The POD Pharmacist develops and implements the medication therapy management (MTM) program, performing written member medication reconciliations and drug therapy action plans for all members. This role involves conducting telephonic consultations with providers and speaking with members regarding medication use concerns while collaborating with clinical staff.
Remote Pharmacist Jobs (155)
Search = pharmacist
As a Pharmacist, you will oversee daily pharmacy operations and ensure safe medication use to positively impact patient well-being. You will also contribute to the development of pharmacy-specific policies and procedures in compliance with regulations.
Conduct comprehensive clinical reviews and monitor patient adherence to improve outcomes in oncology and specialty disease states. Lead daily workflows, ensure regulatory compliance, and coordinate with healthcare teams to deliver direct clinical interventions.
The pharmacist will manage medications for high-risk patients with chronic conditions and collaborate with a multi-disciplinary healthcare team to optimize patient outcomes. Key duties include conducting medication reconciliations, providing patient counseling, and supporting CMS Stars and HEDIS quality measures.
The Senior Consultative Pharmacist provides patient care through medication therapy consultation and the design of medication care plans. They act as medication experts in proactive health campaigns to improve patient outcomes and influence departmental strategy.
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Clinical Coding Consultant Pharmacist - Remote
UnitedHealth Group
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Full Time
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2 Days Ago
UnitedHealth Group
Acts as the primary liaison between formulary operations and clinical consultants to provide custom coding support in the RxClaim adjudication system. Responsibilities include translating client intent into codeable language and conducting second-level claim research.
Patient Care Pharmacist - Short term assignment- Remote
Fuze Health
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Full Time
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4 Days Ago
Fuze Health
Perform clinical assessments, monitor patient adherence, and provide therapeutic recommendations to improve patient outcomes. Collaborate with Specialty Operations to manage pharmacy billing and develop SOPs to enhance service delivery.
Perform prior authorization reviews and coverage determinations for high-cost specialty medications covered under medical benefits. Support the development of medical drug policies, utilization management strategies, and Pharmacy & Therapeutics Committee activities.
Clinical Consultant Pharmacist - Remote
UnitedHealth Group
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Full Time
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4 Days Ago
UnitedHealth Group
Acts as the primary clinical liaison between OptumRx and its clients to provide proactive clinical recommendations and manage pharmacy trends. Coordinates with internal departments to implement client initiatives and ensure the delivery of clinical pharmacy services.
The pharmacist evaluates pharmacotherapy for high-risk patients with chronic conditions and collaborates with multidisciplinary teams to optimize patient care. Responsibilities include medication reconciliation, patient counseling, and supporting CMS Stars and HEDIS quality measures.
Clinical Pharmacist - Population Health
Lehigh Valley Health Network
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Full Time
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4 Days Ago
Lehigh Valley Health Network
Coordinates pharmacy initiatives for high-risk patients and implements performance improvement projects to ensure safe, cost-efficient medication therapy. Collaborates with providers to impact quality measures such as CMS STARS, PQA, and HEDIS.
Pediatric Pharmacist (Remote) – MD Licensure
Perfecting Peds
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Full Time
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5 Days Ago
Perfecting Peds
Conduct thorough medication reviews and develop management plans for pediatric patients in a remote setting. Collaborate with healthcare providers and caregivers to optimize therapy outcomes and provide patient education.
Responsible for reviewing clinical coverage determinations and appeals for Commercial and Medicare lines of business based on medical necessity. This includes collaborating with Medical Directors, performing peer-to-peer reviews, and documenting decisions using scientific literature.
Clinical Staff Pharmacist
Florida Cancer Specialists
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Full Time
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5 Days Ago
Florida Cancer Specialists
Provide comprehensive pharmaceutical care and services for oncology patients, including prescription verification and REMS compliance. Handle oral oncology medications and provide patient counseling to ensure optimal specialty pharmacy performance.
Clinical Pharmacist (Clinical Optimization) - Work From Home
Health Care Service Corporation
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Full Time
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5 Days Ago
Health Care Service Corporation
Responsible for managing pharmacy programs, including the development of disease state formularies and utilization management. The role focuses on improving the quality and cost-effectiveness of drug therapy within the Medicare program in coordination with providers.
Develop and implement Medicare formulary strategies using clinical and financial data to mitigate costs and improve health outcomes. Communicate data-driven insights to executive leadership and collaborate across departments to ensure accurate implementation of decisions.
Provide remote medication therapy management and clinical consultation to healthcare professionals and customers. Ensure patient safety by verifying prescription accuracy and implementing medication safety plans.
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The role involves managing pharmacy operations, analyzing drug utilization reports, and developing clinical criteria for medication review. The pharmacist will also handle prior authorizations, appeals, and collaborate on disease management projects to improve member health outcomes.
Pharmacist Medication Access - Medication Clinic - Per Diem
SolutionHealth
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Full Time
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6 Days Ago
SolutionHealth
Provides centralized medication access support by interpreting prescriptions and coordinating patient assistance programs. Responsibilities include conducting drug utilization reviews and supervising pharmacy technicians.
Clinical Specialty Program Pharmacist - Remote
UnitedHealth Group
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Full Time
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6 Days Ago
UnitedHealth Group
Lead and manage client relationships by providing pharmacy benefit analysis and clinical specialty pharmacy consultation. Coordinate internal functions to implement client systems and execute clinical strategies, including quality initiatives and quarterly business reviews.
The Clinical Pharmacist conducts Medication Therapy Management (MTM) and Comprehensive Medication Reviews to optimize patient clinical outcomes. They collaborate with a multidisciplinary team to establish clinical protocols and ensure continuity of care through patient and provider engagement.
Pharmacist, PR
Healthmap Solutions Puerto Rico
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Full Time
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6 Days Ago
Healthmap Solutions Puerto Rico
Develop and manage evidence-based medication programs for kidney disease and related comorbidities. Collaborate with clinicians to provide guidance on medication stewardship and optimize disease management for members.
Lead and optimize the day-to-day performance of the clinical pharmacist division, focusing on productivity, quality, and workflow efficiency. The role balances direct patient care with operational leadership, overseeing pharmacist performance and scaling pharmacy operations.
The Senior Clinical Pharmacist monitors drug pipelines and medical literature to develop clinical coverage policies and utilization management strategies. They provide clinical subject matter expertise to mitigate costs and improve health outcomes through formulary and P&T processes.
Ambulatory Clinical Pharmacist - Refill Clinic - PRN
Ochsner Health
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Full Time
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6 Days Ago
Ochsner Health
Monitors and evaluates drug therapy for appropriateness and manages pharmacy services to improve patient outcomes. Responds to E-Consults, handles refill processes, and provides pharmacokinetic consultation to healthcare practitioners.
Clinical Pharmacist - Work From Home
Health Care Service Corporation
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Full Time
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6 Days Ago
Health Care Service Corporation
Conduct comprehensive medication reviews for high-risk Medicare members to improve drug therapy safety and effectiveness. Collaborate with multidisciplinary teams to address gaps in care and support STAR-related pharmacy initiatives.
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Provide remote telehealth care to Medicare members, focusing on STARS measure compliance and emergency department discharge confirmation. Support pharmacy operations by supervising technicians and verifying the accuracy of prescriptions.
The Clinical Staff Pharmacist provides direct patient care by monitoring medication prescribing and administration and conducting medication reconciliations. They also collaborate with physician groups to develop clinical guidelines and supervise pharmacy technicians in dispensing medications.
Specialty Operations Manager Pharmacist - Remote
UnitedHealth Group
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Full Time
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1 Week Ago
UnitedHealth Group
Lead and manage client relationships by providing pharmacy benefit analysis and clinical specialty pharmacy consultation. Oversee day-to-day specialty program operations, including performance reporting, KPI review, and the execution of clinical strategies.
The Clinical Pharmacist ensures safe and effective medication use through evidence-based practice and clinical decision-making. They collaborate with multidisciplinary healthcare teams to manage medication therapy and provide essential patient education.
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