Pharmacist, you will join TruDataRx’s... ...Essential Functions Clinical Review & Adjudication Evaluate... .... Leverage clinical drug databases to accurately... ...individual case reviews. Remote Productivity: Self-...Remote work
- ...Remote Clinical Review Pharmacist – Work From Home Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate... ...determinations. Collaborate with physicians, nurses, and utilization-management teams on complex cases. Document...Remote workWork from homeFlexible hours
$91.7k - $163.7k
...enjoy the flexibility to work remotely * from anywhere within the U.... ...as the clinical lead for utilization management coding, claim adjudication... ...to the development of drug coverage policies Presentation... ...PharmD or BS in PharmacyCurrent pharmacist license in good...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$60 - $68 per hour
...Staff Pharmacist (Remote, Day Shift, Swing Shift or Night Shift) This remote Staff Pharmacist... ...Time Zone, and perform clinical drug utilization reviews, regulatory-compliant dispensing, and... ...Perform clinical Drug Utilization Review (DUR) for pharmacy customers to ensure...Remote jobContract workTemporary workWork from homeNight shiftDay shiftAfternoon shift$65 - $110 per hour
...Specialised Part-Time Consulting Opportunity for Pharmacists We are sharing a specialised part-... ...expertise in clinical medication review, drug interactions, dosing, contraindications... ...contractor engagement Fully remote Flexible scheduling based on project...Remote jobPart timeFor contractorsFlexible hours$60 - $72 per hour
...Staff Pharmacist This remote Staff Pharmacist role focuses on providing safe, accurate, and... ...environment. You will perform clinical drug utilization reviews, ensure regulatory compliance,... ...checks of Drug Utilization Reviews (DUR) for pharmacy customers to ensure safe...Remote workContract workTemporary workWork from homeAfternoon shift$19.75 - $42 per hour
...practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District... ...of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility...Remote workPart timeWork experience placementInternshipLocal areaWork from homeFlexible hoursShift workNight shift$60 - $72 per hour
...Staff Pharmacist (Remote, Day Shift, Swing Shift or Night Shift) MUST sit Arizona, Texas,... ...Pacific Time Zone, and perform clinical drug utilization reviews, regulatory-compliant dispensing, and... ...clinical Drug Utilization Review (DUR) for pharmacy customers to ensure safe...Remote workContract workTemporary workWork from homeNight shiftDay shiftAfternoon shift$103.8k - $146.4k
...ongoing basis *This is not a remote position* Locations... ...We are looking for a Staff Pharmacist to join us on our journey to... ...responsibilities Perform clinical data review, prescription verification,... ...• Perform thorough DUR (Drug Utilization Review) and ensure accurate...Remote workFull timeLocal areaFlexible hoursShift work- ...Standard 40 NBO**" OR, WA, or CA Pharmacist License Required 3+ Years in... ...a few times per year** REMOTE - M-F Managed Care Pharmacist... ...and care coordination, (4) drug utilization review and program development, (5)... ...prior-authorization, general DUR, and population and group...Remote workZero hours contractLocal areaWeekend work
- ...Clinical Pharmacist - Prior Authorization Pharmacist Clinical... ...managing the selection and utilization of pharmaceuticals and supports... ...core clinical programs such as DUR, DIS and formulary... ...presents therapeutic class reviews and drug monograph information to the...Remote workFull timeContract workWork experience placementMonday to Friday
- ...Remote Pharmacovigilance Pharmacist Drug Safety From Home Contribute to global patient safety by collecting, evaluating, and documenting adverse events... ...and investigational products. Conduct literature reviews and support safety signal detection activities. Prepare...Remote jobWork from homeFlexible hours
- ...Pharmacist Position at University Health Services University... ...our on-campus pharmacy (no remote or hybrid options). Our pharmacists... ...: Carefully review and fill all prescription orders... .... Advise patient of Drug Utilization Review (DUR), which includes appropriate...Remote work16 hoursPart timeMonday to FridayShift work
$60 - $75 per hour
...Staff Pharmacist Join a growing, innovative pharmacy team focused... ...Pharmacist to conduct Drug Utilization Reviews (DURs), ensure medication safety... ...Drug Utilization Reviews (DUR) Provide guidance to... ...Workplace Type This is a fully remote position. Application...Remote jobContract workTemporary workWork from home- ...Job Title: Clinical Pharmacist I Duration: 3 Months Location: Remote Any U.S. Time Zone except... ...medication reviews and identifying opportunities... ...identify gaps in care, drug therapy problems, medication... ...of Drug Utilization Review (DUR) programs for Medicaid...Remote workTemporary workLocal areaMonday to Friday
$130k
...Utilization Management Pharmacist (temp-to-hire) Remote About Judi Health Judi Health is a health technology company providing benefit administration... ...medication use. This position is responsible for reviewing prior authorization requests, supporting clinical...Remote workTemporary workLocal areaFlexible hoursShift workWeekend work- Starling Oncology is seeking an experienced Utilization Management Pharmacist to lead evidence-based medication review in a remote, payer-focused environment. You will work with physicians, leadership, and IT teams to implement pathways aligned with NCCN guidelines and...Remote job
- Capital District Physicians Health Plan Inc (CDPHP) seeks a licensed Pharmacist to manage utilization review for Medicare, Commercial, Marketplace and Medicaid; ensure medication safety, cost effectiveness, and appropriate medical management across benefits. You will perform...Remote job
- ...transition to a hybrid model, allowing for remote work at least one day per week.... ...Ambulatory Care - Primary Care and Drug Therapy Management Clinical Pharmacist at the Cedars-Sinai Medical Network... ...(CHEST), and others. Orders, reviews, and interprets laboratory tests...Remote workFull timeShift work1 day per week
- ...Utilization Management Pharmacist UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent... ...appropriate medication use. This position is responsible for reviewing prior authorization requests, supporting clinical...Remote jobPermanent employmentContract workLocal areaWeekend work
$70 per hour
...LLC is a leading provider of remote and on-site clinical pharmacy... ...nationwide. Our team of experienced pharmacists provides comprehensive... ...support, and clinical chart reviews to ensure patient safety and... ...Identify and document potential drug interactions, duplicate...Remote workHourly payDaily paidPart timeLocal areaFlexible hours- 24-MAG LLC is seeking experienced pharmacists for a specialized, part-time remote consulting role focused on clinical medication review, drug interactions, dosing, contraindications, and Lexidrug guidance. You will evaluate medication lists, patient charts, and dosing decisions...Remote jobPart time
$65 - $68 per hour
...to change. Position: Clinical Pharmacist Reviewer Location: Remote Status: Part-time About J29... ...pharmacy documentation, evaluates complex drug coverage issues, and ensures... ...necessity, formulary requirements, utilization management criteria, and benefit coverage...Remote workHourly payContract workPart timeFor contractorsWork at office$110.68k - $166.02k
...SummaryUnder the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and managing the daily caseload... ...on prior authorization that fails to meet drug prior authorization (PA) criteria for coverage...Full timeContract workWork from homeFlexible hours
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