- Actalent (Omaha, NE)
- Clinical Review Pharmacist (100% Remote ) Seeking a dedicated and knowledgeable pharmacist to conduct drug utilization reviews and manage prior ... on-call rotations. Responsibilities + Conduct drug utilization reviews. + Manage prior authorizations according to state and federal regulations. + Educate… more
- US Tech Solutions (TX)
- **Job Title:** ** Prior Authorization Pharmacist ** **Location: Remote ** **Duration: 6+ months contract** **Job Description:** + Responsible for reviewing ... and completing criteria based on prior authorization as per policy and procedure....required with at least two years experience as a pharmacist in Managed care environment. + Must have an… more
- CVS Health (Phoenix, AZ)
- …for a Clinical Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the ... each and every day. Ready to take your Clinical Pharmacist skills to the next level with a Fortune...technicians and prior authorization team members to process referrals, including answering clinical… more
- CVS Health (Phoenix, AZ)
- …clinical skills to the next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical ... Pharmacist Position supporting Medicaid Prior Authorization . An active OK, AZ or...every 4 weeks and occasional holidays. This is a remote position open to qualified candidates within the United… more
- US Tech Solutions (May, OK)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... **Location: Fully remote ** **Duration:** 6 months contract **Job Description:** +... pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part… more
- Adecco US, Inc. (Cumberland, RI)
- Job Title: Pharmacist /Clinician - Prior Authorization Location: Remote Pay Rate: $52.98 - $ 56.00/hour Training + Dates: October 27 - December 12, 2025 + ... for performing criteria-based and clinical reviews of medical data to process prior authorization requests. This role involves direct interaction with… more
- Prime Therapeutics (Jefferson City, MO)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Staff Pharmacist Remote **Job Description** The Clinical Staff Pharmacist is ... processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization , step therapy, quantity limit exceptions) for… more
- Actalent (Seattle, WA)
- …meaningful impact in the field of pharmacy? We're seeking a dedicated and knowledgeable Remote Pharmacist to join our team. This role involves conducting drug ... active pharmacy license in good standing are essential. Position: Remote Pharmacist Location: Remote (based...and expertise. + Strong understanding of drug products and prior authorization processes. + Active pharmacy license… more
- Adecco US, Inc. (Cumberland, RI)
- Job Title: Pharmacy Technician I - Prior Authorization ( Remote ) Location: Fully Remote (US) Pay Rate: $19.99 - $ 21.13/hour Training: + 5 weeks, ... for PST time zone candidates Position Overview: The Pharmacy Technician I ( Prior Authorization ) handles inbound calls from providers, pharmacies, and members,… more
- Actalent (Tempe, AZ)
- …+ Conduct clinical review, analysis, recommendation, decision, and documentation of prior authorization requests, medical exception requests, and appeal requests ... + Offer drug information support and research clinical literature to support prior authorization decisions. + Prepare agendas and materials for Pharmacy… more
- Actalent (Sacramento, CA)
- Remote Pharmacist *Monday-Friday, 8am - 1pm start times, Job Description This role involves conducting drug utilization reviews and managing prior ... Clinical pharmacy knowledge and expertise. + Strong understanding of drug products and prior authorization processes. + Active pharmacy license in good standing.… more
- Actalent (Albuquerque, NM)
- …limited to, clinical review, analysis, recommendation, decision and documentation of prior authorization requests, medical exception requests, and appeal ... * Research and provide clinical literature documentation to support prior authorization decisions as indicated * May...(Pharm. D.) or equivalent and an active New Mexico Pharmacist license * Two (2) to five (5) plus… more
- Actalent (Omaha, NE)
- …MUST HAVE a Nebraska Pharmacy License + Pharm.D degree + Experience with prior authorization processes + Knowledge of insurance verification and medical billing ... Now Hiring! Clinical Pharmacist - Fully remote ! Job Description MUST HAVE a Nebraska Pharmacy License. This position requires a dynamic pharmacist to be the… more
- US Tech Solutions (May, OK)
- …This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This ... be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure....required with at least two years experience as a pharmacist . **About US Tech Solutions:** US Tech Solutions is… more
- Molina Healthcare (Everett, WA)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... outcomes, medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage determinations… more
- Molina Healthcare (Idaho Falls, ID)
- …pharmacy/health plan providers, Molina staff and others as needed. * Performs prior authorization reviews of high-cost medications and deferred authorization ... program(s) proficiency. **Preferred Qualifications** * Board Certified Ambulatory Care Pharmacist (BCACP). * American Pharmacist 's Association Medication Therapy… more
- Actalent (Sacramento, CA)
- 100% Remote Pharmacist Responsibilities + Conduct drug utilization reviews to ensure compliance with state and federal regulations. + Manage prior ... and expertise. + Strong understanding of drug products and prior authorization processes. + Active pharmacy license...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Dragonfly Health (Mesa, AZ)
- …equianalgesic dosing, generic and therapeutic substitution, formulary management and prior authorization procedures + Demonstrates understanding, competency and ... benchmarks. 7. Demonstrate exceptional communication and interpersonal skills in a remote or hybrid work environment. 8. Maintain a professional, empathetic tone… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …EDRP participants ineligible to apply. Responsibilities Community Care Clinical Pharmacist is responsible for analyzing real and potential drug-related medical ... action to ensure that patients receive optimal drug therapy. The clinical pharmacist also applies standards relating to all aspects of distribution and control… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote ** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will… more