• Clinical Reviewer , Nurse

    Evolent (Trenton, NJ)
    …mission. Join a mission with a company behind it. **What You'll Be Doing:** As a Clinical Reviewer , Nurse, you will be a key member of the utilization management ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse, you will routinely interact...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
    Evolent (08/19/25)
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  • Initial Review Pharmacy Technician…

    Prime Therapeutics (Trenton, NJ)
    …that meet clinical review criteria. Refers all cases not meeting clinical criteria to pharmacist clinical reviewer . + Practices and maintains the ... drives every decision we make. **Job Posting Title** Initial Review Pharmacy Technician - Remote **Job Description**...requests to nurse, pharmacist or physician on the utilization review clinical team when further review more
    Prime Therapeutics (09/04/25)
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  • Profee Clinical Data Quality Admin…

    Virtua Health (Mount Laurel, NJ)
    …by US News and World Report, we've received multiple awards for quality , safety, and outstanding work environment.In addition to five hospitals, seven emergency ... neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: 100% Remote Currently Virtua welcomes candidates for 100% remote positions… more
    Virtua Health (07/28/25)
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  • Clinical Account Executive Supporting…

    Prime Therapeutics (Trenton, NJ)
    …fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Executive Supporting Florida Client - Remote **Job Description** ... role will support a Florida Client - open to remote with preferred candidate to reside in Florida and...clinical products, clinical initiatives, participation in clinical meetings, continuous quality improvement execution and… more
    Prime Therapeutics (09/04/25)
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  • Policy Clinical Pharmacist- REMOTE

    Prime Therapeutics (Trenton, NJ)
    …our passion and drives every decision we make. **Job Posting Title** Policy Clinical Pharmacist- REMOTE **Job Description** Creates new and updates existing ... not limited to, responding to inquiries, customization of policies, Client policy review , education, QBR support, clinical meetings, audit assistance, special… more
    Prime Therapeutics (08/28/25)
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  • Clinical Pharmacist (Algo),…

    Prime Therapeutics (Trenton, NJ)
    …our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacist (Algo), Professional-Senior- REMOTE **Job Description** Maintains the ... projects as determined by business needs. + Collaborating with Clinical Operations, IT, Quality , and Compliance as...collaborate and work well as a team. + Data review and interpretation skills required. **Preferred Qualifications** + Managed… more
    Prime Therapeutics (08/19/25)
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  • Clinical Account Director Remote

    Prime Therapeutics (Trenton, NJ)
    …fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Director Remote **Job Description** **This is an Individual ... Contributor/Client Facing Role.** The Clinical Account Director is responsible for the management of...$124,000.00 - $211,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our… more
    Prime Therapeutics (09/03/25)
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  • Clinical Staff Pharmacist- REMOTE

    Prime Therapeutics (Trenton, NJ)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Staff Pharmacist- REMOTE **Job Description** The Clinical Staff ... for delegated products and services. **Responsibilities** + Responsible for the clinical evaluation for coverage determination requests for prior authorization (PA)… more
    Prime Therapeutics (09/05/25)
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  • Clinical Pharmacy Technician Sr…

    Prime Therapeutics (Trenton, NJ)
    …staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Monitors telephone system to ensure ... and drives every decision we make. **Job Posting Title** Clinical Pharmacy Technician Sr - Remote **Job...$19.23 - $28.85 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our… more
    Prime Therapeutics (09/05/25)
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  • Sr Director Clinical Strategy and Oncology…

    Prime Therapeutics (Trenton, NJ)
    …and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... data, drug pipelines, and competitive intelligence to drive continuous improvement in clinical offerings + Represent the organization as a thought leader at industry… more
    Prime Therapeutics (07/01/25)
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