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Pharmacist work from home jobs - 158 jobs

  • Clinical Pharmacy Specialist

    Actalent

    Remote job

    We are seeking a detail-oriented and customer-focused Pharmacy Support Specialist to join our team. In this role, you will: + Respond to calls and requests from providers, members, and member representatives regarding pharmacy prior authorizations, exceptions, and appeals. + Enter authorizations and test claims into the pharmacy benefit system to ensure accurate claim adjudication. + Perform system edits, data entry, and maintain tracking logs. + Assist with departmental audits and quality improvement initiatives. Required Skills + PTCB certification Additional Skills & Qualifications + Proficient in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint) + Strong organizational skills with the ability to manage multiple projects + Excellent oral and written communication skills + Strong interpersonal skills and attention to detail + Proven decision-making and problem-solving abilities + Ability to work independently with minimal supervision + Knowledge of medical terminology Job Type & Location This is a Contract to Hire position based out of Chattanooga, TN. Pay and Benefits The pay range for this position is $24.00 - $24.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jan 19, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
    $24-24 hourly 7d ago
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  • Remote Pharmacy Consulting Director - Transform Healthcare Outcomes

    Huron Consulting Group Inc. 4.6company rating

    Remote job

    A leading consulting firm in Chicago is seeking a Healthcare Consulting Director specializing in Pharmacy to lead performance improvement initiatives. Candidates must have over 8 years of healthcare consulting experience, a Bachelor's degree, and proficiency in Microsoft Office. This full-time role offers a competitive salary range of $190,000 - $235,000, with opportunities for performance bonuses and comprehensive benefits. #J-18808-Ljbffr
    $190k-235k yearly 4d ago
  • Staff Specialty Operations Pharmacist

    Centerwell

    Remote job

    **Become a part of our caring community and help us put health first** The Staff Specialty Operations Pharmacist applies clinical and operational knowledge to ensure effective and compliant processing specialty medication prescription orders to be mailed to patients' homes and/or provider offices from CenterWell Specialty Pharmacy. This position interacts directly with providers, patients and teammates to solve clinical and/or escalated issues including drug interactions, therapy regimens and medication stability. Work assignments vary and frequently require interpretation and independent determination of the appropriate courses of action while following established guidelines and department procedures. The Staff Specialty Operations Pharmacist makes decisions with minimal direction, occasionally in ambiguous situations and receives guidance where needed. Hours: Operations Pharmacist department hours are Monday-Friday 8am-11pm EST and Saturday 8am-6:30pm EST. The permanent schedule will consist of 1-2 closing shifts (2:30pm-11pm EST) per week with remaining shifts being 10:00am-6:30pm EST (11:30am-8:00pm for AZ associates) and rotating Saturday coverage. Location: This is a remote role. Must reside in Arizona or Ohio. As a member of the Specialty Operations Team, you will perform a variety of tasks based upon business need. Daily work assignments include inbound phone calls with patients/providers, reviewing prescriptions for accuracy and appropriateness of therapy, checking for drug interactions and utilizing resources/guidelines to assist in professional decision making. **Use your skills to make an impact** **Required Qualifications** + Pharmacy degree from an accredited college of pharmacy (Bachelor of Science or PharmD) + Active PHARMACIST license from the Arizona or Ohio Board of Pharmacy + Candidate must reside and work within the state of Arizona or Ohio. + 3 or more years of experience as a pharmacist in a high-volume retail, hospital or mail order pharmacy practice environment + Ability to participate in Federal prescription programs + Ability to work independently and within a team setting to achieve goals and meet deadlines + Proven problem-solving skills and strong ability to utilize resources for professional decision-making + Work ethic that is focused, accurate and highly productive + Excellent verbal and written skills with ability to communicate effectively within the team and to patients or caregivers + Proficient with computers and comfortable trouble-shooting technology issues + Comprehensive knowledge of Microsoft Office applications, including Word, Excel, Outlook and OneNote + Ability to provide hard-wired internet connection and a private workspace **Preferred Qualifications** + Proficient in Spanish - If applicable, please specify this on application/resume when applying + Pharmacist Board Certification - Oncology, Specialty, Geriatric, Pharmacotherapy, Ambulatory + Previous experience in a Specialty Pharmacy setting + Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + Previous clinical experience in managed care **Additional Information** + This is a remote position however all candidates must reside in Arizona or Ohio. + Operations Pharmacist department hours are Monday-Friday 8am-11pm EST and Saturday 8am-6:30pm EST + Permanent schedule for this position will consist of 1-2 closing shifts (2:30pm-11pm EST) per week with remaining shifts being 10:00am-6:30pm EST (11:30am-8:00pm for AZ associates) and rotating Saturday coverage. + Holiday shifts are rotated based on business operational hours and coverage needs + Overtime may be available and is communicated by leadership - Overtime may be voluntary or mandatory based on business needs + WAH is not a substitution for caregiver needs - Associate must be able to work assigned schedule Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
    $115.2k-158.4k yearly 13d ago
  • Specialty Pharmacy Administrator

    Allied Benefit Systems 4.2company rating

    Remote job

    This position acts as a liaison between the retail and specialty pharmacy and the prescribers to document, submit, communicate outcomes and appeals. The Specialty Pharmacy Administrator (Specialty Rx Administrator) manages all pharmacy and medical prior authorization requests. They will assist all members who express financial concerns regarding their medications as well as communicate escalations as appropriate. ESSENTIAL FUNCTIONS Collect and review all submitted records related to pharmacy and/or medical prior authorization requests when the queue exceeds normal capacity Arrange single case agreements, negotiate pricing, accurately process claims, and update all notes within the member's associated QicLink page Execute, manage, and provide on-going support of single case agreements Assist and collaborate with Customer Service to improve processes, communications, and service between members, facilities, and vendors Submit member referrals to third-party vendors managing specialty carve-out programs Serves as liaison for external vendors when implementing specialty carve-out programs Reviews current and newly requested vendor plan language to understand impact with governmental regulations Ensure ongoing knowledge and compliance with all contracts beyond initial implementation and throughout the full revenue cycle Collaborate with Plan Building, Customer Service, and other internal departments on the development and implementation of policies and group plan language related to a vendor Management of escalated questions and status updates related to vendor relationships for the Client Executive, Client Service, and Customer Service teams Other duties as assigned EDUCATION Bachelor's degree or equivalent work experience required. REQUIRED SKILLS AND ABILITIES At least 5 years of professional experience including comprehension of pharmacy and medical benefits, specialty medications, j-codes and their administration, limited distribution drugs as well as specialty pharmaceutical manager selection required. Prior authorization experience required. Knowledge of medication use in RA, transplant, Hepatitis C, infectious disease, and or oncology preferred. Excellent verbal and written communication skills. Excellent organizational skills and attention to detail. Excellent time management skills with a proven ability to meet deadlines. Strong analytical and problem-solving skills. Ability to prioritize tasks and to delegate them when appropriate. Ability to function well in a high-paced and at times stressful environment. Proficient with Microsoft Office Suite or related software. COMPETENCIES Job Knowledge Time Management Accountability Communication Initiative Customer Focus PHYSICAL DEMANDS This is a standard desk role - long periods of sitting and working on a computer are required. WORK ENVIRONMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. Protect Yourself from Hiring Scams Important Notice About Our Hiring Process To keep your experience safe and transparent, please note: All interviews are conducted via video. No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process. For your security, please verify all job opportunities through our official careers page: Current Career Opportunities at Allied Benefit Systems Your security matters to us-thank you for helping us maintain a fair and trustworthy process!
    $101k-128k yearly est. 2d ago
  • Remote Inpatient Pharmacist

    Ansible Government Solutions 3.9company rating

    Remote job

    Ansible Government Solutions, LLC (Ansible) is currently recruiting multiple Remote Inpatient Pharmacists to support the Northport VA Medical Center located at 79 Middleville Road, Building 200, Northport, NY 11768. The shift is typically 12am-6am (overnight) including weekends and holidays. If you accept employment with Ansible, you must also acknowledge that any assigned schedule is subject to change at the direction of either Ansible or its customers. Ansible is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of health care, national security, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers' success as if it is their own. Responsibilities Providing virtual inpatient pharmacy services during off-tour hours (midnight to 6 AM) Reviewing and verifying pending clinic and outpatient prescription orders in the Urgent Care Department Performing professional review and problem-solving to ensure safe and appropriate medication processing Verifying remote prescription orders and entering data into VA systems Supporting inpatient pharmacy services remotely Using secure web-based systems provided by the contractor Coordinating with VA staff and maintaining credentialing status Providing backup pharmacist candidates for credentialing Supplying necessary personnel, equipment, and supervision to fulfill contract needs Requirements US Citizen Must be a graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited college or School of Pharmacy with a baccalaureate degree in Pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.) degree Full, current, and unrestricted license in any State, Territory, or Commonwealth of the United States or the District of Columbia when services are performed onsite on VA property Must be licensed for controlled substances, with qualifications to practice in any states No sponsorship available All candidates must be able to: Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift Lift up to 50 lbs from floor to waist Lift up to 20 lbs Carry up to 40 lbs a reasonable distance Push/pull with 30 lbs of force All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $96k-127k yearly est. Auto-Apply 60d+ ago
  • Formulary Operations Pharmacist - Medicare

    Capital Rx 4.1company rating

    Remote job

    About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi , the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Position Summary: The Formulary Operations Pharmacist - Medicare is responsible for providing operational support for the evaluation, implementation, and maintenance of Medicare Part D formularies and utilization management. This individual supports creation and maintenance of formulary and utilization management lists, preparation of CMS formulary files and member formulary drug lists, preparation and review of updates for implementation, and other formulary and utilization management related tasks and processes. The role requires strong cross functional collaboration and communication skills, and an understanding of Medicare Part D formulary management processes and related CMS rules and regulations. Position Responsibilities: Maintain standard and custom formularies for the Medicare line of business in accordance with CMS Medicare guidelines Support development, implementation, maintenance, and quality control of Medicare Part D formularies, utilization management, and clinical adjudication drug lists Lead and support preparation of monthly and annual files for CMS formulary submissions, member formulary drug lists and look up tools, and utilization management criteria Evaluate drugs/drug classes, make formulary positioning and utilization management recommendations, and update formulary management strategies and associated adjudication requirements to operationalize Evaluate appropriateness of and operationalize custom client formulary and benefit change requests within the formulary and adjudication platform Support comprehensive testing of client formulary and benefit elections Provide cross functional support for claim troubleshooting within the adjudication platform Monitor and analyze regulatory and legislative requirements for Medicare Support development of project plans to meet new CMS requirements, and support cross functional teams with implementation of programs to meet requirements Lead formulary change processes within URAC/NCQA/CMS guidelines Pharmacy and Therapeutics (P&T) Committee participation as an ad hoc member Conduct formulary reviews and develop drug monographs based on a rotation of clinical pharmacists Maintain and update the Capital Rx pharmaceutical pipeline, as needed Develop clinical criteria for review as needed Support CMS formulary administration audits Support quality improvement projects as needed Support Request for Information (RFI) and Request for Proposal (RFP) submissions, as needed Support general business needs and operations, as needed Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Minimum Qualifications: Doctor of Pharmacy (PharmD) Degree from an accredited institution, with record of strong academic performance Current, unrestricted registered pharmacist license(s) Residency/fellowship preferred 2-3 years of formulary experience working for a health plan or PBM preferred 2-3 years of Medicare experience preferred Knowledge of formulary development and maintenance processes Knowledge of highly managed specialty medications/strategy Knowledge of rebate and financial implications of formulary strategies Experience working with large datasets preferred Ability to independently identify, research, and resolve issues Ability to balance multiple complex projects simultaneously Ability to work extended hours, weekends, and holidays consistent with industry demands Exceptional written and verbal communication skills Extremely flexible, highly organized, and able to shift priorities easily Attention to detail & commitment to delivering high quality work product Microsoft office suite with emphasis on Microsoft excel proficiency required #LI-BC1 Salary Range$125,000-$135,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************
    $125k-135k yearly Auto-Apply 6d ago
  • Local Contract Pharmacist - $50 per hour

    Talentburst, Inc. 4.0company rating

    Remote job

    TalentBurst, Inc is seeking a local contract Pharmacist for a local contract job in Cranston, Rhode Island. Job Description & Requirements Specialty: Pharmacist Discipline: Allied Health Professional Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Local Contract Pharmacist Cranston, RI/ Remote 12 months Shift - 10 hours per week but the candidate would need to have some availability during clinical hours (7:00 AM-5:00 PM). Shift: Day Hours/Week: 10 Start Time: 12:00 AM End Time: 12:00 AM Remote It is a remote position, with the exception of quarterly meetings or when a provider requests an in person visit. 10 hours a week- flexible hours, but candidate would need to have some availability during clinical hours (7:00 AM-5:00 PM). Valid RI Pharmacist license required at submission. We are seeking a dedicated Public Health Education Specialist / Academic Detailer to join our team and lead provider education efforts around access to care for patients with rare diseases. This role will be responsible for the development and implementation of an academic detailing program designed to educate healthcare providers about the access model, approved model drugs, and claims submission processes. The Public Health Education Specialist / Academic Detailer will play a vital role in bridging public health education with clinical practice through provider engagement, one-on-one academic detailing visits, and the creation of high-impact educational materials. ________________________________________ Key Responsibilities • Serve as the primary academic detailer delivering structured, evidence-based education to providers and treatment centers. • Support the development and delivery of academic detailing tools, guides, and presentations. • Educate providers on the access model, model drugs, and claims submission procedures to improve patient outcomes and reduce barriers. • Build strong, trusted relationships with clinical stakeholders. • Monitor, track, and report program outcomes, trends, and opportunities for improvement. • Stay current on emerging trends in treatment, drug coverage policies, and access barriers. • Collaborate with internal teams and external partners to support aligned goals. ________________________________________ Qualifications • Doctor of Pharmacy (PharmD) required. • Possess a valid and active pharmacist license in the state of Rhode Island (in good standing). • Demonstrated knowledge of and experience working with patients with rare diseases. • Strong foundation in public health principles. • Excellent communication, presentation, and interpersonal skills. • Ability to engage with clinical audiences in a respectful, educational, and non- promotional manner. • Comfortable traveling to provider sites throughout Rhode Island as needed. ________________________________________ Preferred Qualifications • Prior experience with academic detailing or clinical outreach/education. • Prior experience with Medicaid or public health programs. #TB_HC #ZR Talent Burst Job ID #25-47393. Posted job title: Pharmacist/Public Health Education Specialist About TalentBurst, Inc TalentBurst Health & Life Sciences is an established provider of healthcare workforce solutions, servicing healthcare facilities across the United States for over 15 years. As a Joint Commission Certified Agency, our commitment to quality, integrity, and exceptional service has made us a trusted name in the healthcare staffing landscape. Our mission is to bridge the gap between healthcare professionals seeking fulfilling opportunities and healthcare organizations striving to maintain their high standards of care. We are committed to providing top-notch healthcare professionals with access to facilities where they can focus on delivering exceptional patient care and thrive. Whether you're a nurse, allied health professional, or administrative personnel, we have the expertise to match your skills and aspirations with the perfect placement.
    $97k-130k yearly est. 2d ago
  • Pharmacist In Charge 24 hrs on site 16 hrs remote

    WSi Healthcare Personnel

    Remote job

    Pharmacist in Charge (PIC) CBD Compounding Pharmacy Watkins, Colorado Our agency is partnering with a growing, well-established compounding pharmacy to identify a Pharmacist in Charge (PIC) for their specialized 503A CBD-focused pharmacy in Watkins, CO. This is an excellent opportunity for a pharmacist seeking a part-time leadership role within a collaborative, mission-driven organization. The pharmacy operates with a small, close-knit team and focuses exclusively on tincture-based prescriptions, creating a streamlined and highly specialized practice environment. Schedule 24 hours per week onsite in Watkins, CO 16 hours per week on-call, supporting pharmacist presence requirements for additional states Key Responsibilities Serve as Pharmacist in Charge, ensuring compliance with Colorado Board of Pharmacy regulations and applicable multi-state requirements Oversee daily pharmacy operations, compounding standards, and quality control Supervise and support pharmacy staff Ensure accurate preparation, dispensing, and documentation of tincture-based compounds Maintain SOPs, policies, and regulatory documentation Act as pharmacist of record for additional states as required Partner with ownership and leadership on operational best practices What Our Client Offers Part-time schedule with consistent hours Specialized practice in CBD compounding Supportive leadership and positive company culture Autonomy in a key leadership role Competitive compensation based on experience Next Steps Qualified pharmacists interested in learning more are encouraged to submit their resume for confidential consideration. Additional details about the pharmacy and compensation will be shared with selected candidates.
    $103k-141k yearly est. 2d ago
  • Pharmacist - Remote

    Us Tech Solutions 4.4company rating

    Remote job

    + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual must have excellent interpersonal skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or hospital preferred. + Appropriate state license required. Basic computer skills required. + Strong organizational skill, interpersonal skills and detail orientation important for this position. **Skills:** + MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. **Education:** + Pharm D. required with at least two years experience as a pharmacist in Managed care environment. + Must have an active license in the state of residence in good standing. **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit *********************** (********************************** . US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $95k-149k yearly est. 60d+ ago
  • Clinical Pharmacist

    Teladoc Health Medical Group 4.7company rating

    Remote job

    Join the team leading the next evolution of virtual care. At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives. Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we're transforming how better health happens. Summary of Position The Clinical Pharmacist for Teladoc Health's Cardiometabolic Program advances value-based outcomes by leading medication optimization for chronic cardiometabolic conditions (e.g., diabetes, hypertension, obesity, heart failure). Leveraging virtual care workflows and integrated data (claims, Rx, device, and lab feeds), the Clinical Pharmacist analyzes medication utilization to curb polypharmacy, improve adherence, and steer members toward cost effective therapies, as well as evidence-based approaches to high-cost agents, resulting in lower total cost of care. The role collaborates across multidisciplinary teams to design and operationalize interventions, drives measurable improvements in program KPIs, and ensures rigorous documentation and reporting to support performance guarantees in value-based contracts. Essential Duties and Responsibilities: Medication Data Analysis & Strategy Analyze medication utilization data to identify trends in polypharmacy, adherence, and high-cost drug use. Develop and implement strategies to reduce unnecessary polypharmacy, improve adherence, and optimize cost-effective therapies. Collaborate with care teams to design interventions that lower total cost of care while maintaining or improving outcomes. Monitor and report the impact of medication management strategies on clinical and financial results. Provide actionable insights to support value-based contracts and performance improvement initiatives. Population Health & Cost Management Participate in initiatives to improve population health metrics related to medication use. Evaluate prescribing patterns and recommend changes to reduce high-cost drug utilization. Medication Therapy Management (MTM) Conduct comprehensive medication reviews for patients with chronic conditions (e.g., diabetes, hypertension, obesity, heart failure, asthma, depression) Identify and resolve drug therapy problems; optimize regimens; track and report outcomes and safety metrics. Education & Collaboration Advise providers on best practices, guidelines, and new therapies. Work closely with physicians, nurses, and care coordinators to integrate pharmaceutical expertise into care planning and transitions. Advise providers on best practices, guidelines, and new therapies. Educate patients on medication use, side effects, and adherence. Quality Improvement & Regulatory Compliance Develop and use metrics to track medication-related outcomes, adherence, and safety. Participate in quality improvement projects and ensure regulatory compliance. Direct Patient Care (if applicable) Provide evidence-based, patient-centered medication recommendations. Support management of medical emergencies and discharge counseling. Documentation & Reporting Document all interventions, recommendations, and patient education in the electronic health record (EHR). Supervisory Responsibilities No Required Qualifications Graduate of an ACPE-accredited College of Pharmacy; PharmD required. Completion of ASHP-accredited PGY-1 Pharmacy Residency (PGY-2 preferred). Active, unrestricted pharmacy license and have the ability to obtain licensure in additional states without restrictions Minimum 3 years of clinical pharmacy experience in ambulatory care, ideally within value-based care (CIN or ACO). Proficient in contemporary clinical pharmacy practice, medication therapy management, and evidence-based medicine. Skilled in medication data analysis, cost-containment strategies, and quality improvement using analytics tools. Strong understanding of polypharmacy risks, adherence strategies, and cost-effective prescribing. Proficient in medical/pharmacy terminology, computer systems, and EHR documentation. Able to work effectively under pressure and collaborate in a virtual, multidisciplinary environment. Preferred Qualifications Experience in telehealth, ambulatory care, health plan, or managed care pharmacy. Background in value-based care, population health, or quality improvement projects. Completion of PGY-2 Specialty Pharmacy Residency. Core Competencies Strong prioritization, time management, and organizational skills, with meticulous attention to detail. Ability to thrive in fast-paced, dynamic environments with multiple competing priorities and deadlines. Strong collaboration skills. Commitment to patient safety, quality, and cost-effectiveness. Adaptability to virtual care delivery and evolving healthcare technologies. Work Environment ☐ Office ☒ Remote ☐ Hybrid (Office & Remote) Travel: ≤10% Travel percentage reflects an estimate and is subject to change dependent on business needs. The base salary range for this position is $110,000- $120,000. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here Teladoc Health Benefits 2026. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions. As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified. Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future. Why join Teladoc Health? Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission. Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference. Join a multi-faceted community that celebrates each colleague's unique perspective and is focused on continually improving, each and every day. Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways. Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn. As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind. Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health's Notice of Privacy Practices for U.S. Employees' Personal information is available at this link .
    $110k-120k yearly Auto-Apply 7d ago
  • Pharmacist-In-Charge- Specialty Pharmacy Onsite Orlando - Evernorth

    Cigna Group 4.6company rating

    Remote job

    Join ProHealth as a Pharmacist In-Charge (PIC) at our Maitland, Florida location and lead pharmacy operations to ensure compliance, quality, and exceptional patient care. This role combines leadership with hands-on clinical and operational responsibilities, supporting a high-volume specialty pharmacy environment. Responsibilities Oversee pharmacy operations to maintain compliance with state board and regulatory requirements. Perform hands-on clinical and operational pharmacist duties to ensure smooth workflow. Develop and enforce site-level policies and procedures that promote safe and cost-effective medication use. Implement and monitor Key Performance Indicators (KPIs) for specialty pharmacy performance. Collaborate with physicians and healthcare teams to optimize drug therapy and patient outcomes. Manage prior authorizations, billing, and reimbursement processes for specialty medications. Ensure accurate documentation in EMR systems and CarepathRx's DromosPTM platform. Provide clinical consultations and therapeutic recommendations for complex patient cases. Lead and mentor clinical pharmacists and pharmacy students, fostering a culture of excellence. Maintain confidentiality and uphold CarepathRx's core values in all interactions. Qualifications Required: B.S. degree in Pharmacy or Doctor of Pharmacy (PharmD). Active Florida Pharmacist license and ability to register as PIC. Minimum 2 years of experience in specialty pharmacy services. Proficiency in Microsoft Suite and pharmacy software systems. Strong clinical knowledge and ability to manage complex therapies. Excellent communication, leadership, and organizational skills. Preferred: Certified Specialty Pharmacist (CSP) or willingness to obtain certification. Experience in health system specialty pharmacy operations. Multiple state pharmacist licenses or willingness to obtain additional licenses. Familiarity with pharmacoeconomic programs and performance improvement initiatives. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $96k-123k yearly est. Auto-Apply 29d ago
  • Ambulatory Care Clinical Pharmacist- 9 Month Temporary Position

    Careoregon 4.5company rating

    Remote job

    --------------------------------------------------------------- The Ambulatory Care Clinical Coordinator (pharmacist) is responsible for providing oversight of an assigned area (i.e., Care Coordination or Network Liaison). The pharmacist needs to demonstrate consistent application of knowledge and skills related to pharmacy benefits, quality measures, and other initiatives in order to communicate, partner, and deliver appropriate, safe, efficient, and cost-effective patient care as part of a multidisciplinary team. Responsibilities include supporting the patient-centered medical home, incorporating principles of population-based medicine, expanding and coordinating the expansion of pharmaceutical care services to patients across the health-system through primary care clinics, community pharmacies, or other designated environments. Care Coordination: This position is responsible for coordinating effective use of the pharmacy benefit by delivering clinical and educational interventions designed to improve pharmaceutical care. Network Liaison: This position is responsible for aligning the clinical pharmacist network with CareOregon strategic goals and aiding the advancement of the practice of clinical pharmacy. This is a 9-month temporary position. Estimated Hiring Range: $151,965.00 - $185,735.00 Bonus Target: Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. --------------------------------------------------------------- Essential Responsibilities Develop and conduct quality improvement programs related to the pharmacy program. Develop and implement clinical educational programs to improve drug utilization and quality. Develop and conduct educational initiatives to improve prescribing patterns for quality and/or cost opportunities to support sustainable cost trends with the highest quality. Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives. Develop and conduct retrospective drug use reviews. Leading the design, development, and implementation of quality improvement initiatives related to the pharmacy program will be an important aspect of this position. Review medication prior authorization requests and appeals as assigned. Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others as applicable. Use an evidence-based process to perform new drug reviews, and to develop formulary recommendations and drug use criteria for the Pharmacy & Therapeutics Committee and other pharmacy program activities as assigned. Assess, review and respond to federal and state regulatory requirements/audits of the pharmacy benefit. Consult with clinicians and pharmacists to resolve pharmacy benefit issues. Precept pharmacy students and residents. Care Coordination Critically evaluate drug therapy regimens for patients enrolled in the care coordination program and assist with developing treatment plans. Provide medication therapy management (MTM) services. Utilize technology platforms to document and to meet MTM objectives. Monitor MTM objectives and high-risk population outcomes in partnership with the pharmacy benefit coordinator to provide oversight. Perform medication reviews and other tasks as assigned to meet plan quality metrics. Experience and/or Education Required Minimum Graduate of an accredited pharmacy program Current (or eligible) unrestricted licensure as a pharmacist in the state of Oregon Advanced pharmacy training (PharmD, residency, fellowship, board certification or master's degree in related discipline) Practical experience with minimum 2 years as a clinical pharmacist in pharmaceutical care management in an ambulatory care or other clinical setting (which can include residency experience) Preferred Previous experience in managed care and project management PGY1 residency training Knowledge, Skills and Abilities Required Knowledge Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization Must have comprehensive, clinical pharmaceutical knowledge base Skills and Abilities Ability to critically evaluate clinical pharmaceutical and medical literature and apply principles of evidence-based medicine Ability to design and review pharmacy claims analysis/reports according to specific project requirements Must be highly motivated and have the ability to work independently Excellent organizational, project management, and time-management skills Excellent written and verbal communication skills Excellent customer service skills Ability to work with diverse groups Ability to manage multiple tasks Ability to negotiate, problem-solve, and consensus-build Basic word processing, spreadsheet, and database skills Propose and implement process improvements Meet deadlines for completion of workload Maintain agreed upon work schedule Demonstrate cooperation and teamwork Provide cross-training on specific job responsibilities Meet identified business goals that contribute to departmental goals Follow established departmental policies and procedures Perform other duties and projects as assigned Ability to work effectively with diverse individuals and groups Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day Ability to hear and speak clearly for at least 3-6 hours/day Ability to lift, carry, push, pull and/or pinch small objects for at least 1-3 hours/day Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person Hazards: May include, but not limited to, physical and ergonomic hazards Equipment: General office equipment Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used Work Location: Work from home We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
    $152k-185.7k yearly Auto-Apply 9d ago
  • Pharmacist, Remote - PRN

    Cardinal Health 4.4company rating

    Remote job

    This 100% remote position will support prescription processing for a Cardinal-owned specialty pharmacy. Schedule will be Monday through Friday, either daylight or evenings based on needs currently being assessed. An active Pharmacist License in the State of TN is required. MMS Solutions, a division of Cardinal Health, is a specialty pharmacy serving nephrology physician offices and clinics. Located in La Vergne, Tennessee, MMS Solutions is a full-service closed-door specialty pharmacy dedicated in dispensing renal-specific medications, nutritional's, and ancillary supply orders directly to the patient's homes. Schedule: PRN, Flexible Schedule to cover business hours as needed between Monday-Friday 8:00am - 10:00pm CST Projected PRN-basis Hours per Week: 6 to 15 Hours per Week What Health System Pharmacy contributes to Cardinal Health Pharmacy Operations is responsible for the safe, efficient and effective coordination of Cardinal Health's pharmacy operations that service acute care hospitals, hospital retail customers, ambulatory care and alternate site facilities, oncology and cardiology practices as well as retail customers. Health System Pharmacy is responsible for providing customized pharmacy program solutions that reduce costs and improve patient care quality for hospitals, health systems and other integrated healthcare providers may also consult with and advise healthcare team on prescribed medications, supplies and related processes. Job Summary The pharmacist in this role will provide prescription order entry, verification, and processing for medications specific to treating renal disease. Responsibilities Applies expert knowledge of drugs and related protocols, to verify physician orders for medications using pharmacy information system. Checks drug and dose in relation to stated patient issue and addresses automated alerts from the system regarding drug type, dose, and other metrics. Enter/validate medication orders in the client facility pharmacy information system via emulation capabilities Prioritize based on time in queue and/or status of order (e.g. STAT orders) Comply with State Board of Pharmacy rules and regulations, Remote Pharmacy Services policies and procedures and the client facility policies and procedures when performing pharmacist duties Communicate professionally with colleagues, patients and healthcare providers. Perform clarifications, interventions and provision of drug information and ensure all consults are accurate and complete Answering the telephone and accepting a referring call Obtain all initial state licensure required within the timeframe determined by the Remote Pharmacy Services Director and maintain said licensure in good standing Assist with training and education of new team members and existing staff members as needed or assigned Review orders entered by pharmacy technicians/clerks for accuracy and appropriateness (if applicable) Attendance at staff meetings and/or training will be periodically required in addition to regularly scheduled staffing requirements Complete all required training and competencies in a timely manner Other tasks as assigned by management Qualifications 1-2 years of experience, preferred Bachelor's degree in related field, or equivalent work experience, preferred TN Pharmacist License Required May require vendor credentialing What is expected of you and others at this level Applies working knowledge in the application of concepts, principles and technical capabilities to perform varied tasks Works on projects of moderate scope and complexity Identifies possible solutions to a variety of technical problems and takes action to resolve Applies judgment within defined parameters Receives general guidance and may receive more detailed instruction on new projects Work reviewed for sound reasoning and accuracy Anticipated hourly range: $35.60 per hour - $58.81 per hour based on experience Bonus eligible: No Benefits: Paid Time Off, in compliance with applicable laws Application window anticipated to close: 2/1/2026 *if interested in opportunity, please submit application as soon as possible The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skill and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here
    $35.6-58.8 hourly Auto-Apply 7d ago
  • FairosRx Clinical Pharmacist (Full-Time)

    Theoccunetcompany

    Remote job

    The OccuNet Company is an innovative company striving to reduce the cost of healthcare. We are a passionate group of people that care about affordable access to healthcare without sacrificing experience. We strive to make healthcare more intelligent, streamlined, and cost-effective. We offer industry-leading capabilities on negotiations-driven levers to contain rising healthcare costs while taking an experience-centric approach improving the health and well-being of those we serve. We pride ourselves on our tight knit culture based on the ‘outward mindset' philosophy, emphasizing empathy, mutual respect, and seeing each other as “whole people.” We have an ambitious vision and are growing quickly. We are seeking team members who are excited about our growth, seeking to thrive in a fast-paced environment, and enthusiastic about developing their skills and career alongside us. Job Title: FairosRx Clinical Pharmacist (Full-Time) Job Summary: As the FairosRx Clinical Pharmacist (Full-Time), you will contribute to the exceptional FairosRx pharmacy benefit management team by delivering superior client and patient services. What it's Like to Work Here: At OccuNet, you matter like we matter! Our team members share a positive attitude, an outward mindset, problem-solving abilities, and patience, enabling them to provide excellent customer service even during challenging situations. Our culture, plus continuous opportunities for growth, has resulted in an industry-low turnover rate. Don't miss out on this rare opening with us! A Day in the Life: The FairosRx Clinical Pharmacist (Part-Time) position provides clinical guidance and support to our Member Advocates and Account Executives. You will also be responsible for reviewing prior authorization requests in accordance with member benefits and coverage criteria within defined turn-around times. Duties & Responsibilities: Review of prior authorization requests in accordance with member benefits and coverage criteria within defined turn-around times. Review prior authorizations and determine opportunities for interventions. Coordinate appeals. Provide clinical guidance and support to member advocates and account executives. Work with prescriber to provide other clinically equivalent but cost-effective alternatives. Receive/make phone calls from/to providers or members for clinical information and consulting. Analyze data to identify drug utilization trends and cost-savings opportunities. Generate and analyze prior authorization reports as well as other drug related reports. Continuously work to streamline and improve the quality of the prior authorization and drug utilization management processes. Motivates and works with clinical staff to ensure that performance standards are met or exceeded. Ensures clinical staff are appropriately educated on new programs, procedures, etc. Assist with other duties and special projects as assigned. Uphold compliance standards relating to HIPAA and Department of Labor guidelines when corresponding with providers and maintaining documentation. Maintain confidentiality of sensitive information. Required Skills and Abilities: S. in Pharmacy or Doctor of Pharmacy (Pharm.D) degree required. Active, current and unrestricted pharmacist license/registration required; State of Texas preferred. One year of direct prior authorization experience required. Working knowledge of MediSpan data system, including GPI drug classification required. Excellent communication and interpersonal skills, written and verbal, with the ability to adapt appropriately for different audiences. Able to multi-task effectively and transition between tasks frequently. Able to maintain focus when presented with interruptions. Proactive problem-solving skills. Proficient computer skills, including Microsoft Office Suite. Team-first mindset with a high level of motivation and drive. Persistent with a drive to see tasks through when objectives are not met on the first try. Passionate and proactive about contributing to organizational missions focused on improving member experiences. Ability to remain calm and work efficiently in a fast-paced environment. Prolonged periods sitting or standing at a desk and working on a computer. Full-time, Monday to Friday 8 am - 5 pm CST. On-site, in-person working location in Amarillo, TX. Ready to apply? If this job sounds like a fit for you, then click on the ‘apply' button below. Good luck! Culture and Opportunities We pride ourselves on our outward mindset - supporting each other and putting the team and the clients we serve first High-growth environment with clear opportunities for career growth Welcoming atmosphere and culture Benefits 401(k) with matching Dental insurance Health insurance Vision insurance Health savings account Paid time off
    $73k-121k yearly est. Auto-Apply 60d+ ago
  • Clinical Account Pharmacist - Northeast Region

    Independent Health 4.7company rating

    Remote job

    FIND YOUR FUTURE We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. The Clinical Account Pharmacist will be responsible for supporting sales efforts through goals set by Reliance Rx management, supporting non-clinical sales staff, fostering supportive relationships with large practice specialist groups, attending community events, and other duties as needed to promote Reliance Rx's sales efforts from the clinical perspective. The Clinical Account Pharmacist must understand Reliance Rx products, services, distribution channels, the Reliance Rx distribution business, and payer networks. They will build relationships and be comfortable and confident in conducting meetings with physicians, consultants, and pharmaceutical medical affairs personnel. In addition, they will analyze potential client issues and needs and provide a solution to meet or exceed their expectations. The Clinical Account Pharmacist will provide weekly agendas and call/visit logs for regularly scheduled meetings with Reliance Rx leadership. Other responsibilities will also include performance of the duties of an actively licensed staff/specialty pharmacist including dispensing, on-call coverage, vacation coverage, following federal and state regulations, appropriate clinical consultation, and other assigned duties from senior clinical staff and the Supervising Pharmacist. Qualifications Bachelor's degree required. Licensed to practice pharmacy in the state of New York required. Five (5) years of pharmacy experience required. Specialty pharmacy experience preferred. Clinical knowledge of health or social work needs for the population served. Ability to interact effectively with physicians and other members of the health care team. Successful corporate sales/service experience required, preferably in a manufacturer sales or specialty pharmacy industry. Strong organizational, problem-solving, process management and analytical skills with proven ability to manage multiple priorities and bring projects to completion. Local and regional (Northeast) travel required. Any Reliance Rx associate who uses a motor vehicle in the course of their duties representing Reliance Rx must be compliant with State Motor Vehicle laws and must follow the Policy that pertains to Driver's License Requirements as a condition of employment. Strong Microsoft Office skills required; experience with CPR+ preferred. Excellent verbal, written and interpersonal communication skills. Proven examples of displaying the Reliance values: Collaborative, Accessible, Results-Oriented, Empowering, Supportive. Essential Accountabilities Provide drug information, perform clinical consultation and patient counseling, and communicate with physicians, nurses and patients. Assist in the development of drug- and disease-specific measurement tools to enhance reporting to all stakeholders. Contribute to any company RFP responses for product or payor access. Coordinate generic, biosimilar, and formulary preference strategies to optimize drug utilization, ensure cost-effective prescribing, and support formulary compliance across healthcare systems. Periodic travel to conferences or industry meetings may be required. Build a strong professional relationship between Reliance Rx and the regional provider community to facilitate the acquisition of additional prescription volume; seek unique opportunities to further define Reliance Rx's value proposition to its customers. Meet with external partners periodically to review sales performance, define expectations, and perform gap analysis compared with competition. Maintain detailed records of all contacts and meetings; create reports and sales analytics when needed; provide backup documentation, call sheets, and other detail on provider engagement as necessary. Develop and implement strategies to approach potential customers and increase prescription volume. Collaborate with leadership to define and implement an effective call/office visit plan that meets the company's strategic needs. Act as liaison between the regional provider community and Reliance Rx operations and clinical staff to resolve issues. Coordinate and deliver sales presentations. Ensure accurate Reliance Rx product and company information is communicated through ongoing training and attending meetings with Reliance Rx operations and clinical staff. Promote and sell the organization's products and services within an assigned geographic area, product range, or list of customer accounts to achieve significant sales targets. Pursue sales leads; visit existing and new customers who may be of strategic importance to the organization; assess customer needs and suggest solutions; respond to more complex customer inquiries. Perform staff/specialty pharmacist tasks regularly, including dispensing (checking) prescriptions, counseling patients, reviewing care plans, accepting and making provider calls, and other assigned tasks by senior clinical staff or Supervising Pharmacist. Immigration or work visa sponsorship will not be provided for this position Hiring Compensation Range: $120,000 - $135,000 annually Compensation may vary based on factors including but not limited to skills, education, location and experience. In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future. As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant's race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here for additional EEO/AAP or Reasonable Accommodation information. Current Associates must apply internally via the Job Hub app.
    $120k-135k yearly Auto-Apply 60d+ ago
  • Clinical Pharmacist

    Millennium Home Care

    Remote job

    The Clinical Pharmacist will support the mission and vision of the Clinical Pharmacy team to the top of their license. This is a patient-facing role that will support the initiatives set out by the department. These initiatives align with the company's strategic direction by focusing on improved performance on the medication related quality measures, optimizing high-cost drug utilization, and decreasing the risk of medication related problems that lead to unnecessary healthcare expenditure. How will you make an impact & Requirements Clinical Pharmacy Mission: To connect our patients with the knowledge, experience, and skills of our clinical pharmacy staff to assure optimal health outcomes for individuals and the population. Clinical Pharmacy Vision: To serve our patients and providers as an essential member of the interdisciplinary team. Hours & Location: Full Time: Monday-Friday 8:30am-5:00pm Remote position Essential Duties and Responsibilities (and other responsibilities as applicable): Reviews and verifies prescriptions for patients identified as high risk to reduce any inadvertent complications due to polypharmacy; work with the case management teams, patient, and any providers to reduce medical complications or otherwise negative interactions. If appropriate, contacts medical providers' offices to clarify prescriptions, dosages, refills, interactions, and allergies, and to suggest alternative medications, and answer medical provider questions. Support Millennium's strategy to achieve 5 Star rating regarding quality initiatives relating to medications. Works as an active member of multidisciplinary team as a collaborative resource to MPG Physicians, Providers, and Care Management team. Adheres to government laws and regulations, corporate policies and procedures, ethics, and codes of conduct. Develops and maintains good relationships with medical community including physicians, nurses, and other health care providers by medical provider detailing and outreach to health groups, retirement homes, nursing homes, and other forums for enhancing growth opportunities. Maintains knowledge and skill in the fields of pharmacy and healthcare, reads pharmacy related journals, reads company publications and communications, completes People Plus Learning modules and continuing education credits, research new drugs, attends district meetings, etc. Obtains necessary certifications and completes other training required by the company. Promotes teamwork and cooperation among employees, including helping resolve conflict, giving feedback, recognizing progress, fostering a sense of shared success, and assists other employees as needed. Complete Drug Utilization Reviews for criteria-based physician orders within the organization. Exhibits initiative and self-direction, with excellent time management skills. Required Knowledge and Experience: Graduate of an ACPE accredited College of Pharmacy (Required) Doctor of Pharmacy or other advanced degree (Required) 5 years related clinical pharmacist experience or Completion of an ASHP accredited Pharmacy Residency or Board of Pharmacy Specialties or other related certification Certificates, Licenses, Registrations : Active, unrestricted Pharmacist License- Florida (Required) Active, unrestricted Pharmacist License - GA, NC, and TX or willing to obtain within 3 months of start date. Willing to obtain pharmacist license in any additional state as needed. Benefits: 3 weeks PTO & 8 paid holidays Medical, Dental, Vision Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment) 401(k) with match Employee Wellness Other Employee Discount programs like Tickets at Work and cell phone discounts Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more Why Millennium? Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida. At Millennium Physician Group, you will find an organization that focuses on family and building a strong network of people to care for the communities we serve. We are always searching for employees who have a strong customer service attitude, fantastic teamwork skills and a willing smile ready to share. Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual, and help you grow in your role with Millennium Physician Group. If you are interested in joining an organization that puts an emphasis on team work and family, then Millennium Physician Group is the right choice.
    $68k-116k yearly est. Auto-Apply 7d ago
  • Remote Clinical Pharmacist Specialist - Internal Medicine

    BHS 4.3company rating

    Remote job

    Baptist Health Pharmacy services are committed to ensuring the optimal, safe, and effective use of medications for all patients through advanced technology and innovative application of skilled personnel that will improve clinical outcomes and community health in a value-based environment. Clinical Pharmacy Specialists participate in all necessary aspects of the medication-use system while supporting comprehensive and individualized pharmaceutical care in their assigned areas. Job Description: Baptist Health is looking for a Remote Clinical Pharmacist Specialist to join our Internal Medicine team at our new Central Pharmacy! Clinical Pharmacy Specialist - Internal Medicine will serve as subject matter expert for the following areas of concentration listed below: Internal Medicine Endocrinology Rheumatology Primary Care Obstetrics, Women's Health, Maternal-Fetal Medicine Collaborates with System Director of Clinical Services and other BH leaders to implement, integrate, and maintain evidence-based and regulatory standards of clinical/operational pharmacy services. Works collaboratively with physicians, pharmacists, and other members of the healthcare team to develop clearly defined guidelines, policies, and procedures. Must be willing to travel to sites to review and assess practices and processes, as required. Demonstrates expertise in their area(s) of concentration/specialty. Understand the workflow of front-line professional personnel within their areas of expertise. This would include clinics, inpatient units, and other applicable areas of care pertaining to internal medicine, endocrinology, rheumatology, primary care, obstetrics, women's health, and maternal-fetal medicine throughout the health system. Represents the pharmacy department and clinical services as an active committee member or invited attendee on system-wide committees or service lines. This would include, but is not limited to: System Pharmacy and Therapeutic Committee Hospitalist Service Line Primary Care Service Line Women's & Newborn Care Service Line System Residency Advisory Committee May be appointed to serve as a coordinator of the System Residency Advisory Committee. In this role, they would serve as the primary contact for and would assist with the high-level coordination of residency efforts throughout the system. Strategic direction, oversight, and coordination of the System Glycemic Management Committee. Review protocols for system Collaborative Care Agreements. Complete notes, reviews, and provides feedback to System Pharmacy Credentialing and Privileging Committee. Works collaboratively with clinical staff and physicians to evaluate appropriate medication use. Annually, specialists will be expected to complete medication use evaluations (MUE), continuing education (CE), presentations or in-services (CE preferred), and drug class review. Continued service-line expansions, relevant order set reviews, policy and/or procedure development/modification, and formulary monographs may be required on an as needed basis. Assists in system formulary management. Serves as a clinical pharmacotherapy specialist for providers, pharmacists, nursing, and other staff on clinically complicated patient cases, investigation of adverse drug events and/or management of drug shortages as needed. Provides verbal and written consultations concerning medication therapy. Coordinate, facilitate, and promote education, training, competency assessment, and performance improvement of pharmacists, providers, and other healthcare professionals on updates in the applicable area of expertise, as deemed necessary. Provides presentations, publications, and other informative activities relating to area of expertise. Precepts students and residents, as necessary. Establish relationships with local, state, and national organizations/societies to stay informed about community resources and participate in relevant initiatives. Attend conferences and/or workshops as deemed necessary. Minimum Education and Training Bachelor's degree in pharmacy or Doctorate of Pharmacy required. Kentucky Board of Pharmacy and Indiana Board of Pharmacy license or willing and eligible to achieve within 6 months of hire. Kentucky license must specify that they are a preceptor. BPS board certified in their area of expertise or able to achieve within 12 months of hire. Must be one of the following qualifications: Board Certified Geriatric Pharmacist (BCGP) Board Certified Nutrition Support Pharmacist (BCNSP) Board Certified Pharmacotherapy Specialist (BCPS) Board Certified Ambulatory Care Pharmacist (BCACP) Experience Must satisfy at least one of the following: Completion of PGY-2 ASHP-accredited Pharmacy Residency in a related area of expertise. Completion of PGY-1 ASHP-accredited Pharmacy Residency and a minimum of 3 years of experience in a related area of expertise AND BPS board certification in that area of expertise as listed above at the time of application. Minimum of 5 years of experience in a related area of expertise AND BPS board certification in that area of expertise as listed above at the time of application. Current Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certification required or able to achieve within 12 months of hire. Work Experience Education If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.
    $31k-65k yearly est. Auto-Apply 36d ago
  • Clinical Outcomes Pharmacist

    Pharmacy Careers 4.3company rating

    Remote job

    Clinical Outcomes Pharmacist - Remote Drive impact from anywhere-optimize therapy results through virtual care. Key Responsibilities: Conduct comprehensive virtual medication therapy reviews (MTMs). Monitor therapy outcomes, document interventions, and report improvements. Collaborate with remote care teams to adjust treatment plans. Analyze patient data to identify trends and recommend optimizations. Provide virtual education to patients on medication adherence and safety. Qualifications: PharmD with active, unrestricted license (multi-state a plus). Strong clinical background with remote/telehealth experience preferred. Analytical skills and comfort with digital health tools. Why Join Us? 100% remote flexibility Technology and clinical support Performance-based bonuses
    $47k-85k yearly est. 60d+ ago
  • Pharmacist-In-Charge- Specialty Pharmacy Onsite Orlando - Evernorth

    Carepathrx

    Remote job

    Join ProHealth as a Pharmacist In-Charge (PIC) at our Maitland, Florida location and lead pharmacy operations to ensure compliance, quality, and exceptional patient care. This role combines leadership with hands-on clinical and operational responsibilities, supporting a high-volume specialty pharmacy environment. Responsibilities * Oversee pharmacy operations to maintain compliance with state board and regulatory requirements. * Perform hands-on clinical and operational pharmacist duties to ensure smooth workflow. * Develop and enforce site-level policies and procedures that promote safe and cost-effective medication use. * Implement and monitor Key Performance Indicators (KPIs) for specialty pharmacy performance. * Collaborate with physicians and healthcare teams to optimize drug therapy and patient outcomes. * Manage prior authorizations, billing, and reimbursement processes for specialty medications. * Ensure accurate documentation in EMR systems and CarepathRx's DromosPTM platform. * Provide clinical consultations and therapeutic recommendations for complex patient cases. * Lead and mentor clinical pharmacists and pharmacy students, fostering a culture of excellence. * Maintain confidentiality and uphold CarepathRx's core values in all interactions. Qualifications Required: * B.S. degree in Pharmacy or Doctor of Pharmacy (PharmD). * Active Florida Pharmacist license and ability to register as PIC. * Minimum 2 years of experience in specialty pharmacy services. * Proficiency in Microsoft Suite and pharmacy software systems. * Strong clinical knowledge and ability to manage complex therapies. * Excellent communication, leadership, and organizational skills. Preferred: * Certified Specialty Pharmacist (CSP) or willingness to obtain certification. * Experience in health system specialty pharmacy operations. * Multiple state pharmacist licenses or willingness to obtain additional licenses. * Familiarity with pharmacoeconomic programs and performance improvement initiatives. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $101k-128k yearly est. Auto-Apply 28d ago
  • PRN Clinical Pharmacist

    Thrifty White Pharmacy 4.4company rating

    Remote job

    Job DescriptionBenefits: Competitive salary Flexible schedule Opportunity for advancement Training & development PRN Clinical Pharmacist Coordinate and help manage clinical programs and initiatives, including but not limited to, Medication Therapy Management (MTM), Annual Wellness Visits, Remote Patient Monitoring, Chronic Care Management, Adherence Programs and Disease State Management. MAJOR RESPONSIBILITIES: Deliver MTM services, including but not limited to, Comprehensive Medication Reviews (CMR), Targeted Medication Reviews (TMR), Disease State Management, and to assess appropriateness of all medications, to optimize medication therapy and to improve clinical outcomes Utilize the Joint Commission of Pharmacy Practitioners (JCPP) Pharmacists Patient Care Process to consistently deliver patient care and address medication related needs Determine appropriate interventions to resolve medication therapy problems, achieve goals of therapy and prevent new medication therapy problems Use evidence-based practices and current clinical guidelines to formulate recommendations and treatment plans Individualize patient care by evaluating indication, efficacy, safety and adherence for each patient regimen Assist with managing medication costs through cost-effective interventions which may include, but are not limited to formulary and therapeutic interchanges and assessing unnecessary and/or duplicate medication therapies Efficiently assess prescribed medication therapy for unnecessary medications, need for additional medications, ineffective medications, inappropriate doses, adverse drug reactions, and adherence concerns Evaluate and document clinical responses to therapy including adverse reactions and efficacy Conduct patient-centered adherence services to help patients identify barriers with adherence and develop solutions to overcome those barriers Collaborate with prescribers, interdisciplinary care teams, patients and/or caregivers to identify and develop patient-specific disease state therapy goals Communicate professionally and discuss/document clinical recommendations to prescribers and interdisciplinary care teams Provide patient-centered education on chronic disease states, including medications used for prevention and treatment Actively contribute to a team culture promoting integrity, inclusivity, innovation, and accountability Maintains knowledge of various quality measurement entities, such as Centers for Medicare & Medicaid Services (CMS) and Pharmacy Quality Alliance (PQA) Meet productivity and performance expectations All other duties assigned ADDITIONAL REQUIREMENTS: Working knowledge of third party pay plans Excellent customer service and communication skills Proficient in the English language Maintain patient confidentiality at all times Attention to detail and ability to follow policies and procedures Ability to use Microsoft Office products and execute basic computer skills. Ability to handle stressful situations and deal successfully with difficult customers Ability to maintain effective working relationships with employees and supervisors Understands laws concerning Continuing Education requirements and takes responsibility to accomplish them Reliable attendance and punctuality in order to fulfill the essential job functions Availability to work evenings, weekends, and holidays when needed REQUIRED QUALIFICATIONS EDUCATION B.S. Degree or Pharm.D. in Pharmacy from an accredited educational institution. EXPERIENCE Three years of experience as a practicing pharmacist or One year of experience as a practicing pharmacist plus completion of an Ambulatory Care Residency LICESENSE/CERTIFCIATION Current Minnesota pharmacist license Current North Dakota pharmacist license Current Iowa pharmacist license Certificate of training for Immunizations Certification in CPR or BCLS PREFERRED QUALIFICATIONS EDUCATION PharmD Ambulatory Care Residency PHYSICAL DEMANDS The physical demands described here are representable of those that must be met by an employee to successfully perform the essential job functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position involves in-office work and may include long periods of sitting. While performing the duties of this job, the employee is also frequently required: to stand, talk and hear, use hands and fingers, handle, or operate objects, tools, or controls, and to reach with hands and arms. The employee must occasionally lift and/or move up to 40 pounds. (Review the Safe Lifting Techniques policy). Specific vision abilities required by this job include close vision, distance vision, peripheral vision, color vision, depth perception, and the ability to adjust focus. Pharmacy Innovator of the Year by Drug Store News This is a remote position.
    $33k-51k yearly est. 22d ago

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