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How much do remote utilization management pharmacist jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for remote utilization management pharmacist in the United States is $58.10, according to ZipRecruiter salary data. Most workers in this role earn between $46.63 and $68.75 per hour, depending on experience, location, and employer.

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.

More about Remote Utilization Management Pharmacist jobs
What cities are hiring for Remote Utilization Management Pharmacist jobs? Cities with the most Remote Utilization Management Pharmacist job openings:
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What job categories do people searching Remote Utilization Management Pharmacist jobs look for? The top searched job categories for Remote Utilization Management Pharmacist jobs are:
Remote Utilization Management Pharmacist jobs near you
Infographic showing various Remote Utilization Management Pharmacist job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $120,850 per year, or $58.1 per hour.
Manager, Utilization Management (51741)

Manager, Utilization Management (51741)

GLOBALHEALTH HOLDINGS LLC

Oklahoma City, OK • Remote

Full-time

Medical

Posted 19 days ago

Job description

WHO WE ARE: 

GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.

WHO YOU ARE:                                                                                                                       
This position, under the guidance of the Vice President, Health Services is responsible for the operational oversight of the Utilization Management department. This includes tracking and trending of utilization data, development and update of policy and procedures, regulatory reporting and supervisory staff. The position also may include collaboration with internal teams and external providers.

ESSENTIAL DUTIES AND RESPONSBILITIES:                                                                                

  • Accountable for the functions of the Utilization Management department.
  • Develops and oversees policies and procedures, regulatory reporting and clinical practice guidelines.
  • Integrates quality improvement activities within utilization management. 
  • Communicates regularly with employees through participation in regular staff meetings to share information appropriate to their job functions and development.
  • Serves as a resource to both lines of business in relation to Utilization Management.
  • Plays an active role in both internal and external committees along with contract delegated responsibilities.
  • Collaborates with network facilities to improve concurrent and discharge plans for our members.
  • Performs retrospective review for the claims department.
  • Assists in providing information for the appeals department. 
  • Provides information to reinsurance for members pending transplantation. 
  • Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy.

EDUCATION AND EXPERIENCE:                                                                                                      

  • Current Oklahoma state RN license
  • Experience in Managed Care, Case Management and Concurrent Review
  • Previous experience in a supervisory role
  • CPHQ, CPUR and previous insurance experience preferred

KNOWLEDGE, SKILLS AND ABILITIES:                                                                                           

  • Ability to communicate, both orally and written, and manage complex working relationships.
  • Excellent organizational, leadership, problem-solving, and decision-making skills.
  • Knowledge of Microsoft software programs including Word, Excel, PowerPoint and Power BI
  • Knowledge of quality improvement and utilization management

WORK ENVIRONMENT:                                                                                                                    

Current work environment is remote, however, some state exclusions apply.

Must have access to a reliable and secured internet connection source. Work environment must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy. This position will also be required to use reasonable and necessary safeguards to protect GlobalHealth records from unauthorized access, disclosure or damage and will adhere to all GlobalHealth privacy and security policies.

TRAVEL:                                                                                                                                            

Travel may be required for this position

SUPERVISORY RESPONSIBILITY:                                                                                                   

This position is in a supervisory role over Utilization Management leadership and staff

OTHER DUTIES:                                                                                                                                

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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