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.
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.
#J-18808-Ljbffr Pharmacy Careers
- ...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
- ...Pharmacy Careers is seeking a Remote Appeals Pharmacist to join a confidential partner program focused on fair medication access. In this fully remote role, you will review medication coverage appeals, apply evidence-based guidelines, and craft clear rationales to support...Remote work
- Pharmacy Careers is seeking a Remote Appeals Pharmacist to ensure fair access to medications. You will review clinical documentation for coverage appeals from home and provide evidence-based determinations. This role supports managed care through strong documentation, clinical...Remote jobWork from home
- Pharmacy Careers is seeking a fully remote Appeals Pharmacist to review medication coverage appeals and provide evidence-based determinations from home. A focus on clear clinical writing and regulatory compliance helps ensure fair access for members. The role supports remote...Remote jobWork from home
$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 workHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift work$44 - $79 per hour
...Pharmacist At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers... ...medications, potential drug interactions, and clinical status for appeals requests Conduct Quality Assurance and verify the accuracy...Remote workHourly payMinimum wageFull timeWork experience placementLocal areaMonday to Friday- Pharmacy Careers seeks a Remote Appeals Pharmacist to review medication coverage appeals from home or hybrid settings. You will apply evidence-based guidelines, draft clinical rationales, and collaborate with clinicians to ensure fair access for members. This fully remote...Remote job
- Pharmacy Careers is seeking a Remote Appeals Pharmacist focused on fair medication access. This fully remote or hybrid role involves reviewing medication coverage appeals, applying evidence-based guidelines, and writing clear clinical rationales for determinations. You...Remote job
$44 - $79 per hour
...Senior Pharmacy PA/Appeals Technician Optum is a global organization that delivers care, aided by technology to help millions of... ...be received via fax or telephone, from providers' offices and pharmacists. The technician must provide the information clearly, accurately...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hoursShift work- A healthcare management company is seeking a Remote Coverage Review Pharmacist located in Tennessee. This role requires a Doctor of Pharmacy (PharmD... ...responsible for reviewing medication-related prior authorizations, appeals, and grievances, working independently or in a team to...Remote work
$40.87 - $80.43 per hour
...Pharmacist At 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 take... ...drug interactions, and clinical status for appeals requests Conduct Quality Assurance and...Remote jobHourly payWork experience placement- ...Pharmacy Careers is seeking a highly qualified Remote Appeals Pharmacist to support fair access to medications and advocate for members' needs. You will review clinical data, apply guidelines, and craft written rationales for appeal outcomes. The role supports flexible...Remote workFlexible hours
$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- UnitedHealth Group is seeking a Senior Pharmacy PA/Appeals Technician to support prior authorization and appeals across multiple channels... ...ability to work flexible shifts. You will collaborate with pharmacists and clinicians to resolve complex requests while adhering to...Remote jobFlexible hours
- UnitedHealth Group is seeking an experienced Pharmacist to evaluate prescriptions and patient histories, interpret clinical documents, and render prior authorization decisions. You will consult with patients and providers on medication use, coverages, and potential drug...Remote jobHourly pay
$55 per hour
...$55.00/hr Job Overview Location: Work from home (100% remote) - refer list of states below. Duration: 6 months contract (... ...Performs prospective and/or retrospective drug utilization review and appeals per State and Federal regulations. Participates in the...Remote workContract workTemporary workWork from home- ...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 workFull timeImmediate startFlexible hours2 days per week1 day per week
- ...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
- ...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
- ...Description Job Description Specialty Pharmacist Full Time Springfield, Ohio... ...formularies, prior authorizations, and appeals. Maintain strict documentation for URAC... ...to provide on-site support or cross-site remote assistance, ensuring operational continuity...Remote workFull timeTemporary workWork experience placement
$124.68k
...Job Description Summary The Clinical Pharmacist I supports clinical pharmacy programs by performing medication therapy review, drug... ...management teams on Part B and Part D drug utilization trends, denial/appeal processes, and exception requests; apply evidence-based...Remote workFull timeTemporary work- About the job Remote Coverage Review Pharmacist Remote Coverage Review Pharmacist needs 3 years and Doctor of Pharmacy (PharmD) Degree Clinical experience... ...various activities associated with coverage reviews and appeals including the review of medication related prior...Remote jobWork at office
- ...Job Description The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests... ...-Ability to perform responsibilities and duties remotely with little to no supervision -Comfortable in a fast...Remote work
$55.28 - $57.69 per hour
...alternatives when appropriate. Support complex case reviews and appeals with accurate clinical documentation. Identify... ...required; PharmD preferred ~ Full, current, and unrestricted pharmacist license in PA, TN, and/or OH ~ Ability to obtain additional...Remote workRelocation packageShift work$3,122 - $3,422 per week
...Pharmacist Location: Lodi, CA Agency: Wayward Medical Staffing Pay: $3,122 to $3,422 per week Shift Information: Days... ...based and/or population based medication management activities, remote order verification, and all other areas as directed/necessitated...Remote workFull timeContract workWork experience placementShift work- ...As a Utilization Management Clinical Pharmacist, you will join TruDataRx’s dynamic team... ...clinical criteria. Evaluate and adjudicate appeal requests for clinical appropriateness... ...clinical data to individual case reviews. Remote Productivity: Self-motivated, highly...Remote work
$3,317 per week
...Pharmacist Location: Marshfield, WI Agency: Cynet Health Pay: $3,317 per week Shift Information: Evenings - 4 days x... ...duties include order verification, product check and release, remote sterile compounding verification, and clinical tasks such as IV...Remote workFull timeContract workCasual workLocal areaShift workNight shiftRotating shiftWeekend workAfternoon shift- ...Pharmacist Location: Marshfield, WI Agency: Concentric Healthcare Staffing Pay: Competitive weekly pay (inquire for details... ...Perform order verification, product check and release, and remote sterile compounding verification Carry out clinical pharmacy...Remote workWeekly payFull timeContract workImmediate startShift workNight shiftDay shift
- ...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 workWork at officeShift work
$2,185 - $2,485 per week
...Pharmacist Location: Ukiah, CA Agency: Wayward Medical Staffing Pay: $2,185 to $2,485 per week Shift Information: Days... ...based and/or population based medication management activities, remote order verification, and all other areas as directed/...Remote workFull timeContract workWork experience placementImmediate startShift work
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