Utilization Management Pharmacist Jobs in Houston, TX

Drive organizational effectiveness by resolving complex employee relations issues, advising leaders, and ensuring compliance in a fast-paced, regulated environment. Collaborate cross-functionally to e...

Empower our pharmacy teams by managing operations, ensuring patient care, and supporting staff across multiple locations. Your leadership will enhance service quality and foster a culture of excellenc...

Unlock potential by leading pharmacy operations, ensuring patient safety, and fostering a collaborative team environment. Drive growth through innovative solutions while delivering exceptional care an...

Join a team that's dedicated to transforming health care by supporting pharmacy operations, enhancing patient care, and ensuring safe dispensing practices. Your role will be pivotal in fostering excel...

Join a team that's dedicated to enhancing patient care and safety. As a Staff Pharmacist, you'll lead pharmacy operations, support your team, and drive growth while ensuring compliance and quality ser...

Join us to enhance patient care as a District Support Pharmacist, overseeing pharmacy operations, filling scheduling gaps, and ensuring safe dispensing practices while fostering a culture of excellenc...

Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...

Lead the charge in optimizing revenue cycle operations by managing coding teams, ensuring compliance, and driving performance metrics to enhance patient care and operational efficiency in a dynamic he...

Drive the success of insurance prior authorization processes by leading a team of specialists. Ensure timely approvals and minimize payment denials through effective management, communication, and pro...

Drive impactful data mining initiatives by analyzing complex claims across Medicare, Medicaid, and Commercial sectors. Leverage your expertise to identify anomalies and enhance recovery opportunities...

Drive your career with a global service organization, leading transformation in member services through automation and smarter workflows. Shape client retention and member trust while managing perform...

Champion cost reporting processes by ensuring data accuracy, preparing detailed reports, and analyzing financial information. Collaborate across departments to enhance reporting systems and support st...

Lead and oversee Medical Information teams, ensuring high-quality service delivery and compliance. Drive strategic initiatives, manage resources, and collaborate cross-functionally to enhance operatio...

Shape the future of payer utilization management by leading client engagements, building trust-based relationships, and delivering tailored solutions while managing teams to ensure timely, high-qualit...

Optimize proposal performance and strategic growth initiatives, leading a collaborative team to enhance RFP responses, competitive positioning, and resource allocation for maximum impact and success a...

Lead the charge in driving enterprise growth within healthcare by building relationships with national and regional health plans. Own new logo acquisition and expansion, leveraging a robust support sy...

Drive your career with a leadership role focused on Revenue Integrity, overseeing strategic direction, performance metrics, and team development to enhance operational efficiency and client satisfacti...

Join us to lead product strategy and development, driving innovation and performance in healthcare solutions. Collaborate cross-functionally to align business needs with customer expectations and ensu...

Unlock potential by leading corporate accounting, overseeing multi-entity consolidation, and driving ERP implementation. Collaborate with teams to establish standards and ensure compliance while manag...

Advance the effectiveness of clinical audit teams by designing and delivering targeted training programs. Collaborate with experts to enhance workflows and improve audit productivity, ensuring high st...

Drive the success of training programs by leading daily operations, ensuring effective onboarding, and adapting training to meet evolving client and operational needs while fostering trainer developme...

Elevate project delivery and data management within a dynamic team, ensuring timely execution of healthcare provider meetings and educational programs while fostering collaboration and maintaining hig...

Champion operational excellence by leading compliance and process improvements in Utilization Management. Collaborate across teams to identify gaps, drive change, and ensure adherence to regulatory st...

Champion innovative clinical strategies in specialty pharmacy, overseeing services and solutions to enhance client value and outcomes. Collaborate with cross-functional teams to drive program performa...

Shape the future of data governance by leading a team to manage third-party data compliance, ensuring operational excellence and regulatory adherence while fostering collaboration across business unit...