Utilization Management Pharmacist Jobs in Houston, TX

Join a team that's dedicated to enhancing patient care by leading a pharmacy team, ensuring compliance, and fostering a culture of excellence while managing operations and driving performance improvem...

Partner with us to oversee retail pharmacy operations, ensuring exceptional customer service, regulatory compliance, and financial objectives while managing personnel and enhancing overall profitabili...

Transform patient care by providing advanced medication therapy management and consultative services. Collaborate with healthcare teams to ensure safe, effective medication use while achieving optimal...

Drive effective utilization management processes, overseeing intake, reviews, and appeals. Lead a dedicated team to ensure compliance with quality and regulatory standards while identifying opportunit...

Join a team that's dedicated to delivering exceptional client service and operational excellence. As a Program Manager, you'll oversee program execution, account management, and financial oversight wh...

Champion patient care by supporting pharmacy operations across the district. Engage with teams to ensure safe dispensing, enhance patient experiences, and uphold compliance while fostering a culture o...

Elevate your career by leading pharmacy operations, ensuring patient safety, and driving team performance. Collaborate with colleagues to enhance care quality and manage pharmacy functions effectively...

Elevate patient safety by ensuring clinical accuracy and regulatory compliance in compounded medications. Collaborate with pharmacy teams to maintain high-quality standards in a fast-paced environment...

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...

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...

Lead the charge in financial management for Lab & Pharmacy services, providing strategic oversight and operational support. Utilize your expertise to analyze performance, tackle financial challenges...

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...

Shape your career by joining our team as a Remote RN Case Manager, where you'll provide compassionate care, develop personalized health plans, and collaborate with a multidisciplinary team to enhance...

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

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...

Manage and lead field-based medical teams, ensuring client delivery and team performance while fostering scientific engagement and program growth. Collaborate with cross-functional teams to achieve st...

Lead the charge in optimizing coding accuracy and compliance by analyzing complex patient care documentation, providing expert guidance, and enhancing coder education to ensure adherence to ethical st...

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...

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...

Unlock financial insights at a strategic level, driving value realization and governance for transformation investments. Collaborate across functions to enhance performance, support decision-making, a...

Drive your career forward by managing reimbursement support in a dynamic environment. Engage with healthcare providers, educate on reimbursement processes, and enhance patient services while collabora...

Join a team that's dedicated to enhancing patient access by managing reimbursement challenges and providing education to healthcare providers. This role requires strong relationship-building skills an...