Utilization Management Pharmacist Jobs in Durham, NC

Join a team that's dedicated to conducting thorough medical reviews and applying clinical judgment to ensure compliance and prevent fraud in healthcare claims. Collaborate with professionals to suppor...

Drive the success of inpatient Payment Integrity programs by overseeing audits, ensuring compliance, and enhancing quality across teams and vendors. Collaborate with stakeholders to optimize processes...

Lead the charge in delivering exceptional pharmaceutical care by interpreting prescriptions, consulting with patients, and ensuring quality assurance. Collaborate with healthcare professionals to opti...

Lead PBM compliance audits, ensuring adherence to state regulations and industry standards. Supervise examiners, manage client relationships, and adapt to a fast-paced environment while driving progra...

Empower our pharmacy teams by managing operations, ensuring patient safety, and delivering exceptional care. As a District Support Pharmacist, you'll travel within the district to fill shifts, oversee...

Drive strategic growth by managing high-impact relationships with health systems and specialty pharmacies. Lead account management, enhance client satisfaction, and identify opportunities for value ex...

Unlock financial insights at a strategic level, driving value realization and governance for transformation investments. Collaborate across functions to enhance performance, support decision-making, a...

Elevate operational efficiency by leading shared service improvements and cross-functional collaboration to enhance patient and provider experiences while driving team performance and process excellen...

Drive your career forward by managing reimbursement support in a dynamic environment. Engage with healthcare providers, educate on reimbursement processes, and enhance patient services while collabora...

Join a team that's dedicated to enhancing patient access by managing reimbursement challenges and providing education to healthcare providers. This role requires strong relationship-building skills an...

Lead a dynamic care management team to enhance quality outcomes and compliance. Collaborate with interdisciplinary staff to implement effective interventions and support continuous improvement in care...

Unlock potential by leading a high-performing HEOR team to drive payer engagement and market access strategies, translating complex data into actionable insights that enhance patient access to innovat...

Transform client relationships by managing pharmaceutical programs, overseeing staff, and ensuring operational excellence. Collaborate with stakeholders to enhance program performance while adhering t...

Empower operational excellence by leading provider data governance and attribution processes. Collaborate across departments to ensure data integrity, enhance reporting accuracy, and drive continuous...

Transform your career by leading underwriting teams, driving pricing strategies, and ensuring financial performance. Collaborate across departments to influence business growth and deliver sustainable...

Lead the charge in delivering exceptional patient care through precise medication management and operational excellence in a dynamic specialty pharmacy environment, ensuring compliance and collaborati...

Join a team that's redefining care management by leading strategic initiatives in utilization and appeals processes. Drive high-quality, cost-effective care while ensuring compliance and fostering a c...

Optimize cross-portfolio analytics to enhance Gross-to-Net performance, identify anomalies, and drive process improvements. Collaborate with diverse teams to deliver actionable insights and scalable r...

Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...

Lead global pharmacovigilance initiatives, ensuring compliance and operational excellence while guiding teams through complex safety reporting challenges across diverse therapeutic areas and trial pha...

Engage with patients and families to coordinate personalized hospice care, collaborating with a multidisciplinary team to assess needs and implement effective care plans that enhance quality of life a...

Lead the charge in optimizing drug library implementations for smart infusion pumps, collaborating with healthcare teams to enhance medication safety and workflow efficiency across mid- to large-sized...

Lead NCQA Health Outcomes and Community-Focused Care Accreditation initiatives, driving quality improvement and compliance across health plans. Collaborate with teams to enhance equitable health outco...

Lead strategic operations and analytics within Global Medical Affairs, ensuring excellence in project execution and data-driven insights. Collaborate cross-functionally to align initiatives with corpo...

Transform Global Medical Affairs by leading operations and analytics, ensuring strategic alignment and data-driven decisions. Drive excellence across teams, manage budgets, and foster collaboration to...