Birmingham, AL · Remote
$50 - $60/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Birmingham, AL · Remote
$50 - $60/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Mobile, AL · Remote
$49.75 - $59.75/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Mobile, AL · Remote
$49.75 - $59.75/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Mobile, AL · On-site +1
$48.75 - $59.50/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Mobile, AL · On-site +1
$48.75 - $59.50/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Birmingham, AL · On-site +1
$49 - $59.75/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Birmingham, AL · On-site +1
$49 - $59.75/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Birmingham, AL · Remote
$54.50 - $65.50/hr
Hours are evenings and weekends when our traditional onsite pharmacy is closed. Valued for your ... Reviews system alerts for drug interactions, allergies, order & therapy duplications, over-dose ...
Birmingham, AL · Remote
$54.50 - $65.50/hr
Hours are evenings and weekends when our traditional onsite pharmacy is closed. Valued for your ... Reviews system alerts for drug interactions, allergies, order & therapy duplications, over-dose ...
Montgomery, AL · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Montgomery, AL · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Birmingham, AL · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Birmingham, AL · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Tuscaloosa, AL · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Tuscaloosa, AL · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Huntsville, AL · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Huntsville, AL · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Mobile, AL · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Mobile, AL · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Mobile, AL · Remote
$52K - $62K/yr
Submit completed caregiver-patient ("dyad") applications for CMS review. * Facilitate smooth ... Supportive team culture that values balance - no weekend work and minimal after-hours communication.
Mobile, AL · Remote
$52K - $62K/yr
Submit completed caregiver-patient ("dyad") applications for CMS review. * Facilitate smooth ... Supportive team culture that values balance - no weekend work and minimal after-hours communication.
Birmingham, AL · On-site +1
Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...
Birmingham, AL · On-site +1
Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...
Birmingham, AL · On-site +1
Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...
Birmingham, AL · On-site +1
Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...
Birmingham, AL · On-site +1
$22 - $24.50/hr
This is a high-impact role that directly supports access to care, provider utilization, and overall ... Working Conditions * Full-time remote role requiring a dedicated workspace and reliable internet.
Birmingham, AL · On-site +1
$22 - $24.50/hr
This is a high-impact role that directly supports access to care, provider utilization, and overall ... Working Conditions * Full-time remote role requiring a dedicated workspace and reliable internet.
Sylacauga, AL · On-site +1
Chart Review and Documentation * Conduct structured reviews of clinical records to assess service utilization, client engagement, and treatment plan compliance. * Document all findings and ...
Sylacauga, AL · On-site +1
Chart Review and Documentation * Conduct structured reviews of clinical records to assess service utilization, client engagement, and treatment plan compliance. * Document all findings and ...
Calvert, AL · On-site +1
If remote from Atlanta or anywhere else, monthly travel to Calvert, Alabama for 2-3 day stay ... Draft, review, and negotiate a wide range of procurement and buy-side agreements, including ...
Calvert, AL · On-site +1
If remote from Atlanta or anywhere else, monthly travel to Calvert, Alabama for 2-3 day stay ... Draft, review, and negotiate a wide range of procurement and buy-side agreements, including ...
Huntsville, AL · Remote
$210K - $220K/yr
Board-certified or board-eligible neurologists needed for a fully remote locum tele-neurology role ... Flexible full-time and part-time scheduling; day, evening, overnight, and weekend shifts
Huntsville, AL · Remote
$210K - $220K/yr
Board-certified or board-eligible neurologists needed for a fully remote locum tele-neurology role ... Flexible full-time and part-time scheduling; day, evening, overnight, and weekend shifts
Mobile, AL · On-site +1
$210 - $220/hr
We're looking for board-certified or board-eligible neurologists to join a fully remote locum tele ... Day, evening, overnight, and weekend shifts available * Malpractice coverage provided
Mobile, AL · On-site +1
$210 - $220/hr
We're looking for board-certified or board-eligible neurologists to join a fully remote locum tele ... Day, evening, overnight, and weekend shifts available * Malpractice coverage provided
Dauphin Island, AL · On-site +1
$210 - $220/hr
We're looking for Board-Certified or Board-Eligible Neurologists to join a fully remote locum tele ... Flexible full- and part-time schedules (day, evening, overnight, weekend shifts) * Malpractice ...
Dauphin Island, AL · On-site +1
$210 - $220/hr
We're looking for Board-Certified or Board-Eligible Neurologists to join a fully remote locum tele ... Flexible full- and part-time schedules (day, evening, overnight, weekend shifts) * Malpractice ...
| Aspect | Remote Weekend Utilization Review | Remote Weekday Utilization Review |
|---|---|---|
| Credentials | Typically requires a healthcare professional license and utilization review certification | Same as weekend role, healthcare license and utilization review certification |
| Work Environment | Remote, weekend hours, often part-time or flexible | Remote, weekday hours, standard business hours |
| Employer & Industry | Health insurance companies, third-party administrators | Same as weekend role, health insurance industry |
| Work Schedule | Primarily weekends, possibly evenings | Weekdays, regular business hours |
Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.
$50 - $60/hr
Other
Posted yesterday
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.
