18 pharmacist jobs found

Become a part of our caring community and help us put health first The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical thinking and in-depth analysis of variable factors. Earn a $5,000 hiring bonus! Bonus is paid after 180 days of employment; you must be employed until that date to be eligible to receive the payment." Location: Remote - United States Schedule: 8-hour shifts, Monday through Friday, between 10:30 AM and 11:00 PM EST OR 10-hour shifts, Tuesday through Friday, between 10:30 AM and 11:00 PM EST Required to work every 5th Saturday Required to work 1 company holiday...

Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clinical knowledge compared to the policy and physician request to make a determination. At times, the incumbent may conduct additional research beyond medical policy review to make coverage determinations. ESSENTIAL RESPONSIBILITIES Make coverage determinations by evaluating physician requests for prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to ensure claims are properly routed and paid. Conduct research beyond medical policy review to make decisions on medication coverage requests. Other duties as assigned. EDUCATION...

Our Company OnePoint Patient Care Overview We are looking for a Pharmacist to join our team of providing the highest quality of care, reliability, and support to our patients, caregivers, and families. In this role, the Pharmacist will be responsible for dispensing medications, providing clinical advice, as well as delivery services. Responsibilities Provides clinical consultations to patients as well as recommendations to nurses, physicians, and other hospice personnel Evaluates medication profiles, compliance, and modifications to achieve desired therapeutic outcomes Answers customer questions and resolves customer issues in a timely manner Retrieves data in the pharmacy system Manages medication orders Ensures proper storage and security conditions for medications Maintains a productive, orderly, and error-free work environment Qualifications Doctor of Pharmacy Degree or Bachelor of Science Pharmacy Degree...

Company : Highmark Inc. Job Description : JOB SUMMARY This job requires the incumbent to balance clinical and business acumen to implement and provide ongoing support and oversight of assigned pharmacy programs. This pharmacist will work in a team-oriented environment as a subject matter expert of assigned pharmacy program offerings with both clinical and non-clinical focus. The incumbent is responsible for implementation, market introduction, overall performance, and continuous improvement of their assigned programs. The incumbent will work with internal partners and leadership to develop a firm grasp of the Organization's clinical program strategy as it evolves over time to enhance the value that is delivered to the Organization's customers. ESSENTIAL RESPONSIBILITIES Define the Organization's clinical product eminence strategy and plan, including the identification of key activities (e.g., conferences, publications, white papers, webinars, etc.) that will...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Saint Francis Health System. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Current Saint Francis Employees - Please click HERE (http://www.myworkday.com/saintfrancis/d/task/3005$4482.htmld) to login and apply. Full Time Job Summary: Reviews medication orders for safety and appropriateness. Insures medications are prepared and dispensed timely and accurately. Provides drug information and education upon request. Directly supervises support staff working in their immediate area of responsibility. Minimum Education: Bachelor's Degree...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Pharmacy Technician II - MCP Clinical Liaison - Remote Job Description Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. Responsibilities Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists. Escalates requests to Pharmacist...

Job Summary The Telepharmacist serves multiple hospitals, in multiple states, using technology to maximize the cognitive contributions of clinical pharmacists to quality patient care. The Telepharmacist actively engages with clinicians to enhance the performance of care teams and improve outcomes. The Telepharmacist reviews and approves medication orders, conducts clinical interventions as appropriate, and documents all actions in accordance with the policies and procedures of both PipelineRx and its hospital clients. Responsibilities The Telepharmacist performs telepharmacy duties as required and defined in the company SOP and reports directly to the Regional Manager. The Telepharmacist will be responsible for providing telepharmacy services for multiple clients and learn multiple pharmacy information systems (PIS’s). The Telepharmacist will obtain multiple state licenses. They will prioritize, assign, and evaluate the work of assigned clients; maintain...

Our Company Amerita Overview Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for an Intake Coordinator to join our Intake team as we grow to be one of the top home infusion providers in the country. The Intake Coordinator will report to the General Manager and work in our location branch. Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of PharMerica. The home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita. As a core member of the Intake team, you will have primary responsiblity for the timely clearance of new referrals. We will help you achieve your goals through continuous professional development and regular career progression discussions. Responsibilities As an Intake...

Company : Highmark Inc. Job Description : JOB SUMMARY This job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to evaluate, educate and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. ESSENTIAL RESPONSIBILITIES Communicate effectively with physician and pharmacy network providers to ensure that the needs of the...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Humana. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. The first 4 weeks of training will be from...

Job Description We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care. We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place. We are looking for an experienced consulting professional who has an understanding of inpatient pharmacy solutions, pharmacy industry best practices, multiple business processes or technology designs within the pharmacy of a hospital. You will operate independently to provide quality work products to an engagement as...

Job Description Principal Consultant - Outpatient Pharmacy Travel: Up to 50% | Location: Remote (U.S.) At Oracle Health, we're not just building software-we're transforming how health happens. Our mission is bold yet simple: to create a smarter, more connected healthcare ecosystem where technology empowers clinicians, elevates patient care, and ultimately saves lives. As a Principal Consultant specializing in Outpatient Pharmacy, you'll be at the heart of that transformation. You'll bring your pharmacy expertise and implementation know-how to help some of the world's largest healthcare organizations design safer, faster, and more efficient pharmacy workflows. From inpatient to outpatient, your work will make a real-world difference for providers and patients alike. What You'll Do In this role, you'll lead client engagements from strategy through go-live, serving as a trusted advisor and hands-on expert. You'll: Partner with pharmacists, technicians,...

Home Infusion Registered Nurse – Accredo Specialty Pharmacy Join Accredo Specialty Pharmacy, part of Evernorth Health Services, and bring your nursing expertise to patients where they feel most comfortable—their homes. As a Home Infusion Registered Nurse, you’ll deliver life-changing care while building meaningful relationships and driving positive health outcomes. Responsibilities: Provide safe and effective administration of specialty medications (including IV infusion) in patients’ homes. Partner with pharmacists and care teams to ensure holistic patient well-being. Document assessments, treatments, and progress to maintain accurate patient records. Serve as the primary point of contact for patient updates and care coordination. Demonstrate autonomy in clinical decision-making to achieve optimal outcomes. Required Qualifications: Active RN license in the state of practice. Minimum 2 years of RN experience. At least 1 year in...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Provider Relations Manager - Remote Job Description The Manager of Provider Relations plays a critical leadership role in developing, managing, and maintaining strong internal and external relationships. The role is responsible for overseeing pharmacy outreach, independent pharmacy contracting, compliance and issue resolution with pharmacies to ensure network integrity, service quality, and cost-effectiveness. The role is also responsible for leading and managing a Provider Relations team to ensure effective performance management of employees, departmental interaction, and process improvements. Responsibilities Manage and mentor a team to achieve team and company goals, monitor performance and provide coaching and...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Client Concierge Specialist Sr - Remote Job Description The Senior Client Concierge Specialist is responsible for processing, communicating, documenting, and tracking more complex member cases for Pharmacy Concierge Services. This position is also responsible for interacting with members, pharmacies, prescribers, or plans to provide support and assistance with concierge program inquiries and other administrative functions. Responsibilities Set up, track, and monitor daily workflow based on client needs Analyze and trouble-shoot complex cases by researching, gathering and documenting relevant information relating to the case in both the claims processing system and case management systems within pre-determined...

Project Coordinator Anywhere Type: Contract Category: Program/Project Management Industry: Life Sciences Workplace Type: Remote Reference ID: JN -112025-104507 Date Posted: 12/20/2025 Shortcut: http://careers.eliassen.com/WbqMlB Description Recommended Jobs Description: *100% Remote | EST hours * Our client, a leading global pharmaceutical solutions and distribution company focused on improving access to medications and healthcare products around the world. They support the full healthcare value chain by partnering with drug manufacturers, care providers, pharmacies, and other stakeholders to ensure reliable delivery, logistics, and commercialization of pharmaceuticals and related services We can facilitate w2 and corp-to-corp consultants. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision benefits, 401k with company matching, and life insurance. Pay: $32 - $40/hr...

Summary This role involves coordinating medical, mental health, dental, and durable medical equipment services for detained non-citizens at non-IHSC facilities, ensuring compliance with ICE standards, conducting site visits, case monitoring, and providing medical expertise. Travel and 24/7 availability are required. This is a non-supervisory position. This position is only open to current USPHS officers. USPHS Call to Active Duty (CAD) candidates are not eligible for this position. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency Applicants must be a current USPHS Commissioned Corps Officer. USPHS Call to Active Duty (CAD) candidates are not eligible for this position. Civilians are not eligible for this position. Duties DUTIES AND RESPONSIBILITIES: Provides medical consultation services for the incumbent's assigned area of responsibility (AOR)...

Our Company PharMerica Overview Join our PharMerica team! PharMerica is aclosed-door pharmacywhere you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh growth mode, which meansadvancement opportunitiesfor individuals who are looking for career progression! Schedule:Varying hours between 8:00pm-8:00am, 7 days on / 7 days off We offer: DailyPay Flexible schedules Competitive pay Shift differential Health, dental, vision and life insurance benefits Company paid STD and LTD Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is...