Utilization Management Pharmacist Jobs in Durham, NC

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...

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...

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...

Join our team to evaluate medication therapy and enhance Utilization Management strategies. Collaborate with healthcare professionals to ensure optimal patient care through effective Prior Authorizati...

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...

Transform pharmacy outcomes by leading managed care initiatives that optimize clinical programs, enhance stakeholder collaboration, and drive cost efficiencies in pharmacy benefit management...

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...

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...

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...

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...

Advance patient care by leading a pharmacist-led program focused on specialty therapeutics. Collaborate with healthcare teams to optimize medication management, enhance patient outcomes, and provide e...

Shape the future of patient care as a Clinical Pharmacist Practitioner, collaborating with a multidisciplinary team to manage advanced heart failure therapies and enhance patient outcomes through educ...

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...

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...

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...

Shape the future of pharmacy services by overseeing operations, optimizing patient care, and leading a dedicated team. Ensure compliance, drive profitability, and build strong relationships with patie...

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...

Optimize patient care by providing comprehensive pharmaceutical services, ensuring safe medication practices, and collaborating with healthcare teams to enhance therapeutic outcomes and compliance wit...

Unlock potential by leading managed care strategies across a complex health system. Drive payer negotiations, optimize contract performance, and enhance population health initiatives while collaborati...

Shape the future of managed care by leading payer relations, ensuring compliance, and driving strategic analysis. Collaborate with leadership to enhance operational efficiency and foster a culture of...

Explore a pivotal role in patient care as a Clinical Pharmacist Practitioner, collaborating with an interdisciplinary team to enhance GI therapy management, improve access to care, and mentor pharmacy...

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...

Empower operational excellence in Patient Access Services by leading teams, managing resources, and enhancing patient experiences. Drive strategic goals into actionable plans while ensuring compliance...

Champion financial performance analysis for specialty pharmacy, collaborating with cross-functional teams to enhance revenue integrity and profitability through actionable insights and strategic recom...

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...