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Remote Utilization Management Pharmacist Jobs in Virginia

Senior Business and Financial Analyst (REMOTE)

Chantilly, VA · Remote

$87K - $109K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The position is remote. This position is for a Future New Business Opportunity. We offer ... system utilization. This individual will work closely with program managers, leadership, and ...

Senior Business and Financial Analyst (REMOTE)

Chantilly, VA · Remote

$87K - $109K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The position is remote. This position is for a Future New Business Opportunity. We offer ... system utilization. This individual will work closely with program managers, leadership, and ...

Strategic Account & Growth Manager

Richmond, VA · On-site +1

$85K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... pharmaceutical partners with Blake Pharmacy across an assigned region ... This role integrates strategic account management with business development, ensuring high client ...

Electrical Factory Inspector (Remote/Travel)

Richmond, VA · On-site +1

$50K - $70K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Eurofins network of companies is the global leader in food, environment, pharmaceutical and ... Adhere to manager directives * Maintain a professional appearance and demeanor * Arrive on time ...

IT Specialty Analyst - Remote

Virginia Beach, VA · Remote

$80K - $133K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... for optimal utilization of applications. Develops system test plans and performs testing of ... Responsible for problem, incident, and change management and service requests. Provides daily ...

IT Specialty Analyst - Remote

Virginia Beach, VA · Remote

$80K - $133K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... for optimal utilization of applications. Develops system test plans and performs testing of ... Responsible for problem, incident, and change management and service requests. Provides daily ...

Senior Program Manager

Mclean, VA · Remote

$117K - $117K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Senior Program Manager This is a remote position. JOB ID #923 Ad Hoc is a technology company that ... Manage program financial performance, including planned contract revenue, billable utilization ...

New

Senior Financial Analyst - Remote

Reston, VA · On-site +1

$89K - $111K/yr

Analyze clinic level and provider level economics, including utilization, revenue per visit, and ... Detail-oriented with the ability to manage multiple priorities to meet deadlines. Why This Role ...

Showing results 21-40

Remote Utilization Management Pharmacist information

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 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.

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 the most commonly searched types of Utilization Management Pharmacist jobs in Virginia?

The most popular types of Utilization Management Pharmacist jobs in Virginia are:

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

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

Infographic showing various Remote Utilization Management Pharmacist job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

IT Specialty Analyst (Epic) - Remote

Sentara Health

Virginia Beach, VA • Remote

$133K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.


Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

530th of 887 rated healthcare providers


Job description

City/State
Virginia Beach, VA
Work Shift
First (Days)
Overview:
Sentara is hiring an IT Specialty Analyst - Epic Orders!
This position is fully remote.
Overview
The IT Specialty Analyst - Epic Orders is responsible for the day-to-day support, optimization, and advancement of Epic Inpatient orders. This role partners closely with clinical leadership, providers, nursing, and operational stakeholders to ensure Epic Inpatient workflows effectively support patient care, safety, and operational efficiency.
Analyzes business / clinical needs, evaluate software releases and/or new products, and gives recommendations to optimize processes and decrease expenses. Possesses in-depth business / clinical and application knowledge and experience. Performs and documents workflow assessments to determine functional requirements for optimal utilization of applications. Develops system test plans and performs testing of software upgrades and patches. Maintains a record of test progress and test results. Responsible for problem, incident, and change management and service requests. Provides daily on-call support to the customer base for application-related issues. Works within a cross-functional team and with end-users to achieve application integration to meet business / clinical needs. Responsible for the communication of software issues, requirements, upgrades, and enhancements. Oversees smaller-sized projects or components of projects. Coordinates implementation or project planning around software application releases. Possesses a key certification(s) or other credential(s) which is determined central to the systems or applications supported.
An Experienced Professional applies practical knowledge of job areas typically obtained through advanced education and work experience.
Responsibilities typically include:
• Works independently with general supervision.
• Problems faced are difficult but typically not complex.
• May influence others within the job area through explanation of facts, policies, and practices.
Key Responsibilities
  • Provide day-to-day support and optimization of Epic Inpatient clinical applications, including system builds, upgrades and enhancements
  • Analyze inpatient clinical and operational workflows to identify opportunities for optimization and improved patient care outcomes
  • Partner with clinicians, nursing leadership, and operational teams to gather requirements and translate clinical needs into Epic Inpatient solutions
  • Perform and document workflow assessments to determine functional and clinical requirements for optimal system utilization
  • Develop and execute system test plans for Epic Inpatient upgrades and enhancements; document test results and outcomes
  • Manage problem, incident, and change management processes related to inpatient clinical systems
  • Provide daily on-call support for inpatient application-related issues as required
  • Communicate system issues, enhancements, and workflow changes clearly to clinical and operational stakeholders.

Education
  • Bachelor's degree in Healthcare, Nursing, Clinical Informatics, Information Technology, or a related field preferred.
    OR
  • Experience in lieu of degree accepted:
    • 3+ years of relevant Epic Inpatient experience with a Bachelor's degree
    • 5+ years of relevant Epic Inpatient experience without a Bachelor's degree

Certification/Licensure
  • Certification in Epic Inpatient Procedure Orders (Required)

Experience
  • 3+ years of experience supporting Epic Inpatient applications in a healthcare environment (Required)
  • Experience with Clinical decision support is a plus
  • Strong understanding of inpatient clinical workflows, including nursing, provider documentation, orders, and patient care processes
  • Experience in hospital and patient settings
  • Experience with Epic Inpatient builds, enhancements, and workflow optimization
  • Demonstrated experience with system testing, validation, and documentation

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $ 80, 204.80 -$133,681.60. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Talroo-IT
Keywords: Epic Inpatient Orders, Epic Inpatient Procedure Orders, Epic build experience, Epic workflows, inpatient clinical workflows, inpatient physician workflows, Epic Inpatient applications, build enhancements,workflow optimization, system builds, system upgrades, inpatient clinical applications

    Benefits: Caring For Your Family and Your Career
    Medical, Dental, Vision plans
    • Adoption, Fertility and Surrogacy Reimbursement up to $10,000
    • Paid Time Off and Sick Leave
    • Paid Parental & Family Caregiver Leave
    • Emergency Backup Care
    • Long-Term, Short-Term Disability, and Critical Illness plans
    • Life Insurance
    • 401k/403B with Employer Match
    • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
    • Student Debt Pay Down - $10,000
    • Reimbursement for certifications and free access to complete CEUs and professional development
    •Pet Insurance
    •Legal Resources Plan
    •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
    Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
    In support of our mission “to improve health every day,” this is a tobacco-free environment.
    For positions that are available as remote work, Sentara Health employs associates in the following states:
    Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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