Healthcare Support: Remote Pharmacist
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 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.
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
$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 jobContract workLocal areaImmediate startShift work- ...CommuniCare Health is seeking a Pharmacy Prior Authorization Specialist for a full-time remote role. This position involves managing the Prior Authorization workflow for facilities in states including Ohio and West Virginia. The successful candidate will submit prior...Remote workFull time
- ...Specialty Pharmacist Full Time Illinois AndHealth is on a mission to radically... ...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
- ...Pharmacist, Prior Authorization (PA) & Appeals Required Skills & Experience: Bachelors or Doctorate of Pharmacy; Active State Pharmacist License Current... ...Ability to perform responsibilities and duties remotely with little to no supervision Comfortable in a fast...Remote work
$95.61 - $112 per hour
...Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work... ...interchange, IV/PO conversions, TPN per pharmacy, pharmacist interventions). At UCLA Health,... ...any misconduct; or have filed an appeal of a finding of substantiated misconduct...Remote workHourly payShift work- ...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
$127k - $133k
...Ambulatory Clinical Pharmacist Remote Join our Shields team today! Shields Health Solutions is redefining patient care through health-... ...with supporting roles handling complex prior authorizations/appeals by providing clinical justification for medication approval,...Remote workHourly payWork at officeLocal areaRelocation package$50 - $55 per hour
...Description The Clinical Pharmacist supports the review of prior authorization and appeal requests by evaluating clinical documentation and making coverage determinations... ...Leave) Workplace Type This is a fully remote position. Application Deadline This...Remote workContract workTemporary work$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$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 hoursShift workWeekend work- ...Case Management Pharmacist – Coordinate Care and Improve Patient Outcomes A confidential... ...interactions. Support prior authorization and appeals processes when needed. Educate... ...organizations offer hybrid or fully remote work options. Rewards: Competitive pay...Remote work
$50 - $55 per hour
...Clinical Pharmacist The Clinical Pharmacist supports the review of prior authorization and appeal requests by evaluating clinical documentation and making coverage determinations... ...or Sick Leave) This is a fully remote position. This position is anticipated...Remote workContract workTemporary work- ...NBO vs. Standard 40 NBO**" OR, WA, or CA Pharmacist License Required 3+ Years in a Managed Care... ...dealing with Prior Authorizations, Audits, Appeals, ALJ Court hearings, etc) **Rare weekends required a few times per year** REMOTE - M-F Managed Care Pharmacist The Clinical...Remote workZero hours contractLocal areaWeekend 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
$60 - $66 per hour
Job Summary The Prior Authorization Pharmacist will play a critical role in evaluating pharmaceutical... ...-focused health insurers. Working fully remote, this contract position enables... ...prior authorization, formulary, PharmD, appeals, coverage determination, medical...Remote workContract workTemporary work- ...: 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
$23 per hour
...position ideal for candidates local to the area. Remote work possible after initial on-site training.... ...Manage prior authorization requests and appeals with insurance carriers. Collaborate with physicians, pharmacists, and other departments. Ensure HIPAA compliance...Remote workFull timeTemporary workLocal areaRelocation package$45 per hour
...SPECTRAFORCE is seeking a Clinical Appeals Specialist to handle member-generated appeal processes remotely from California. The role involves reviewing medical records and ensuring compliance with clinical policies. Ideal candidates will have strong managed care and clinical...Remote workHourly pay$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 packageMonday to FridayShift work- ...Hi, we're Oscar. We're hiring a Clinical Pharmacist Supervisor - Prior Authorization to join... ...review for prior authorizations and appeals. This role will drive operational excellence... .... Work Location: This position is fully remote and open to candidates residing in the U...Remote workFull timeWork from homeHome office
- ...contribute Position Summary The Clinical Pharmacist II is an advanced clinical role... ...requests, second-level reviews, and clinical appeals. The Clinical Pharmacist II specializes... ...logical, and defensible rationales. Remote Productivity: Highly organized, self-motivated...Remote work
$65 - $68 per hour
...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 workHourly payContract workPart timeFor contractorsWork at office$133.12k
...health outcomes. Responsible for prescription processing from a remote setting. Fosters strong relationships with medical communities... .... Serves as a subject matter expert and resource to other pharmacists and field leaders. Maintains current knowledge of Pharmacy industry...Remote workHourly payLocal areaWeekend workAfternoon shift- ...Remote Clinical Review Pharmacist – Work From Home Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions and treatment plans for safety, appropriateness, and cost-effectiveness while working from home. Key Responsibilities...Remote workWork from homeFlexible hours
$57 - $65 per hour
A healthcare technology company is looking for a Utah-licensed Clinical Pharmacist to optimize patient outcomes using its software platform. This role involves providing medication therapy consultations, supervising the Clinical Care support team, and working collaboratively...Remote workHourly pay- Description: Mail Meds is now hiring a Staff Pharmacist Schedule: Full-Time | Day Shift | Monday-Thursday 8:00 am - 5:30 pm Friday 8:... ..., allergies, and insurance information. Responsible for PV1 Remote verification queues for the CAN Pharmacies. Verify accuracy of...Remote workFull timeImmediate startDay shift
- ...such as Pharmacy store, Call Center, Micro-Fulfillment, and/or remote) and provides pharmacy consulting services with empathy to patients... ...the patient experience. Job Responsibilities * Performs pharmacist tasks, including compounding, drug therapy reviews, verification...Remote workHourly payLocal areaShift work
$62.89 - $92.44 per hour
...Junction, Colorado. This is a unique opportunity for a Clinical Pharmacist who wants more than just a role…someone who wants to help build... ...Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related...Remote workHourly payPart timeReliefLocal areaMonday to FridayShift work$140.09k - $171.18k
...health outcomes. Responsible for prescription processing from a remote setting. Fosters strong relationships with medical communities... .... Serves as a subject matter expert and resource to other pharmacists and field leaders. Maintains current knowledge of Pharmacy industry...Remote workHourly payLocal area1 day per week
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