Utilization Management Pharmacist Jobs in Durham, NC

Elevate clinical outcomes and optimize non-acute utilization management through strategic leadership and collaboration with providers, ensuring quality performance and cost-effective care across diver...

Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...

Drive statistical leadership in oncology clinical development, guiding study design, analysis, and regulatory submissions. Collaborate with cross-functional teams to ensure high-quality deliverables a...

Join a dynamic team as a Medical Claims Auditor, ensuring compliance and integrity in healthcare payments. Collaborate with cross-functional teams to identify fraud, waste, and abuse while leveraging...

Lead the charge in delivering exceptional pharmaceutical care across multiple clinic locations. Collaborate with healthcare teams to optimize patient outcomes through effective medication management a...

Lead transformative process improvements to enhance healthcare quality and efficiency. Collaborate with teams to elevate performance metrics, oversee cultural competency initiatives, and drive strateg...

Unlock potential by delivering exceptional pharmacy services while leading a team to enhance customer satisfaction and operational efficiency. Ensure compliance with regulations and foster a positive...

Grow your career with a dynamic team focused on optimizing provider operations. Lead credentialing initiatives, implement AI solutions, and enhance workflows while ensuring compliance and operational...

Champion quality performance initiatives by collaborating across departments to enhance healthcare outcomes through data analysis, project management, and compliance with regulatory standards, ensurin...

Unlock innovative healthcare solutions by leading product strategy and lifecycle management for clinical programs. Collaborate across teams to enhance member experiences and drive business value while...

Champion patient care by assessing needs, coordinating services, and supporting transitions. Collaborate with healthcare teams to enhance patient independence and health outcomes while supervising sup...

Lead the charge in developing and executing drug formulary strategies, ensuring compliance with regulations while collaborating with cross-functional teams to enhance pharmacy utilization management a...

Lead the operational execution of a patient support program, ensuring high-quality service delivery and compliance. Drive strategic planning, team development, and continuous improvement initiatives t...

Drive operational excellence in patient support programs, enhancing access and outcomes through strategic leadership, compliance, and team development. Oversee key functions to ensure a patient-center...

Transform the Medical Information landscape by providing strategic oversight and expertise. Engage with diverse stakeholders to deliver accurate medical information and drive excellence across global...

Lead the sales strategy for a healthcare Payer business unit, driving market penetration, revenue growth, and client satisfaction. Collaborate with leadership to shape go-to-market strategies and buil...

Unlock member value by managing pharmacy solutions, optimizing contract use, and fostering relationships with healthcare systems to enhance operational efficiency and savings...

Drive accurate, evidence-based clinical claims while collaborating with Marketing, Legal, and Clinical teams. Build and manage the claims framework and evidence library to support bold, compliant mark...

Shape the future of managed care by leading contract negotiations, performance monitoring, and strategic initiatives to optimize reimbursement and enhance payer relationships across healthcare service...

Optimize compliance and revenue management across healthcare facilities, ensuring adherence to state and federal reimbursement regulations while enhancing financial performance through strategic analy...

Transform patient care by providing expert pharmaceutical services, counseling, and immunizations. Collaborate with pharmacy staff to enhance customer experience and ensure compliance with regulations...

Develop and lead comprehensive benefits and compensation programs, ensuring alignment with business goals and enhancing employee experience through strategic management and continuous improvement init...

Lead a high-performing team to manage comprehensive patient services, focusing on strategic operations, client relationships, and compliance. Ensure program performance meets KPIs while driving contin...

Lead the charge in transforming urgent care delivery across multiple clinics, ensuring high-quality patient care while managing clinical and administrative responsibilities. Collaborate with teams to...

Join a dynamic team to evaluate and process medication prior authorization requests, ensuring compliance with clinical guidelines and regulatory standards while facilitating timely patient access to n...