Utilization Management Pharmacist Jobs in Fairfield, NJ

Transform patient care by leading clinical operations and supporting your team. Collaborate with healthcare professionals to ensure high-quality home care, while driving compliance and continuous impr...

Drive care management excellence by coordinating with multidisciplinary teams to assess and address complex member needs, ensuring effective interventions and support for optimal health outcomes in a...

Transform client experiences by leveraging deep expertise in healthcare solutions. Lead strategic initiatives, enhance client relationships, and drive impactful outcomes for high-value accounts throug...

Unlock potential by delivering comprehensive clinical care management services, enhancing health outcomes for diverse populations through assessment, care planning, and coordination across multiple he...

Lead the charge in overseeing psychological assessments and training evaluations, guiding GSAPP PsyD students while managing clinic operations and student coordinators to enhance educational outcomes...

Shape data-driven strategies by developing and automating analytics solutions. Collaborate with cross-functional teams to enhance reporting capabilities and optimize operational performance in a dynam...

Join a team that's redefining inpatient coding operations, ensuring quality and compliance while optimizing workflows. Lead a dedicated team to enhance documentation practices and support financial he...

Accelerate progress at strategic sourcing by enhancing procurement practices and supplier relations. Drive efficiency in acquiring high-quality goods/services while ensuring compliance and value acros...

Champion client relationships and drive strategic initiatives in the pharmaceutical sector. Leverage expertise in brand strategy and compliance to manage high-impact projects, ensuring seamless collab...

Join a team that's redefining market access strategies in the pharma industry. Leverage your expertise in managed care and payer relationships to drive coverage and reimbursement for innovative therap...

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...

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...

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...

Elevate the specialty healthcare network strategy, driving growth and performance across diverse provider segments. Lead teams to build a cost-effective ecosystem that enhances client access and suppo...

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...

Develop and lead the strategy for claims quality and compliance, ensuring effective governance and oversight across FNOL, SOX controls, and external partnerships. Build a high-performing team to enhan...

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...

Engage with clients as a Registered Nurse, providing essential care and support. Collaborate with families and healthcare teams to ensure quality service across New York City, Long Island, and Westche...

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...

Shape the future of patient safety by leading Product Quality Complaints Case Management. Oversee operations, enhance workflows, and ensure compliance while collaborating with cross-functional teams t...