Clinical Pharmacist - Remote
Pharmacy Careers
Remote Appeals Pharmacist – Fair Medication AccessWork from home with a 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.What You'll BringEducation: PharmD or Bachelor of Pharmacy.Hospital, ambulatory, and community pharmacists with strong documentation and clinical skills are encouraged to apply.Skills: Excellent clinical judgment, written communication, and regulatory attention to detail.Fully remote or hybrid options available.About UsWe 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 to join our team as a remote appeals pharmacist and help ensure every member receives a fair, evidence-based review.
- ...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 workWork from home
$40.87 - $80.43 per hour
...Pharmacist PositionAt UnitedHealthcare, we're simplifying the health care experience, creating... ....You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you... ...drug interactions, and clinical status for appeals requestsConduct Quality Assurance and verify...Remote workHourly payWork experience placement$44 - $79 per hour
...medications, potential drug interactions, and clinical status for appeals requestsConduct Quality Assurance and verify the accuracy of... ...:Master's degree in PharmDActive and unrestricted Pharmacist license in your state of residence1+ years of experience as a...Remote workHourly payMinimum wageFull timeWork experience placementLocal areaMonday to Friday- 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
$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 workContract workLocal areaImmediate startShift work$135k - $145k
...clinical decisions/recommendations for provider/member submitted appeals and grievances for medically administered medications as well... ...: RPH or Pharm D License: Current license to practice as pharmacist in Massachusetts without restriction Experience: 3 years, preferably...Remote jobLocal area$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 workTemporary workWork at officeLocal areaFlexible hoursShift work$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 workContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...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 workPart timeCasual workFlexible hours
- ...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
- ...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 workShift work
- ...Position Title: Clinical Pharmacist 1 Work Location: Remote Assignment Duration: 3 Months - Possible extension Work Schedule: 9am - 6pm EST No OT Pharmacy Ops Dept includes PA and Appeals - Evaluate redetermination and appeals coverage requests Typical Day in the Role...Remote workWork at office
$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 workPermanent employmentContract workTemporary workMonday to FridayWeekend work- ...Specialty Pharmacist Full Time Springfield, OhioAndHealth is on a mission to radically improve... ...formularies, prior authorizations, and appeals.Maintain strict documentation for URAC... ...to provide on-site support or cross-site remote assistance, ensuring operational...Remote workFull timeTemporary workWork experience placement
$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 workContract workWork from home$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 workWeekly payWork at officeMonday to FridayWeekend work$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 workFull timeWork from home- ...Remote Case Management Pharmacist Coordinate care for complex patients | Work from home support high-risk and complex patients through medication... ...potential interactions. Support prior-authorization and appeals processes when needed. Educate patients and caregivers...Remote work
- ...Clinical Utilization Management Pharmacist Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist... ...drug utilization review for initial determinations and/or appeals for our ASO clients, Medicare Advantage plan, and any future lines...Remote workWork at officeShift work
$44 - $79 per hour
...Pharmacist PA/Appeals - Remote in Vermont & MaineOptum 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 care...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift work- ...Pharmacy Remote Support SpecialistThis position will work remotely to support clinic and pharmacy locations, alongside Prior Authorization... ..., formulary exception requests, payer denials and appeals, and other medication access activities to facilitate timely and...Remote workFlexible hours
$120k - $125k
...Position Overview The Clinical Care Pharmacist plays a vital role in ensuring safe, effective... .... Location & Schedule Location: Remote Shifts ~7a-4p EST ~9a-6p EST ~1... ...decisions on prior authorizations, appeals, and override requests in alignment with...Remote workFull timeContract workShift workWeekend work- ...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 workFull timeContract workWork experience placementWork at office
$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 workWork at officeLocal area$60 - $65 per hour
...Clinical Pharmacist I Duration: Contract (3 Months) Location: Remote Schedule: Monday Friday | 9:00 AM 6:00 PM EST Pay Range: $60 - 65/hourly Job Summary:... ...Clinical Pharmacist I to join a remote Pharmacy Appeals team. In this role, you will review prior authorization...Remote workHourly payContract workWork at officeMonday to Friday$125k - $130k
...Utilization Management Pharmacist (temp-to-hire) Remote About Judi Health Judi Health is a health technology company providing benefit administration... ..., evidence-based decisions on prior authorizations, appeals, and override requests using clinical guidelines and...Remote workTemporary workLocal areaFlexible hoursWeekend work$60 - $70 per hour
...Pharmacy Access and Patient Care! Location: Remote - U.S. (All States Considered) Type:... ...is actively recruiting several clinical Pharmacists to support a leading national health... ...process for pharmacy drug authorizations and appeals . This fully remote opportunity allows...Remote workContract workTemporary workFlexible hoursShift workWeekend work$55.28 - $57.69 per hour
...Clinical Consulting Pharmacist Schedule: Monday - Friday, 2:30PM - 11:00PM EST Must reside in PA or TN to be considered. Dragonfly... ...when appropriate. Support complex case reviews and appeals with accurate clinical documentation. Identify opportunities...Remote jobRelocation packageMonday to FridayShift work$115.04 per hour
Onsite or Remote Fully On-Site Work Schedule Varied shifts (may vary based on departmental... .... We are seeking an Ambulatory Oncology Pharmacist for our Bowyer Infusion Pharmacy. The... ...committed any misconduct; or have filed an appeal of a finding of substantiated misconduct...Remote workHourly payDaily paidShift work- ...to: Pharmacy Prior Authorization Manager Job Type: Full-Time Remote Pharmacies: West Virginia, Ohio, Indiana and Maryland Position... ...with a prior authorization, and participate in the appeal process. Key Responsibilities Include but are not limited to:...Remote workFull time
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