Utilization Management Pharmacist Jobs in Houston, TX

Engage actively in assessing credit risk for commercial clients, ensuring compliance and sound lending practices while collaborating closely with relationship managers to facilitate decision-making an...

Transform healthcare by reviewing member appeals and fair hearing requests. Collaborate with diverse teams to ensure compliance and quality in clinical decisions, while driving improvements in care ac...

Unlock your potential by leading clinical reviews and appeals processes, collaborating with diverse teams to ensure compliance and quality in healthcare decisions. Drive improvements and support Fair...

Lead and develop a high-performing team in managing short-term disability and absence claims. Drive operational excellence through analytics, coaching, and collaboration, ensuring compliance and excep...

Unlock potential as a strategic leader in pre-sales engagements, driving value-based solutions for healthcare clients. Collaborate with cross-functional teams to deliver impactful presentations and me...

Transform analytics modernization and productivity by leading strategy, governance, and process evolution. Collaborate with cross-functional teams to enhance workflows, drive AI adoption, and optimize...

Drive excellence in patient care by leading a 30-bed Medical Surgical Telemetry Unit, ensuring quality, fiscal management, and staff development while fostering a collaborative environment for clinica...

Empower financial excellence by leading budgeting and forecasting for retail. Collaborate with cross-functional teams to enhance planning systems and deliver insights that drive performance and strate...

Join a team that's transforming healthcare through data-driven insights. As a Senior Medical Economics Analyst, you'll lead analytics initiatives, mentor a team, and collaborate with leaders to enhanc...

Transform the communications landscape by building a dynamic team that drives brand relevance through strategic earned media, influencer relations, and corporate communications, ensuring a consumer-fi...

Join a dynamic team to drive operational excellence and process improvements in healthcare. Lead complex initiatives, influence strategy, and enhance care delivery while collaborating across multiple...

Shape the HCP marketing strategy by developing integrated plans that resonate with healthcare professionals, driving engagement and business growth through targeted outreach and data-driven insights...

Advance your career by leading the Claims Domain for MMIS health care projects. Drive analysis, documentation, and quality processes while collaborating with clients and development teams to meet cust...

Support project management by coordinating study documentation, mentoring team members, and ensuring compliance. Leverage expertise in clinical research to enhance study start-up and execution, while...

Join a team that's dedicated to advancing radiation therapy by overseeing dosimetry staff across multiple sites, ensuring accurate treatment planning, and fostering a collaborative environment for opt...

Drive sales growth by developing strategic business plans and forging strong customer relationships. Achieve targets through effective presentations while adhering to ethical standards and enhancing p...

Empower a high-performing technical support team by executing strategic communication plans, mentoring talent, and enhancing service delivery for payroll tax platforms, ensuring quality and customer s...

Lead transformative Medicaid initiatives by guiding project oversight, ensuring timely execution, and enhancing stakeholder engagement. Collaborate with teams to streamline operations and achieve stra...

Transform patient care by delivering comprehensive services, managing prescriptions, and ensuring compliance with healthcare regulations while guiding associates in member service excellence...

Transform community engagement by developing outreach programs and educational initiatives. Lead strategic relationships and enhance member experiences through effective communication and evaluation o...

Lead the charge in transforming operations by integrating AI and technology to enhance member and clinician experiences, ensuring efficient care delivery and operational excellence across a distribute...

Elevate your career by managing complex electronic security projects, ensuring timely delivery and budget adherence while fostering strong vendor and customer relationships for optimal project success...

Manage a team of medical writers to develop impactful scientific content, ensuring accuracy and compliance. Collaborate with clients and cross-functional teams to drive medical strategies and delivera...

Lead customer discovery and solution strategy in high-risk industries, leveraging operational risk management expertise to drive technical wins and enhance client relationships across North America...

Join a team that's dedicated to enhancing patient care through effective medication management, collaboration, and education. This role focuses on optimizing therapeutic outcomes while ensuring compli...