Utilization Management Pharmacist Jobs in Durham, NC

Transform healthcare analytics by leading the development of APR-DRG audit criteria. Collaborate with cross-functional teams to enhance payment integrity through data-driven insights and innovative so...

Lead the charge in driving sales growth and market share in the Urology sector. Build strong relationships, leverage clinical expertise, and navigate the healthcare landscape to exceed objectives whil...

Join a team that's redefining healthcare contracts by leveraging financial expertise and strategic negotiation skills to enhance client relationships and drive business success in a dynamic environmen...

Unlock potential by joining a strategic team that formulates pricing strategies and analyzes complex data modeling for financial profitability in a dynamic healthcare environment. Drive impactful clie...

Drive patient access by leveraging your expertise in reimbursement and market access. Collaborate with healthcare providers to navigate complex payer landscapes, ensuring timely access to therapies wh...

Lead the charge in enhancing supplier quality management across multiple sites. Ensure compliance with regulatory standards, drive continuous improvement initiatives, and serve as the key liaison for...

Engage in comprehensive risk adjustment audits and compliance reviews, ensuring accurate data submission to CMS. Collaborate with coding teams and management to uphold regulatory standards and improve...

Drive strategic leadership in industry partnerships and payor strategy, enhancing market access and competitive positioning. Lead a high-performing team to execute a multiyear plan that fosters sustai...

Elevate your career by leading payer sales strategy and team development, driving new business opportunities in healthcare technology. Collaborate with executives to enhance performance and deliver im...

Elevate operational excellence by leading process design and transformation initiatives. Drive automation, quality management, and continuous improvement to enhance client data operations and ensure s...

Lead the charge in executing sourcing strategies for low-risk vendor categories, managing procurement activities, vendor negotiations, and contract management while supporting cross-functional initiat...

Lead quality oversight for drug manufacturing, ensuring compliance with cGMPs. Collaborate with vendors on batch record review and product disposition for global clinical programs, thriving in a dynam...

Lead the execution of the Medicare Compliance Advisory program, ensuring adherence to CMS regulations. Collaborate with stakeholders to provide regulatory guidance, conduct audits, and enhance complia...

Drive your career with a Senior Program Analyst role focused on solving complex cross-functional challenges. Utilize analytical skills to enhance pricing, agreements, and program performance while col...

Drive operational excellence in patient access by leading teams, enhancing processes, and fostering collaboration across healthcare facilities. Your leadership will ensure compliance, improve patient...

Empower a dynamic nursing team by providing clinical and operational leadership in a specialized cardiovascular recovery unit, ensuring exceptional patient care and fostering a collaborative environme...

Grow your expertise in workforce management by building and optimizing systems that enhance operational efficiency and member experience. Lead cross-functional initiatives to ensure staffing aligns wi...

Join a dedicated team as you drive patient-centered care and optimize discharge processes. Leverage your nursing expertise to advocate for patients, ensuring seamless transitions and comprehensive sup...

Shape the future of audit excellence by developing innovative concepts, mentoring teams, and ensuring quality control. Drive client satisfaction and enhance audit productivity through strategic oversi...

Elevate your career by joining a dynamic Medical Affairs team, where you'll lead Medical Information initiatives, ensure compliance, and drive strategic insights to support our innovative pipeline in...

Champion employee relations by leading a team to enhance workplace culture, resolve complex issues, and ensure compliance with HR policies. Collaborate with leadership to foster positive relationships...

Drive strategic initiatives by developing KPI frameworks and operational dashboards, analyzing performance data, and collaborating across teams to enhance business outcomes and support informed decisi...

Champion maternal health by overseeing a comprehensive maternity care management program. Lead a dynamic team to enhance member engagement, improve outcomes, and ensure compliance through strategic pa...

Join a team that's dedicated to enhancing healthcare quality through thorough medical claims audits. Leverage your nursing expertise in a dynamic remote environment, collaborating with experienced aud...

Transform healthcare delivery by leading the RN UM Team, ensuring timely care decisions and maintaining documentation quality while fostering a culture of clinical excellence and accountability...