Utilization Management Pharmacist Jobs in Fairfield, NJ

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...

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...

Join a team that leads value-based care initiatives, enhancing risk adjustment accuracy and quality improvement across clinical networks. Collaborate with leaders to drive organizational goals through...

Join a dynamic team to drive strategic Advisory services, engaging clients and enhancing relationships while leveraging your expertise in the Medical Market Access space. This remote role involves ext...

Lead the development of pharmacy claims adjudication technology, driving product direction and enhancing transaction capabilities. Collaborate with cross-functional teams to solve complex challenges a...

Shape the future of oncology communications by coordinating scientific publications. Collaborate with cross-functional teams to ensure accurate, compliant dissemination of critical data, enhancing pat...

Transform your career by leading the digital strategy for Medical Affairs. Drive innovation, optimize processes, and enhance scientific communications through emerging technologies while collaborating...

Manage regulatory program support by coordinating submissions, ensuring compliance, and driving operational excellence across cross-functional teams. Collaborate with global leads to deliver high-qual...

Lead the charge in clinical pharmacology activities, supporting drug development from pre-IND to regulatory submissions. Collaborate with cross-functional teams to optimize dosing strategies and ensur...

Transform program administration for a large federal services initiative, overseeing workforce planning, financial operations, and compliance. Collaborate with diverse teams to enhance operational eff...

Join us to lead a dynamic team in optimizing revenue cycle operations for multiple clients. Drive continuous improvement and ensure client satisfaction while managing performance metrics and fostering...

Drive revenue cycle operations by managing processes from entry to adjudication. Lead teams, implement efficiencies, and ensure compliance while optimizing cash collections and performance metrics for...

Elevate your career by driving strategic commercial forecasting for rare disease products. Collaborate with cross-functional teams to analyze data, refine forecasts, and support key business initiativ...

Unlock your potential as you provide essential occupational therapy services to adult and geriatric patients, focusing on individualized care, treatment planning, and adaptive equipment evaluation in...

Optimize implementation processes by coordinating project activities, ensuring readiness for system rollout, and fostering collaboration among stakeholders to achieve successful outcomes in a dynamic...

Lead the month-end close process and ensure the integrity of financial records. Collaborate with cross-functional teams to enhance accounting operations and compliance, while preparing audit-ready fin...

Shape the future of pharmacy network operations by leading a team of attorneys, providing strategic legal counsel on regulatory, operational, and transactional matters within the PBM landscape, while...

Champion exceptional patient care by leading nursing teams in home health and hospice services. Drive compliance, develop policies, and enhance staff performance to ensure the highest standards of car...

Accelerate progress at the forefront of cloud security governance, leading a dynamic team to enhance compliance, drive automation, and ensure robust risk management across multi-cloud environments...

Optimize resident care by collaborating with teams to ensure a safe, supportive environment. Engage with families and agencies to enhance quality of life while maintaining compliance with regulations...

Engage with residents and families to ensure quality care and compliance with regulations. Oversee case management, coordinate services, and maintain documentation while fostering a supportive communi...

Join a team that's dedicated to enhancing the quality of life for residents. You'll play a key role in case management, ensuring compliance with regulations while fostering relationships with resident...

Drive safety evaluation and risk management for assigned programs, collaborating with cross-functional teams to ensure compliance and effective governance in pharmacovigilance activities, while suppor...

Empower your career by transforming demand into actionable workforce strategies. Lead capacity planning and vendor performance in a dynamic remote environment, ensuring optimal resource allocation and...