This position involves taking incoming calls from members, providers, and offering professional phone assistance through the criteria-based prior authorization process. The role includes maintaining accurate documentation of approvals and denials, and transferring clinical questions and judgment calls to the pharmacist. The position is remote and requires a minimum of 1 year experience in customer service, preferably in healthcare, social services, or a similar service position.

Pharmacy Tech - Customer Service - Remote US

Pharmacy Technician I, Customer Service Representative

The Commercial Formulary Pharmacist at CarelonRx is responsible for managing the selection and utilization of pharmaceuticals, supporting core clinical programs such as DUR, DIS, and formulary management. This role involves leading formulary management processes, managing communications regarding formulary changes, ensuring compliance with mandates and agreements, and serving as a clinical resource to various teams. The position offers a hybrid work model, requiring candidates to live within 50 miles of a pulse point location.

Commercial Formulary Pharmacist - CarelonRx

Commercial Formulary Pharmacist

A-Line Staffing Solutions is seeking a Pharmacist for a remote position, offering multiple openings with start dates in September and October. The role involves evaluating and reviewing prior authorization requests, rendering coverage determinations based on clinical criteria and plan design, and ensuring compliance with department protocols. This position offers a unique opportunity to support Medicare Part D members and providers with pharmacy benefits, requiring a licensed Pharmacist with prior authorization experience.

Pharmacist - Remote - Work From Home!

Pharmacist

The Pharmacy Technician will assist in providing pharmacy services remotely. This role involves data entry, triage of grievances, and updating Excel spreadsheets for leadership review. The position requires a high school diploma or GED, at least one year of pharmacy experience under a licensed pharmacist, or completion of a certified pharmacy technical program.

Pharmacy Technician- Remote

Pharmacy Technician

The Clinical Pharmacist at Pride Global Healthcare is a remote role focused on providing clinical information to prior authorization pharmacy technicians and/or providers, consulting with physicians/providers, and making coverage determinations for prior authorization cases. This position requires sharp attention to detail, the ability to work within regulatory guidelines, and a strong customer service orientation. Training is for 5 weeks, with a shift schedule that may include early mornings, late nights, weekends, and potential overtime.

Clinical Pharmacist

Pyramid Consulting, Inc. is seeking a Pharmacy Coordinator I for a 04+ months contract opportunity with long-term potential, located in Las Vegas, NV (remote). This role involves supporting the pharmacy department in the development, coordination, and maintenance of the health plan’s pharmacy program. The position offers a pay range of $17.50 to $19.50 per hour, along with benefits including health insurance and paid sick leave.

Pharmacy Coordinator I

The Pharmacy Technician position at ASK Consulting involves taking incoming calls from members, providers, and others, providing professional phone assistance through the criteria-based prior authorization process. This role requires maintaining complete, timely, and accurate documentation of all approvals and denials and transferring all clinical questions and judgment calls to the pharmacist. The position is 100% remote and based in Texas, with a duration of 12 months and the possibility of extension.

Pharmacy Technician (252388)

A-Line Staffing is seeking a Pharmacy Support Specialist for a fully remote position after initial on-site training in Irving, TX. The role involves assisting pharmacists in the safe distribution of medications, verifying patient information, checking orders for completeness and insurance approval, and processing prescriptions. This position requires a sense of urgency, multitasking skills, and the ability to read and interpret prescriptions.

Remote - Pharmacy Support Specialist

Pharmacy Support Specialist

The Clinical Pharmacist at Prime Therapeutics performs prospective and/or retrospective drug utilization review and appeals per State and Federal regulations. This role involves participating in the distribution of clinical drug information, educating providers and staff regarding the use of pharmaceutical treatment regimens, and ensuring compliance with all corporate and facility standard operating procedures, policies, guidelines, and work instructions.

Clinical Pharmacist - Remote in California

The Emergency Department Clinical Pharmacist at a Seattle teaching hospital will work within one of Seattle's busiest ED departments at a Level I Trauma Center. This role involves participating in patient care decisions, drug therapy consultations, and collaborating with the ED healthcare delivery team. The pharmacist will evaluate drug therapy for appropriate indications, dosage, drug interactions, contraindications, and drug allergies, monitor the patient's pharmacotherapeutic regimen for effectiveness and adverse drug effects, and serve as the drug information expert to the emergency department.

Level I trauma Center ED Pharmacist - Seattle, WA

Emergency Department Clinical Pharmacist

Apex Systems is partnering with a retail pharmaceutical client to hire remote Pharmacy Technicians for a 6-month contract to hire position. The role involves tracking and triaging coverage determination requests, obtaining verbal authorizations, approving requests based on criteria, and documenting decisions into the PBM system. The position requires a high school diploma or equivalent, with 1+ years of experience in retail, hospital, or mail order pharmacy. A current state Pharmacy Technician license is required, with National Certification from the Pharmacy Technician Certification Board being a nice to have.

A-Line Staffing is hiring a Remote Pharmacist specializing in Prior Authorization for a Fortune 500 company. This full-time position offers career growth potential and requires previous PBM Prior Authorization experience. The role involves working from home, with a requirement to be available Monday-Friday, any 8-hour shift between 7:00am - 8:00pm EST, including rotating weekends. The position offers a competitive hourly rate with benefits and 401(k) availability after 90 days for full-time employees.

REGISTERED Pharmacist - Prior Authorization - Work from Home!

Registered Pharmacist - Prior Authorization

As a Staff Pharmacist at CVS Health, you play a critical role in delivering patient care and managing pharmacy operations. This includes ensuring patient safety, adhering to pharmacy professional practice, meeting regulatory requirements, maintaining quality assurance, and managing inventory, financial profitability, and workflow. You will also lead patient care programs, motivate and develop your pharmacy support staff, and contribute to business growth and performance improvement.

Staff Pharmacist FT

Staff Pharmacist

This position is responsible for the design, configuration, implementation, optimization, maintenance, and support of intermediate to highly complex clinical systems related to pharmacy in compliance with all applicable regulations and organizational policies. The role involves collaboration with Pharmacy Services and Information Services to analyze, design, implement, educate, and support computer application systems, determining business requirements and user needs in developing solutions.

Pharmacist Informatics Specialist - EPIC Required (remote)

Pharmacist Informatics Specialist

HealthCare Support is seeking a Pharmacy Technician - Fulfillment to join a large healthcare company in Woodinville, WA. The role involves processing and filling prescription orders, packing and shipping completed orders, maintaining drug inventory, and replenishing workstation supplies. The position offers a Monday-Friday schedule with occasional overtime and Saturday shifts, totaling 40 hours weekly.

Pharmacy Tech - Fulfillment

Pharmacy Technician - Fulfillment

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Commercial Formulary Pharmacist Jobs in Bothell, WA Hiring Now