Manager, Utilization Management
$87K - $161K *
Lead the charge in managing a clinical review team to ensure optimal member care through effective utilization management and compliance with healthcare standards. Drive improvements and foster commun...
3 days ago
Manager of Utilization Management
$108K - $147K *
Lead a dynamic team in enhancing member-centered care through effective utilization management. Drive quality improvement, ensure compliance, and foster strategic partnerships to optimize healthcare d...
4 days ago
Revenue Cycle Managed Services - Utilization Management (UM) / Utilization Review (UR) Lead
$110K - $130K *
Lead the charge in optimizing utilization management operations, enhancing efficiency, and driving performance improvements. Collaborate with clinical and operational teams to ensure timely reviews an...
3 weeks ago
Supervisor, Utilization Management
$75K - $135K *
Shape the future of healthcare by leading a dedicated utilization management team. Oversee clinical reviews and ensure compliance while enhancing member care through effective collaboration and proces...
3 days ago
Managed Care Pharmacist - Managed Care/PBM
$110K - $130K *
Transform pharmacy outcomes by leading managed care initiatives that optimize clinical programs, enhance stakeholder collaboration, and drive cost efficiencies in pharmacy benefit management...
Reposted 3 weeks ago
Utilization Management Clinician Behavioral Health Night Shift - 4 Days
$54K - $142K *
Empower your career by joining a dynamic Utilization Management team, where you'll leverage your clinical expertise to ensure timely access to behavioral health services, coordinate care, and make a m...
Reposted 3 days ago
$110K - $130K *
Take ownership of medication therapy management services, conducting comprehensive reviews and consultations. Collaborate with the MTM product team to ensure accurate data entry and enhance patient ca...
5 days ago
$108K - $135K *
Join our team as a Telehealth Pharmacist, where you'll enhance member health through Medication Therapy Management and clinical outreach programs, ensuring high-quality care and compliance with indust...
1 week ago
$101K - $126K *
Drive the development and execution of clinical programs, ensuring effective support, education, and coordination across departments while managing health outcomes and utilization data for continuous...
Reposted 4 days ago
Pharmacist Account Manager - Remote Nevada
$108K - $184K *
Unlock potential by leveraging clinical expertise to enhance pharmacy benefit management, analyze drug trends, and build strong client relationships. Drive strategic recommendations and support client...
2 weeks ago
Medical Director, Utilization Management
$180K - $220K *
Lead the evaluation of outpatient referrals and inpatient admissions for medical necessity, utilizing guidelines and criteria to ensure quality care. Collaborate with providers and mentor UM nurses to...
4 days ago
Director, Utilization Management Operations
$182K - $247K *
Join a team that's redefining operational excellence in healthcare. Lead a diverse team to streamline utilization management processes, enhance technology integration, and drive measurable improvement...
2 days ago
Clinical Pharmacist I - Medicare Part D / Prior Auth (Remote | M-F, 8am-5pm Pacific)
$113K - $169K *
Elevate healthcare outcomes by leveraging your clinical expertise in a remote role focused on Medicare Part D coverage determinations, appeals, and Medication Therapy Management to enhance member care...
Reposted today
OP Ambulatory Pharmacist Clinician
$136K *
Transform specialty pharmacy services by managing patient care programs for gastroenterology and hepatology, ensuring optimal medication management and support for diverse patient needs in a collabora...
2 weeks ago
$110K - $130K *
Shape the future of patient care by delivering expert pharmacy services across diverse ambulatory settings. Collaborate with multidisciplinary teams to enhance medication management and optimize patie...
4 days ago
Clinical Program Pharmacist Principal- REMOTE
$124K - $211K *
Innovate clinical product strategies by analyzing market data and collaborating across departments. Drive product development and regulatory compliance while enhancing clinical initiatives to ensure c...
1 week ago
Manager, Pricing and Underwriting
$96K - $118K *
Join a dynamic team to lead pricing and underwriting functions, driving financial analysis and risk evaluation. Collaborate with supervisors and analysts to enhance pricing strategies and support clie...
3 weeks ago
$110K - $130K *
Empower patients by delivering expert pharmaceutical care in a dynamic specialty pharmacy environment. Collaborate with multidisciplinary teams to enhance medication management and optimize patient ou...
5 days ago
Pharmacy Manager - Community Health Pharmacy
$175K - $187K *
Champion a collaborative pharmacy team, ensuring optimal patient care through effective management, training, and compliance with healthcare standards in a community health setting...
1 week ago
Sr. Analyst, Health System Pharmacy Financial Performance
$85K - $104K *
Champion financial performance analysis for specialty pharmacy, collaborating with cross-functional teams to enhance revenue integrity and profitability through actionable insights and strategic recom...
5 days ago
$75K - $95K *
Shape the future of clinical research data integrity by leading a dedicated team. Drive operational excellence, ensure compliance, and foster cross-functional partnerships to enhance data quality and...
1 week ago
$95K - $115K *
Join our dynamic team as a Finance Manager, where you'll lead financial analysis, develop models, and present insights to senior leadership, driving growth and accuracy in financial reporting across t...
3 days ago
$80K - $95K *
Elevate healthcare access by managing complex prior authorization processes. Contribute to improving outcomes for vulnerable populations by streamlining workflows, training teams, and resolving issues...
Reposted today
$92K - $138K *
Join our team to lead the Virtual Utilization Management Program, ensuring clinical excellence and operational efficiency. Collaborate with diverse healthcare professionals to enhance patient care and...
3 weeks ago
Pharmacy Manager - Community Health Pharmacy
$175K - $187K *
Elevate community health as a Pharmacy Manager, leading a dedicated team to deliver exceptional patient care in a collaborative environment. Drive operational excellence while ensuring compliance and...
2 weeks ago