Utilization Management Pharmacist Jobs in Fairfield, NJ

Join a dynamic team as a Clinical Pharmacist, ensuring optimal drug therapy and leading educational initiatives. Collaborate with healthcare professionals to enhance patient safety and outcomes in a s...

Lead the charge in enhancing clinical systems operations, driving efficiency and effectiveness across pharmacy initiatives while managing a dedicated team and overseeing complex workflows and data int...

Empower individuals by managing complex care plans for chronic health needs. Collaborate with medical professionals, assess patient needs, and ensure access to essential services, optimizing healthcar...

Transform healthcare delivery as a Telephonic Nurse Case Manager, leveraging your clinical expertise to create and manage tailored care plans for members with complex needs across state lines. Make a...

Engage in telephonic nursing case management for members with chronic care needs. Assess, implement, and coordinate health plans to optimize individual care. Work remotely with required in-person trai...

Elevate operational excellence by leading claims operations, ensuring compliance and efficiency while driving process improvements and team development. Collaborate across functions to meet client com...

Shape the future of client relationships by managing program execution and enhancing messaging solutions. Drive growth through effective communication, proposal development, and performance analysis a...

Engage with healthcare providers to optimize reimbursement processes and patient support. Build strong relationships while delivering education on insurance coverage and claims assistance. Travel requ...

Transform pharmacy operations by optimizing 340B Program revenue through compliance monitoring, data analytics, and strategic collaboration with stakeholders to enhance patient care and operational ef...

Lead the design and improvement of clinical programs by leveraging pharmacy expertise and data analytics. Collaborate with cross-functional teams to ensure data integrity and deliver actionable insigh...

Reimagine health plan payment integrity by leading operational projects, analyzing claims data, and collaborating across teams to enhance compliance and financial outcomes. Drive strategic initiatives...

Champion data-driven insights as you lead a multidisciplinary analytics team, driving client performance and strategic recommendations to enhance business growth and market competitiveness...

Transform pharmacy services by leading product development and innovation initiatives that enhance patient access and outcomes while driving organizational growth and compliance across clinical and op...

Join a dynamic team to develop and manage supply chain contracting strategies that optimize costs and enhance value for member pharmacies. This role involves supplier negotiations, category performanc...

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...

Drive compliance and oversight in Pharmacy Fraud, Waste, and Abuse programs, collaborating with regulatory agencies and leading audits to ensure adherence to key metrics and effective utilization mana...

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...

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...

Empower patient health by managing pharmacy operations, supporting teams, and ensuring safe dispensing practices. Collaborate with healthcare professionals to enhance patient experiences and outcomes...

Empower our pharmacy teams by managing operations, ensuring patient safety, and delivering exceptional care. Collaborate across locations to fill scheduling gaps and uphold our commitment to health an...

Unlock potential by joining a dynamic team dedicated to transforming health care. As a key player, you'll support pharmacy operations, enhance patient care, and foster a culture of excellence across m...

Elevate patient care by supporting pharmacy operations across the district. As a key team member, you'll ensure safe dispensing, enhance patient experiences, and foster a culture of excellence while m...

Champion patient care by managing pharmacy operations across multiple locations, ensuring safe dispensing and exceptional service while supporting team development and compliance with regulations. Dri...