Healthcare Support: Remote Pharmacist

Pharmacy Careers

Remote job

Remote Appeals Pharmacist Fair Medication Access

Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations for members all from home with a schedule that supports better work-life balance. Apply plan policies, evidence-based guidelines, and regulatory requirements to reach determinations.

Collaborate with physicians, nurses, and medical directors during case reviews.
Contribute to process improvements that enhance timeliness and quality.

PharmD or Bachelor of Pharmacy.

Hospital, ambulatory, and community pharmacists with strong documentation and clinical skills are encouraged to apply.

Excellent clinical judgment, written communication, and regulatory attention to detail.

Fully remote or hybrid options available.

About Us We are a confidential healthcare partner working with health plans and managed-care organizations nationwide. Our appeals pharmacists protect patient access while upholding regulatory standards. Apply Today Join our team as a Remote Appeals Pharmacist and help ensure every member receives a fair, evidence-based review.

Pharmacy Careers

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Healthcare Support: Remote Pharmacist in Rapid City, SD vacancy

Appeals Pharmacist (Remote)
...Remote Appeals Pharmacist - Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair...
Remote work
Work from home
Pharmacy Careers
Bismarck, ND
4 days ago
Remote Clinical Pharmacist — PBM & Coverage Appeals
The Judge Group is seeking an experienced Clinical Pharmacist to support its PBM coverage determinations and appeals team in a remote capacity. The role emphasizes reviewing complex cases, gathering clinical data, and making evidence-based recommendations for Medical Directors...
Remote job
The Judge Group
Eden Prairie, MN
1 day ago
Pharmacist PA/Appeals - Remote in Vermont or Maine
$44 - $79 per hour
...Pharmacist PA/Appeals - Remote in Vermont & Maine Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the...
Remote job
Hourly pay
Minimum wage
Full time
Temporary work
Work experience placement
Local area
Monday to Friday
Flexible hours
Shift work
UnitedHealthcare
Portland, ME
5 days ago
Remote Prior Authorization and Appeals Pharmacist
$59 per hour
...Job Description Job Description Remote Prior Authorization and Appeals Pharmacist Compensation: $59/hr Duration : 6 – 10 months, contract to hire possible Start date: ASAP. rolling start dates between September and November Location : Fully Remote, candidates...
Remote job
Contract work
Local area
Immediate start
Shift work
Insight Global
Orlando, FL
14 days ago
Appeals Pharmacist (temp-to-hire)
$101.6k - $133k
...Responsible for reviewing clinical coverage determination and appeals for different lines of business such as Commercial and Medicare... ...work independently with minimal supervision, stay productive in a remote, high-volume, metric driven environment with shifting...
Remote work
Temporary work
Work at office
Local area
Flexible hours
Shift work
Judi Health, LLC
Brooklyn, NY
4 days ago
Supervisor, Appeals Pharmacist
$128k - $160k
...Supervisor, Appeals Pharmacist Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States... ...Qualifications: ~1+ year of leadership experience in a remote environment. This position description is designed to be...
Remote work
Contract work
Work at office
Local area
Monday to Friday
Flexible hours
Shift work
Weekend work
Judi Health
Denver, CO
5 days ago
Remote Pharmacy Billing Specialist — Access & Appeals
Tampa General Hospital is seeking a Pharmacy Billing Specialist to manage all medication billing functions in Pharmacy Services. The role emphasizes verifying insurance eligibility, coordinating prior authorizations, and working with third-party payers and clinical offices...
Remote job
Tampa General Hospital
Tampa, FL
3 days ago
Specialty Pharmacist - Pittsburgh, PA
$130k
...patients. We're looking for a Specialty Pharmacist to join our team and serve patients onsite... ...gain access, including composing appeal letters and seeking any available financial... ...new ideas—no matter how radical. We are a remote-first company, however some pharmacy operations...
Remote work
Full time
Work from home
House Rx
Pittsburgh, PA
3 days ago
Specialty Pharmacy-Clinical Pharmacist Generalist
...dedicated to 100% patient care as a clinical pharmacist, generalist within the specialty... ...work a hybrid work schedule, with a mix of remote work with occasional onsite work at our... ...requests, and writing insurance coverage appeal letters for specialty medications.Core functions...
Remote work
Part time
Casual work
Flexible hours
University of Michigan
Ann Arbor, MI
3 days ago
Immunology Specialty Pharmacist (Hybrid)
...with prior authorizations, drug therapy appeals, financial assistance, and other Patient... ...specialty medication needs or,Clinical Pharmacist hospital practice experience (2 years) preferably... ...for monthly or weekly onsite attendance.Remote TypeHybridWork Location31 North...
Remote work
Full time
Immediate start
Flexible hours
2 days per week
1 day per week
Mass General Brigham
Burlington, MA
5 hours ago
Per Diem Pharmacist
$115.04 per hour
...Location: Santa Monica, CA, USA Onsite or Remote Fully On-Site Work... ..., IV/PO conversions, TPN per pharmacy, pharmacist interventions). At UCLA Health,... ...committed any misconduct; or have filed an appeal of a finding of substantiated misconduct...
Remote work
Hourly pay
Daily paid
Shift work
UCLA Health
Santa Monica, CA
5 days ago
Pharmacist
...Remote, TX Contract Job Title: Prior Authorization Pharmacist Location:Remote Duration: 6+ months contract Job Description: ~ Responsible for reviewing... ...calls regarding prior authorization and appeals? About US Tech Solutions: US Tech Solutions...
Remote work
Contract work
US Tech Solutions
Austin, TX
3 days ago
Case Management Pharmacist (Remote)
...Remote Case Management Pharmacist - Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients through medication... ...interactions. Support prior-authorization and appeals processes when needed. Educate patients and caregivers...
Remote work
Work from home
Pharmacy Careers
United States
5 days ago
Clinical Pharmacist
...responsibilities: Review and render decisions on authorizations and appeals for specialty, non-specialty, and physician administered drugs... ...: ~ Doctor of Pharmacy Degree ~ Active, unrestricted pharmacist license ~3+ years of experience as a licensed pharmacist ~...
Remote work
Hire Talent
United States
5 days ago
Clinical Pharmacist
...Pharmacy Appeals Department – Dept 247 Location: 100% Remote - National SHIFT: 9am – 6pm EST Duration: 3 months Job Profile Summary Evaluate redetermination... ...clinical judgment on a case by case basis. A pharmacist will review medication requests not addressed by P&...
Remote work
Shift work
Axelon
United States
4 days ago
Remote Prior Authorization Pharmacist
...Pharmacist, Prior Authorization (PA) & Appeals Required Skills & Experience: Bachelors or Doctorate of Pharmacy; Active State Pharmacist License -... ...environment - Ability to perform responsibilities and duties remotely with little to no supervision - Comfortable in a...
Remote work
Insight Global
Minnetonka, MN
1 day ago
Clinical Pharmacist 1
...Position Title: Clinical Pharmacist 1 Work Location: Remote Assignment Duration: 3 Months Work Schedule: 9am - 6pm EST No OT Position Summary: Pharmacy Appeals Department - Dept 247 Inclusive team culture, learning environment (not punitive) Pharmacy...
Remote work
Work at office
Spectraforce Technologies
Houston, TX
4 days ago
Pharmacist | Boston, Massachusetts
$52 - $72 per hour
...A remote Pharmacist opportunity is available focusing on Part B drug prior authorization and appeals. This temp-to-hire role requires active state pharmacist licensure and offers the flexibility to work from anywhere in the U.S. Location: Remote Schedule:...
Remote work
Permanent employment
Contract work
Temporary work
Monday to Friday
Weekend work
Soliant Health
East Boston, MA
5 days ago
Specialty Pharmacist
...Specialty Pharmacist Full Time Springfield, Ohio AndHealth is on a mission to radically... ...formularies, prior authorizations, and appeals. Maintain strict documentation for... ...provide on-site support or cross-site remote assistance, ensuring operational continuity...
Remote work
Full time
Temporary work
Work experience placement
AndHealth
Springfield, OH
1 day ago
Pharmacist
$65 per hour
...Job Title: Clinical Pharmacist (Remote) Location: Remote Schedule: Monday-Friday, 8:00 AM - 5:00 PM or 9:00 AM - 6:00 PM Additional... ...to support our pharmacy coverage determination and appeals team during peak business periods. This role is responsible...
Remote work
Weekly pay
Work at office
Monday to Friday
Weekend work
The Judge Group
Eden Prairie, MN
5 days ago
Pharmacist - Remote
$60 - $65 per hour
...Remote Clinical Pharmacist (Appeals & Prior Authorization) We are seeking licensed Clinical Pharmacists to join a growing Pharmacy Appeals and Prior Authorization team. This role is responsible for evaluating pharmacy coverage determinations, redeterminations, and appeals...
Remote job
Contract work
Temporary work
Actalent
Austin, TX
1 day ago
Pharmacist
$50 - $55 per hour
...Medicare and Medicaid. JOB OVERVIEW Location: Work from home (100% remote) - refer list of states below. Duration: 6 months contract (... ...prospective and/or retrospective drug utilization review and appeals per State and Federal regulations. Participates in the...
Remote work
Contract work
Work from home
Amerit Consulting
New York, NY
4 days ago
Pharmacy - Pharmacist Inpatient
...Non-Billable Orientation (NBO) Job - Remote Managed Care Pharmacist Pharmacist License Required for WA, OR, or CA. 3+ Years in a Managed Care... ...Required (meaning dealing with Prior Authorizations, Audits, Appeals, ALJ Court hearings, etc). Rare weekends required a few...
Remote work
Local area
Weekend work
Bestica Healthcare
United States
1 day ago
Pharmacist In Charge (Specialty) - Round Rock, TX
$135k
...Pharmacist In Charge (Specialty) - Round Rock, TX House Rx is on a mission to make specialty... ...gain access, including composing appeal letters and seeking any available financial... ...new ideasno matter how radical. We are a remote-first company, however some pharmacy...
Remote work
Full time
Work from home
House Rx
Round Rock, TX
3 days ago
Pharmacist - Prior Authorization
...6 months contract Job Description: ~ The clinical pharmacist is an operation based role that conducts clinical reviews of medical... ...Ensure accuracy of case setup and clinical review of Medicare appeals cases. Review internal notes or fax requests thoroughly...
Remote work
Contract work
Varite
United States
3 days ago
Prior Authorization Clinical Pharmacist
...Prior Authorization Clinical Pharmacist Virtual: This role enables associates to work virtually full-time, with the exception of required... ...of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base,...
Remote work
Full time
Contract work
Work experience placement
Work at office
Elevance Health
United States
4 days ago
Clinical Utilization Management Pharmacist
...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, and any future lines of...
Remote work
Work at office
Shift work
WVU Medicine
United States
4 days ago
Clinical - Clinical Pharmacist 1 - 210392
$60 - $65 per hour
...Job Title: Clinical Pharmacist I Duration: Contract (3 Months) Location: Remote Schedule: Monday Friday | 9:00 AM 6:00 PM EST Pay Range: $60 - 65/hourly... ...Clinical Pharmacist I to join a remote Pharmacy Appeals team. In this role, you will review prior authorization...
Remote work
Hourly pay
Contract work
Work at office
Monday to Friday
Pacer Group
Houston, TX
2 days ago
Clinical Pharmacist Reviewer - Part-time
$135.2k - $141.44k
...requirements are subject to change. Position: Clinical Pharmacist Reviewer Location: Remote Status: Part-time About J29 J29 is an... ...clinical review of Medicare Part D reconsideration appeals and program integrity-related activities. The Clinical...
Remote work
Hourly pay
Contract work
Part time
For contractors
Work at office
J29, Inc
Remote
3 days ago
Ambulatory Clinical Pharmacist
$127k - $133k
...Ambulatory Clinical Pharmacist Remote Job Purpose: Provide integrated support to patients and physicians by providing a hands-on... ...with supporting roles handling complex prior authorizations/appeals by providing clinical justification for medication approval,...
Remote work
Work at office
Local area
Shields Health Solutions LLC
United States
3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Healthcare Support: Remote Pharmacist. Be the first to apply!