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
- The Clinical Pharmacy Reviewer (Pharmacist) evaluates complex prior authorization... ...role interprets complex drug criteria, formulary... ...medications. Through rigorous Drug Utilization Review (DUR) and objective decision-... ...Street? Collaborative remote culture Professional...Remote jobLocal areaWork from home
- ...Street is seeking a Clinical Pharmacy Reviewer (Pharmacist) to evaluate complex prior... ...medication coverage determinations in a remote setting. The role applies evidence-... ...guidelines, formulary management, and Drug Utilization Review (DUR) to ensure medical necessity and...Remote job
- ...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- Birdirx in Tempe, AZ is seeking a Clinical Pharmacist responsible for ensuring safe and effective use of specialty medications through drug utilization reviews and comprehensive clinical management services. This role oversees patient care activities performed by technicians...
$98.3k - $176.94k
...impact members who are utilizing high-cost specialty... ...comprehensive medication reviews for members, with a... ...therapies and complex drug regimens. Collaborate... ...Current New York State Pharmacist license Pharm.D. or... ...be opportunity for remote work within all jobs posted...Remote workFull timeWork at officeWork from homeHome office$64 - $66 per hour
...Remote Who We Are: SmithRx is a rapidly growing, venture... ...building a next-generation drug acquisition platform driven... ...clinical team, the Clinical Review Pharmacist plays a key role in enhancing... ...and accreditation (URAC/NCQA) utilization review standards. Provide...Remote workFull timeContract workFlexible hoursWeekend work- ...Remote Clinical Review Pharmacist – Work From HomeLeverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions... ...determinations.Collaborate with physicians, nurses, and utilization-management teams on complex cases.Document...Remote workWork from homeFlexible hours
- ...Summary The Clinical Pharmacist II is an advanced clinical... ...adjudication of complex drug coverage requests, second-level reviews, and clinical appeals.... ...Effectiveness Synthesis: Utilize comprehensive comparative... ...rationales. Remote Productivity: Highly organized...Remote work
- ...Summary The Clinical Pharmacist I is a volume-driven,... ...High-Volume Case Review: Evaluate and adjudicate... ...specialized clinical drug databases to analyze drug... ...clinical guidelines, and utilization management workflows.... ...case reviews. Remote Productivity: Self-motivated...Remote work
$135k - $145k
...dynamic and experienced pharmacist trainer to join our... ...processes, and procedures utilizing a variety of training... ...Perform peer-to-peer reviews with providers when... ...secondary, and tertiary drug resources to support decision... ...productive in a remote, high-volume, and...Remote workFull timeWork at officeLocal areaFlexible hours$60 - $63 per hour
...are carefully and thoughtfully reviewed by our team. We know that when considering... ...! WHO WE ARE LOOKING FOR Remote Clinical Support Pharmacist The Clinical Support... ...intervention, and managing the drug utilization review (DUR) queue. This role creates outbound...Remote workFull timeFlexible hours- JOB SUMMARY:The Utilization Management Clinical Pharmacist is responsible for playing a critical... ..., and cost-conscious drug therapy while supporting... ...goals.KEY RESPONSIBILITIES:Review prior authorization requests... ...systems. Ability to work remotely will be provided to...Remote workWork at officeWeekend work
- JOB SUMMARY:The Clinical Pharmacist - Medical Drug Policy & Oversight serves as... ...provides clinical oversight of utilization management activities and... ..., maintenance, and annual review of evidence-based medical drug... ...systems.Ability to work remotely with travel to the office as...Remote workWork at office
- ...Remote Pharmacovigilance Pharmacist Drug Safety From Home No Prior Pharma Experience Required Contribute to global patient safety by collecting evaluating... ...and investigational products. Conduct literature reviews and support safety signal detection activities....Remote workFull timeWork from homeFlexible hours
$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$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- A national recruiting company is seeking a qualified pharmacist in Franklin Lakes, NJ. The role involves reviewing and interpreting prescription information, resolving drug interactions, and managing prior authorizations. A valid New Jersey pharmacist license is required...Full timeMonday to Friday
- ...Actalent is seeking a 100% remote Specialty Clinical Review Pharmacist in the United States to perform detailed reviews of specialty medication utilization management requests, including prior authorizations and step therapy. The role concentrates on oncology and other...Remote workPermanent employment
- ...TEEMA is seeking a Registered Nurse for a remote role with Arizona hours (1st shift). You will review medical records for quality, safety, and utilization issues, identify PQIs, and support QA initiatives in collaboration with Medical Directors. Must hold an active...Remote workDay shift
- Ascension is seeking a Pharmacist for a remote role within Ascension Rx - Embedded Pharmacies. You will review medication orders, dispense medications, and provide drug information to staff and patients. Responsibilities include communicating with physicians, supervising...Remote job
$38 - $41 per hour
...Utilization Clinical Reviewer - Remote | WFH job at Get It - Healthcare. Los Angeles, CA. Job Summary As a Utilization Clinical Reviewer, you will use your expertise to assess medical records and ensure the appropriate use of psychiatric inpatient care. With your critical...Remote workHourly payFull timeWork from homeFlexible hours$63k - $65k
...Workplaces in Financial Services & Insurance Utilization Review RN As a nurse at Sedgwick, you can... ...health and well-being of others in a remote work environment. Enjoy flexibility and... ...Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about...Remote workWork experience placementFlexible hours- ...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- ...Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities... ...Expectations Comfortable with remote work arrangements and virtual... ...Netsmart is committed to maintaining a drug-free workplace in accordance with...Remote workFull timeFor contractorsWork at officeShift workWeekend workWeekday work
- Judi Health in the United States is seeking a Utilization Management Pharmacist to review prior authorizations and support clinical programs. This role combines clinical decision-making with service excellence in a fast-paced, collaborative environment. You will assess...Remote job
$70 per hour
Gridnaut Recruiting is hiring a remote Pharmacist / Pharmacy Technician — Medication Pronunciation Reviewer contractor (pay $70/hr). Contribute to frontier AI research and... ...familiarity with prescription medications, generic and brand drug names, and standard U.S.....Remote workTemporary workFor contractors- Lynn Rodens is seeking an experienced RN for utilization review work. The role involves reviewing medical records, identifying quality and utilization... ...US citizenship and DoD clearance eligibility. Position is remote with AZ hours (typically first shift). #J-18808-Ljbffr Lynn...Remote jobDay shift
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