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
- ...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
- Judi Health is seeking a Clinical Appeals Reviewer to review coverage determinations and appeals for Commercial and Medicare lines, ensuring... ...with thorough detail, while maintaining turnaround times in a remote environment. This remote role allows you to work from a secure...Remote jobWork from homeHome office
$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- UnitedHealth Group seeks a Pharmacist PA/Appeals to join as a remote clinician supporting Vermont and Maine operations. The role focuses on prior authorization reviews, appeals determinations, and collaboration with providers, members, and internal teams to ensure compliant...Remote jobHome office
- 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$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 jobHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift work- UnitedHealth Group seeks a Pharmacist PA/Appeals for remote work supporting Vermont and Maine. The role focuses on clinical review, decisioning, and appeals in pharmacy prior authorization, with collaboration across providers, members, and internal teams. Responsibilities...Remote job
- UnitedHealth Group is seeking a Pharmacist PA/Appeals for remote work in Maine and Vermont. The role involves clinical review, decisioning, and communication related to prior authorization and appeals, using established criteria and regulatory guidelines. You will collaborate...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$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- UnitedHealth Group is seeking a Senior Pharmacy PA/Appeals Technician to support prior authorization and appeals processes. The role involves... ...in multiple systems, and ensuring complete documentation. Remote work available for Maine or Vermont residents, with 8-hour...Remote jobShift workWeekend work
$128k - $160k
...matter expert on prior authorization and appeals operations that are compliant to federal... ...processes of prior authorization pharmacists, staff schedules, skilling, performance... ...1+ year of leadership experience in a remote environment. This position description...Remote workContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...About the job Remote Coverage Review Pharmacist Remote Coverage Review Pharmacist needs 3 years and Doctor of Pharmacy (PharmD) Degree... ...various activities associated with coverage reviews and appeals including the review of medication related prior authorizations...Remote workWork at office
$114.98k - $120k
...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 workFull timeRelocation packageShift 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
- ...support Medicare members and providers with pharmacy benefit requests, the fully remote Clinical Pharmacist Advisor - Medicare Part D will review and process pharmacy benefit and appeals requests while ensuring compliance with Medicare guidelines. Key responsibilities...Remote work
- ...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 workContract work
- ...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 workWork at office
$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- Remote Clinical PharmacistSkip to main contentWe use cookies and tracking technologies... ...Cencora! Explore our careers.Remote Clinical Pharmacist page is loaded## Remote Clinical... ...submit prior authorizations, manage denials/appeals.* Demonstrate ability to navigate various...Remote jobFull timeWork at officeLocal areaMonday to Friday
- ...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
- Fallon Health seeks a clinical pharmacist to review and render clinical decisions for provider and member appeals and grievances on medications across all lines of business. You will collaborate with Appeals & Grievance teams, Medical Directors, and prior authorization...
- ...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
$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 workHourly payContract workWork at officeMonday to Friday- Fallon Health in Worcester, MA is seeking a licensed pharmacist to review and decide on provider/member appeals and grievances related to medications across all lines of business. You will analyze pharmacy data to support utilization management and contribute to formulary...
- ...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
$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- Fallon Health, based in Worcester, MA, is seeking a pharmacist to review provider/member appeals and grievances for medications across all lines of business. You will analyze formulary criteria, coordinate with Medical Directors and vendors, and ensure timely reviews....
- ...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 workLocal areaWeekend work
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