Jobs in the United States

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Added 1 min ago
Mechanical Reliability Growth Product Validation Engineer
Daimler Truck North America LLC
Portland, OR
Hybrid (4 days per week in-office / 1 day remote)
Added 5 mins ago
Cyber Threat Management Analyst, Specialist
The Vanguard Group, Inc.
Dallas/Ft. Worth, TX
2. Supports the processes, tools and measures to monitor and detect compromises, risks, vulnerabilities, network security threats, tools, and tactics used by modern and emerging threat…
Added 6 mins ago
AC
AI Trainer- Coding
Aston Carter
Charlotte, NC
- $45,000 to $60,000 USD / year
Software Engineering Evaluator / Code Quality Specialist
Added 6 mins ago
AC
Supply Chain Analyst
Aston Carter
Nashville, TN
- $27 to $30 USD / hour
…data-driven decisions for a large and rapidly evolving distribution network. The role focuses on capacity planning, forecasting, and execution while partnering closely with stakeholders in…
Added 7 mins ago
Service Desk Specialist
Konica Minolta Business Solutions, U.S.A., Inc.
Oldsmar, FL
Escalate complex issues requiring engineering, development, or specialized support involvement.
Added 8 mins ago
KS
Junior Quality Engineer
Kelly Services
Santa Ana, CA
- $40 USD / hour
…if this position doesn’t work out, you’re still in the Kelly Engineering network. That means our team of expert engineering recruiters will have access to your profile, making your…
Added 9 mins ago
Senior Network Technician (Active Secret Clearance)
Akima, LLC
Fayetteville, NC
Current Unexpired COMPTIA Security+CE certification required prior to date of hire
Added 9 mins ago
Infrastructure Engineer (Active Secret Clearance)
Akima, LLC
Alexandria, VA
SUVI Global Services is looking for an Infrastructure Engineer to support IT across all DoD OIG networks. The position will help support the OIG's on-prem and cloud infrastructure, work on…
Added 9 mins ago
Data AI ServiceNow Engineer
Akima, LLC
Alexandria, VA
…mobile device management, IT asset management, domain services, network operations, and service desk…
Added 9 mins ago
Director, Network Product Management
LEIDOS, INC.
Remote, United States
Support the business in executing network growth strategy by designing product and operational solutions that make onboarding, adoption, and usage of the platform easier and more attractive…
Added 11 mins ago
Data Strategy & Governance -Director
PricewaterhouseCoopers Advisory Services LLC
NY · Raleigh, NC · Charlotte, NC · Chicago, IL · Cincinnati, OH · Cleveland, OH · Columbia, SC · Columbus, OH · Dallas, TX · Baltimore, MD · Richmond, VA · Rochester, NY · Rosemont, IL · Boston, MA · St. Louis, MO · Salt Lake City, UT · San Antonio, TX · Seattle, WA · Spartanburg, SC · Albany, NY · Stamford, CT · Tampa, FL · Atlanta, GA · Austin, TX · Tulsa, OK · Washington, DC · Denver, CO · Des Moines, IA · Detroit, MI · Buffalo, NY · Florham Park, NJ · Fort Worth, TX · Greensboro, NC · Hartford, CT · Houston, TX · Grand Rapids, MI · Jacksonville, FL · Kansas City, MO · Las Vegas, NV · Little Rock, AR · Birmingham, AL · Fayetteville, AR · Melville, NY · Miami, FL · Milwaukee, WI · Minneapolis, MN · Nashville, TN · New Orleans, LA · Oklahoma City, OK · Philadelphia, PA · Phoenix, AZ · Pittsburgh, PA
What You Must Have
Added 13 mins ago
Senior Staff Electromechanical Engineer
Northrop Grumman
Baltimore
…fuel those missions. By joining in our shared mission, we’ll support you by expanding your personal network and developing skills, whether you are new to the field, or an industry thought…
Added 13 mins ago
Sr Principal CIDO IT Program Manager
Northrop Grumman
Palmdale
Candidates must have the ability to obtain access to Special Programs as a condition of continued employment
Added 13 mins ago
NG
2027 Manufacturing Engineer Intern- Commerce CA
Northrop Grumman
Commerce
- $21.5 to $48 USD / hour
An internship at Northrop Grumman is unique. Sure, you’ll learn new skills, explore our enterprise, network with experts, connect with thought leaders, and finish with a resume that opens…
Added 13 mins ago
Northrop Grumman (SkillBridge) - Principal Network Cloud Communications
Northrop Grumman
Redondo Beach · Melbourne · Linthicum Heights · Rolling Meadows
Perform advanced network administration and engineering activities in support of clas
Added 13 mins ago
NG
2027 Electromechanical Engineer Intern - Rolling Meadows IL
Northrop Grumman
Rolling Meadows
- $25.5 to $38 USD / hour
Support engineering in translating mechanical requirements into functional specifications.
Added 14 mins ago
NG
2027 Optics/Photonic Engineering Intern - Apopka FL
Northrop Grumman
Apopka
- $18.5 to $41.5 USD / hour
An internship at Northrop Grumman is unique. Sure, you’ll learn new skills, explore our enterprise, network with experts, connect with thought leaders, and finish with a resume that opens…
Added 14 mins ago
Engineering Technician (Level 3)
Northrop Grumman
Vandenberg Space Force Base
Northrop Grumman Vandenberg Integration Site (VSFB) is looking for a motivated Engineering Technician (Level 3) to join our team. As a team member of the technician, integration, test, and…
Added 14 mins ago
Electrical Vehicle Prototype Development Engineer
ALTEN Technology USA
Long Beach, CA · Irvine, CA
System Diagnostics and Issue Resolution: Troubleshoot and triage electrical, network, hardware, software-configuration, and integration issues. Collect diagnostic evidence, isolate affected…
Added 15 mins ago
Chief Information Security Officer (CISO)
Credit Acceptance Corporation
WA · MI · CA
Our Engineering teams are helping shape the future of Credit Acceptance through innovation. Team Members collaborate across the organization to solve complex challenges, build impactful…
Added 15 mins ago
Senior Director, Manufacturing Sciences & Technologies
ADC Therapeutics America Inc
New Providence, NJ
…substance, and ADC drug product manufactured through a global network of external…
Added 18 mins ago
Principal Technical program Manager, WorkSpaces Applications
Amazon Development Center U.S., Inc.
Seattle, WA
…work use case, securely and from any cloud/data center and network connection. Our team is part of AWS Applied AI Solutions, a team with a drive to allow millions of Customers to run…
Added 18 mins ago
AWS Security Operations/Incident Response Engineer, US Amazon Dedicated Cloud Security
Amazon.com Services LLC
Herndon, VA
- Recognize, adopt and instill the best practices in security engineering fields throughout the organization: development, cryptography, network security, security operations, incident…
Added 18 mins ago
Registered Nurse Case Manager
Actalent
Moorpark, CA
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to…
Added 18 mins ago
Mechanical Designer
Actalent
Valencia, CA
…DesignerJob DescriptionThe Mechanical Designer will use SolidWorks to support the design, development, and documentation of mechanical components, assemblies, and systems. In this role, you…

Actalent

Coverage Review Pharmacist

Chattanooga, TN, United States

$67.48 USD / hour

Apply on careers.actalentservices.com About employer

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Job details

Pay: $67.48 USD / hour
Experience: Minimum of 3 years of clinical pharmacy experience, or completion of a 1-year residency and/or board certification.
Posting language: English
Posted: Nov 10, 2026

Original job description

Pharmacist - Coverage Review (Remote) Location: Remote (Must reside within 2 hours of Chattanooga, TN)Duration: 3-Month Contract (1/18/2027 - 4/16/2027)Schedule: Monday-Friday, 8:00 AM - 5:00 PM ET (1-hour lunch)Pay Rate: $67.48/hour Position Overview We are seeking a Pharmacist to join a leading Tennessee health insurance provider in a fully remote role. This position is responsible for reviewing medication-related prior authorizations, pharmacy appeals, and member grievances while ensuring compliance with state and federal regulations. The ideal candidate will have prior coverage review experience, strong clinical judgment, and the ability to work independently in a fast-paced environment.

Key Responsibilities

Review and evaluate medication prior authorization requests, pharmacy appeals, and member grievances.
Perform prospective and retrospective coverage reviews in accordance with state and federal regulations.
Respond to prescribers, pharmacy providers, and members regarding appeals, grievances, and pharmaceutical service determinations within established timelines.
Research and interpret clinical information using pharmaceutical compendia and evidence-based resources.
Build and maintain decision trees within the prior authorization system.
Maintain denial rationale documentation and ensure determination letters meet all regulatory requirements.
Collaborate with internal teams to support quality, compliance, and member service objectives.
Apply clinical criteria and guidelines to make appropriate coverage determinations.

Required Qualifications

Licensed to practice Pharmacy in Tennessee, or eligible for Tennessee licensure.
Minimum of 3 years of clinical pharmacy experience, or completion of a 1-year residency and/or board certification.
Prior coverage review experience required.
Strong understanding of pharmacy prior authorizations, appeals, and utilization management processes.
Ability to work independently with minimal supervision and effectively within a team environment.
Experience navigating pharmaceutical compendia and conducting clinical research.
Proficiency with Microsoft Office applications, including Outlook, Word, and Excel.

Why This Opportunity?

100% Remote
Monday-Friday schedule, no weekends
Opportunity to work with a prominent Tennessee-based health insurance organization
Gain experience in managed care and pharmacy coverage review
Competitive pay at $67.48/hour

Work Environment: Home-based role. Candidates must reside within 2 hours of Chattanooga, TN. Job Type & LocationThis is a Contract position based out of Chattanooga, TN. Pay and BenefitsThe pay range for this position is $67.48 - $67.48/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits

available for this temporary role may include the following:

Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave) Job Type & LocationThis is a Contract position based out of Chattanooga, TN. Application DeadlineThis position is anticipated to close on Nov 24, 2026. Workplace TypeThis is a fully remote position.About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance:

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector:

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI):

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Apply on careers.actalentservices.com About employer

More about this job

Skills

Regulatory compliance
Work independently
Research
Documentation
Clinical research
Microsoft Office
Microsoft Outlook
Microsoft Word
Microsoft Excel

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Work requirements

Jobs in the United States