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Remote Optum Utilization Review Jobs Near Me

Remote Clinical Review Pharmacist

Columbus, OH ยท On-site

$110K - $132K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...

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The RN Review Nurse works closely with healthcare providers, interdisciplinary teams, and non ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Certification in Case Management (CCM) or Utilization Review (UR). * Experience with Medicaid and ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

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How much do remote optum utilization review jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for remote optum utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.
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A map of the United States highlighting the number of Remote Optum Utilization Review job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Remote Optum Utilization Review job openings in each state, with California having the most at 2 and Hawaii the least at 0.

Remote Clinical Review Pharmacist

Pharmacy Careers

Columbus, OH โ€ข On-site

$110K - $132K/yr

Other

Posted 2 days ago

New


Job description

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule
Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions and treatment plans for safety, appropriateness, and cost-effectiveness while working from home.
Key Responsibilities

  • Review prescriptions, treatment plans, and clinical requests for appropriateness, safety, and value.
  • Apply clinical guidelines and evidence-based standards to support determinations.
  • Collaborate with physicians, nurses, and utilization-management teams on complex cases.
  • Document recommendations and decisions according to health-plan and regulatory requirements.
  • Participate in quality initiatives and peer-to-peer discussions as needed.
What You'll Bring
  • Education: PharmD or Bachelor of Pharmacy.
  • Licensure: Active, unrestricted U.S. pharmacist license.
  • Experience: Clinical review, utilization management, or managed care preferred. Hospital, ambulatory, and community pharmacists with strong clinical judgment are highly encouraged to apply.
  • Skills: Excellent clinical writing, critical thinking, and communication.
Why This Role?
  • 100% remote with flexible scheduling.
  • Help patients access safe, effective, and affordable medications.
  • Develop specialized expertise in managed care and utilization review.
  • Competitive compensation, full benefits, and advancement opportunities.

About Us
We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time.
Apply Today
Take the next step as a Remote Clinical Review Pharmacist - apply today and enjoy the flexibility of working from home