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Remote Utilization Management Pharmacist Jobs in Iowa

Trinity Health

340B Analyst - Remote

Des Moines, IA · On-site +1

Works closely with pharmacy staff, software companies, wholesalers, and pharmaceutical ... management, or related roles. * 340B University Certification required within three months of ...

Parker

Digital & IT Analyst

Red Oak, IA · On-site +1

Overnight travel to remote locations to assist in the implementation of technical solutions as ... ability to manage projects Equal Employment Opportunity Parker is an Equal Opportunity and ...

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Remote Utilization Management Pharmacist information

What is a remote utilization management pharmacist?

A Remote Utilization Management Pharmacist is a licensed pharmacist who works from a non-traditional setting, such as home, to review medication use and ensure that prescribed drugs are medically necessary, cost-effective, and aligned with clinical guidelines. They collaborate with healthcare providers, insurance companies, and patients to optimize medication therapy while controlling costs and preventing unnecessary treatments. Their work often involves evaluating prior authorization requests, reviewing patient medication histories, and providing recommendations for alternative therapies when appropriate.

How does a remote utilization management pharmacist typically collaborate with other healthcare professionals while working offsite?

Remote Utilization Management Pharmacists work closely with physicians, nurses, and case managers primarily through secure digital platforms and regular conference calls. They review medication requests, provide clinical recommendations, and help ensure patients receive appropriate therapies in line with established guidelines. Effective communication and timely documentation are essential, as collaboration often relies on electronic health records and virtual meetings. Building strong professional relationships remotely can be a challenge, but most organizations provide robust digital tools and dedicated support teams to facilitate seamless interaction.

What are the key skills and qualifications needed to thrive as a remote utilization management pharmacist, and why are they important?

To thrive as a Remote Utilization Management Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, active pharmacist licensure, and experience in medication review and clinical decision-making. Familiarity with pharmacy benefit management (PBM) systems, electronic health records (EHRs), and utilization management software is typically required. Strong analytical skills, attention to detail, and effective written communication are vital for evaluating medication requests and collaborating with healthcare providers. These competencies ensure appropriate medication use, regulatory compliance, and optimal patient outcomes in a remote healthcare setting.

What is the difference between Remote Utilization Management Pharmacist vs Remote Pharmacy Benefits Manager?

AspectRemote Utilization Management PharmacistRemote Pharmacy Benefits Manager
CredentialsPharmacy license, certification in utilization reviewPharmacy license, health plan or benefits management experience
Work EnvironmentHealthcare organizations, insurance companies, telehealth platformsHealth insurance companies, pharmacy benefit management firms
Industry UsageFocuses on medication review, prior authorizations, and clinical decision supportOversees pharmacy benefit plans, formulary management, and cost control strategies

While both roles involve pharmacy expertise and work remotely, the Remote Utilization Management Pharmacist primarily reviews medication appropriateness and manages prior authorizations, whereas the Remote Pharmacy Benefits Manager focuses on managing pharmacy benefit plans and formulary strategies. Understanding these distinctions helps professionals choose the role that best aligns with their skills and career goals.

What are popular job titles related to Remote Utilization Management Pharmacist jobs in Iowa?

For Remote Utilization Management Pharmacist jobs in Iowa, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management Pharmacist jobs in Iowa look for?

The top searched job categories for Remote Utilization Management Pharmacist jobs in Iowa are:

What cities in Iowa are hiring for Remote Utilization Management Pharmacist jobs?

Cities in Iowa with the most Remote Utilization Management Pharmacist job openings:

Remote Utilization Management Pharmacist jobs near you

Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)

Hone Health Medical Roles

Davenport, IA • Remote

Full-time, Part-time

Re-posted 17 days ago

Job description

Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)

Work from any location, determine your own schedule, and earn extra income while helping women optimize their health and hormone levels with one of the fastest-growing health companies in the country. Seeking Obstetrics/Gynecology, Internal Medicine, or Family Medicine physicians, and all other physicians with deep knowledge and experience in prescribing for midlife women's healthcare. Please review and respond to the three applicant qualification questions we ask of our applicants at the bottom. We are specifically looking for physicians who specialize in men's health and have experience prescribing testosterone and other hormone-boosting pharmaceuticals. Our services also include men's hormone, weight loss and thyroid treatment and we would prefer to bring on physicians who have experience prescribing for patients in some or all of those categories as well. We are currently looking for physicians nationwide and highly value physicians who are licensed in multiple states.

Who We Are:

We are a modern health company committed to giving our patients confidence as they age. Our goal is to help our patients break through highly stigmatized conditions using education and increasing access by making care more convenient and affordable. From initially only treating men who want to manage their testosterone levels, we have grown our services to support weight loss, thyroid treatments, and now women's health. We are currently seeking part-time and full-time telemedicine physicians who want to be part of the health revolution. You will have the opportunity to leverage emerging technologies and provide digital telemedicine consultations to patients in the states in which you are licensed from the comfort of your home. We provide a training program and a supportive environment to help you improve your video consultation skills, including comprehensive technical support.

Your Responsibilities:

  • Perform telemedicine consultations from our HIPAA-compliant video interface.
  • Provide outstanding service and care to women in midlife navigating perimenopause, menopause, and other common midlife health challenges.
  • Treat men who are looking to optimize their health and hormones, if this is a patient population you also have experience treating.
  • Review lab results with patient and provide treatment options.
  • Educate patients and create individualized treatment plans.
  • Titrate medications based on patient outcomes.
  • Prescribe medications if necessary based on your clinical diagnosis.
  • Provide feedback to us to continually improve the patient experience.

We are currently recruiting nationwide. Experience with telemedicine is a plus. Holding multiple state licenses is a plus.

Requirements:

  • Available at a minimum of 6-8 hours/week for consultations, ideally 8-12 hours or more.
  • You are an MD or DO who holds a valid license, ideally in multiple states.
  • Minimum of 2 years of experience in Obstetrics/Gynecology, Internal Medicine, Family Medicine, and/or Hormone Replacement Therapy is preferred. 
  • NCMP (NAMS-certified menopause practitioner) certification is preferred.
  • Possess an unrestricted DEA license and have prescribed Schedule III controlled substances.
  • Excellent communication skills with a focus on physician-patient interaction.
  • Comfortable with technology and video consultations, or the desire to learn.
  • You are not just a pill pusher, but you have a deep profound care for hormone optimization.
  • You are a self-starter who likes to be part of innovative mission-driven environments.
  • You're intellectually curious and are always striving to improve patient outcomes.
  • Available to start soon.