Top 7232 Pharmacist member services Jobs

Utilization Management Pharmacist (temp-to-hire)
Judi Health —Remote
- $125,000 - $130,000 a year
- Weekends as needed
- Writing skills
- Mid-level
- Bachelor's degree
Quick Apply
Clinical Pharmacist
MOBE, LLC —Remote
- Full-time
- Mid-level
- Team management
Quick Apply
11d
Pharmacist
Tacoma General Hospital —Tacoma, WA
- $75.89 - $101.98 an hour
- Part-time
- Surgery
- Hospital
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Clinical Pharmacist - ATM CPN (Thursday to Monday)
AnewHealth —Remote
- Extended hours
- Customer service
- Bachelor of Science
- Writing skills
- Paid holidays
- Disability insurance
Quick Apply
Clinical Pharmacist (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $120,240 - $214,929 a year
- Full-time
- Doctor of Philosophy
- Mentoring
- US work authorization
- 401(k)
Quick Apply
Pharmacist - Full or Part Time Options Available
Wilcox Financial Services, Inc —McCook, NE
- $70,000 - $90,000 a year
- Part-time
- Hybrid work
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Pharmacist
Northwell Health —Sleepy Hollow, NY
- $105,400 - $183,000 a year
- Per diem
- Inpatient
- Mid-level
- 1 year
Pharmacist
Mercy Medical Center —Cedar Rapids, IA
- Weekends as needed
- Acute care
- Hospital
- Bachelor of Science
Quick Apply
4d
Pharmacist In Charge
PharMerica —West Henrietta, NY
- $133,120 - $143,520 a year
- Full-time
- Computer literacy
- Mid-level
- Team management
Pharmacist
WALGREENS —Mauston, WI
- $69.05 - $81.20 an hour
- Full-time
- Background check
- Bachelor of Science
- Patient care
- Health savings account
- Disability insurance
Quick Apply
Part-Time Pharmacist
Freedom Pharmacy —Pickerington, OH
- $58.50 - $62.50 an hour
- Part-time
- Bachelor of Science
- HIPAA
- Mid-level
- Paid time off
- Employee discount
Quick Apply
Pharmacist - Part Time
VytlOne —Tallahassee, FL
- $60 - $66 an hour
- Part-time
- Writing skills
- Mid-level
- Outpatient experience
Quick Apply
9d
Pharmacy Manager- $70,000 Sign-On Bonus & Relocation
Walmart —Sedalia, MO
- $112,000 - $197,000 a year
- Management
- High school
- Merchandising
- Paid jury duty
- Disability insurance
Pharmacist
WALGREENS —Reedsburg, WI
- $69.05 - $81.20 an hour
- Full-time
- Background check
- Bachelor of Science
- Patient care
- Health savings account
- Disability insurance
Quick Apply
Pharmacist Specialist - Outpatient Medication Management
INTEGRIS Health —Oklahoma City, OK
- Full-time
- Hospital
- Primary Care
- English
- Health insurance
- Paid time off
Quick Apply
Clinical Pharm Specialist –Hema/Onc and Gen Inf SCH
Catholic Health System —Buffalo, NY
- $133,731 - $200,577 a year
- Weekends as needed
- Hospital
- Inpatient
- Outpatient experience
Quick Apply
Pharmacist
Central Pharmacy Eaton Rapids —East Lansing, MI
- $55 - $65 an hour
- Part-time
- Anatomy knowledge
- Mid-level
- Critical & Intensive Care
- Employee discount
Quick Apply
6d
Pharmacist
Central Pharmacy Eaton Rapids —Lansing, MI
- $55 - $65 an hour
- Part-time
- Anatomy knowledge
- Mid-level
- Critical & Intensive Care
- Employee discount
Quick Apply
6d
Float Pharmacist
Sterling Pharmacy —La Crescent, MN
- $55 - $65 an hour
- 8 hour shift
- CPR Certification
- BLS Certification
- Mid-level
- Store discount
- Health savings account
Quick Apply
Pharmacy Clinical Coordinator - Oncology Pharmacist
Legacy Health —Vancouver, WA
- $87.34 - $101.31 an hour
- Full-time
- Hospital
- Mid-level
- Typing

I want to receive the latest job alert for pharmacist member services

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Utilization Management Pharmacist (temp-to-hire)

Judi Health
Remote

Quick Apply

Job Details

Temp-to-hire
$125,000 - $130,000 a year

Qualifications

Registered Pharmacist (RPh)
Practicing as a pharmacist
Writing skills
Licensed Pharmacist (State-Specific)
Licensed Pharmacist

Full Job Description

About Judi Health

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:

Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
Judi®, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.

Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health.

Position Summary:

The Utilization Management Pharmacist plays a vital role in promoting safe, effective, and appropriate medication use. This position is responsible for reviewing prior authorization requests, supporting clinical programs, and providing expert guidance to members, providers, and pharmacies. The role combines clinical decision-making with a strong focus on service excellence in a fast-paced, collaborative environment.

Position Responsibilities:

Review and make timely, evidence-based decisions on prior authorizations, appeals, and override requests using clinical guidelines and benefit criteria.
Ensure compliance with federal, state, and internal regulations across Commercial, Exchange, Medicare, and Medicaid plans.
Accurately document clinical decisions and maintain thorough records in accordance with regulatory and accreditation (URAC/NCQA) utilization review standards.
Provide clear, empathetic support to members, prescribers, and pharmacies by responding to clinical inquiries via phone, demonstrating professionalism, active listening, and a patient-centered approach.
Stay current with clinical prescribing guidelines, internal policies, and regulatory changes, and apply them to daily responsibilities.
Follow all internal procedures, job aids, and HIPAA guidelines to protect patient privacy and data security.
Identify and report potential fraud, waste, and abuse.
Support training and development of new and existing team members as needed.
Assist leadership with special projects, process improvements, and operational initiatives

Minimum Qualifications:

Minimum of 6 months to a year of prior authorization or utilization management experience
Active, unrestricted, pharmacist license
Bachelor's or Doctor of Pharmacy degree
Minimum of 2 years of pharmacy practice experience
Experience in managed care or pharmacy benefit management (PBM)
Strong communication, writing, and organizational skills
Ability to manage multiple priorities in a high-volume, metric-driven environment
Availability to work after hours, weekends, and holidays on a rotating schedule

Preferred Qualifications:

Call center experience

This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.

Quick Apply

Refine Your Search

pharmacist member services jobs

Utilization Management Pharmacist (temp-to-hire)

Clinical Pharmacist

Pharmacist

Clinical Pharmacist - ATM CPN (Thursday to Monday)

Clinical Pharmacist (Remote)

Pharmacist - Full or Part Time Options Available

Pharmacist

Pharmacist

Pharmacist In Charge

Pharmacist

Part-Time Pharmacist

Pharmacist - Part Time

Pharmacy Manager- $70,000 Sign-On Bonus & Relocation

Pharmacist

Pharmacist Specialist - Outpatient Medication Management

Clinical Pharm Specialist –Hema/Onc and Gen Inf SCH

Pharmacist

Pharmacist

Float Pharmacist

Pharmacy Clinical Coordinator - Oncology Pharmacist

I want to receive the latest job alert for pharmacist member services

Related Searches

Explore jobs in more locations

About Judi Health

Job Seeker Tools

Employer Tools

Browse

Stay Connected