Silver Spring, MD · Remote
$60 - $72.25/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Silver Spring, MD · Remote
$60 - $72.25/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Annandale, VA · Remote
$58 - $69.50/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Annandale, VA · Remote
$58 - $69.50/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Ashburn, VA · Remote
$59.50 - $71.50/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Ashburn, VA · Remote
$59.50 - $71.50/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Ashburn, VA · On-site +1
$58.50 - $71.25/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Ashburn, VA · On-site +1
$58.50 - $71.25/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Annandale, VA · On-site +1
$57 - $69.50/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Annandale, VA · On-site +1
$57 - $69.50/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Silver Spring, MD · On-site +1
$59 - $72/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Silver Spring, MD · On-site +1
$59 - $72/hr
Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...
Washington, DC · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... At least 3 years of direct clinical care or experience in case management, utilization management ...
Washington, DC · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... At least 3 years of direct clinical care or experience in case management, utilization management ...
We go beyond merely providing a remote work option; we support and embrace it. We offer ... Provide clinical subject matter expertise to utilization management staff, case managers, and ...
We go beyond merely providing a remote work option; we support and embrace it. We offer ... Provide clinical subject matter expertise to utilization management staff, case managers, and ...
We go beyond merely providing a remote work option; we support and embrace it. We offer ... Provide clinical subject matter expertise to utilization management staff, case managers, and ...
We go beyond merely providing a remote work option; we support and embrace it. We offer ... Provide clinical subject matter expertise to utilization management staff, case managers, and ...
Rosslyn, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...
Rosslyn, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...
Washington, DC · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...
Washington, DC · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...
Mclean, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...
Mclean, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...
Washington, DC · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...
Washington, DC · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...
Mclean, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...
Mclean, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...
Rosslyn, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...
Rosslyn, VA · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...
Washington, DC · Remote
$54.10K - $155.54K/yr
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization ... Consults with supervisor and others in overcoming barriers in meeting goals and objectives ...
Washington, DC · Remote
$54.10K - $155.54K/yr
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization ... Consults with supervisor and others in overcoming barriers in meeting goals and objectives ...
Silver Spring, MD · On-site +1
$26.45/hr
... from supervisors. Overview ABA Authorization Specialist Position Little Leaves provides full ... utilization management, or insurance verification • Strong knowledge of ABA CPT codes (97151 ...
Silver Spring, MD · On-site +1
$26.45/hr
... from supervisors. Overview ABA Authorization Specialist Position Little Leaves provides full ... utilization management, or insurance verification • Strong knowledge of ABA CPT codes (97151 ...
Washington, DC · Remote
$54.10K - $155.54K/yr
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization ... Consults with supervisor and others in overcoming barriers in meeting goals and objectives ...
Washington, DC · Remote
$54.10K - $155.54K/yr
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization ... Consults with supervisor and others in overcoming barriers in meeting goals and objectives ...
Fairfax, VA · On-site +1
$150K - $180K/yr
... supervised learning, and large vision/language models - to automate remote sensing data ... Collaborate with program managers, government customers, and interdisciplinary engineering teams to ...
Fairfax, VA · On-site +1
$150K - $180K/yr
... supervised learning, and large vision/language models - to automate remote sensing data ... Collaborate with program managers, government customers, and interdisciplinary engineering teams to ...
... utilization management, and care management systems), management of the online and published ... Anticipates problems and attempts to solve before they develop Supervisory Responsibilities Blood ...
... utilization management, and care management systems), management of the online and published ... Anticipates problems and attempts to solve before they develop Supervisory Responsibilities Blood ...
$40.6K - $52.7K
9% of jobs
$61.7K is the 25th percentile. Wages below this are outliers.
$52.7K - $64.9K
22% of jobs
$64.9K - $77K
11% of jobs
The median wage is $84.5K / yr.
$77K - $89.2K
14% of jobs
$89.2K - $101.3K
12% of jobs
$108.9K is the 75th percentile. Wages above this are outliers.
$101.3K - $113.5K
13% of jobs
$113.5K - $125.6K
13% of jobs
$125.6K - $137.8K
5% of jobs
$137.8K - $150K
2% of jobs
$150K - $162.1K
0% of jobs
$162.1K - $174.3K
0% of jobs
$40.6K
$94.7K
$174.3K
| Aspect | Remote Supervisor Utilization Management | Remote Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or supervisor certifications | RN, with clinical review certifications |
| Work Environment | Supervises teams, manages utilization processes remotely | Performs clinical reviews, assesses patient necessity remotely |
| Employer & Industry Usage | Health insurance companies, managed care organizations | Insurance companies, third-party administrators |
| Primary Focus | Overseeing utilization management operations | Conducting clinical utilization reviews |
Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.
$60 - $72.25/hr
Other
Posted 7 days ago
Remote Prior Authorization Pharmacist - Work From Home in Managed Care
A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care.
Key Responsibilities
What You'll Bring
Why This Role?
About Us
We are a confidential healthcare partner working with health plans and PBMs across the U.S.. Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations.
Apply Today
Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity - and enjoy the benefits of working from home while shaping the future of managed care.
