Utilization Management Pharmacist Jobs in Los Angeles, CA

Manage non-clinical patient navigation services, overseeing a team to ensure efficient workflows, timely access to care, and high-quality service delivery for high-risk patient populations...

Join a team that's dedicated to enhancing patient navigation services for high-risk populations. Oversee daily operations, lead a skilled team, and ensure efficient workflows to deliver high-quality c...

Lead the charge in managing a clinical review team to ensure optimal member care through effective utilization management and compliance with healthcare standards. Drive improvements and foster commun...

Lead a dynamic team in enhancing member-centered care through effective utilization management. Drive quality improvement, ensure compliance, and foster strategic partnerships to optimize healthcare d...

Lead the charge in optimizing utilization management operations, enhancing efficiency, and driving performance improvements. Collaborate with clinical and operational teams to ensure timely reviews an...

Unlock potential by leading inpatient case management, overseeing status determinations, transitions of care, and complex case management for high-risk members. Collaborate with healthcare teams to en...

Shape the future of healthcare by leading a dedicated utilization management team. Oversee clinical reviews and ensure compliance while enhancing member care through effective collaboration and proces...

Transform pharmacy outcomes by leading managed care initiatives that optimize clinical programs, enhance stakeholder collaboration, and drive cost efficiencies in pharmacy benefit management...

Empower patient care by delivering expert pharmaceutical services across all age groups. Collaborate with healthcare teams to ensure optimal drug therapy, oversee pharmacy operations, and maintain com...

Shape the future of healthcare by conducting utilization reviews and ensuring compliance with clinical guidelines. Collaborate with teams to assess medical necessity and enhance patient care while mai...

Empower your career by joining a dynamic Utilization Management team, where you'll leverage your clinical expertise to ensure timely access to behavioral health services, coordinate care, and make a m...

Take ownership of medication therapy management services, conducting comprehensive reviews and consultations. Collaborate with the MTM product team to ensure accurate data entry and enhance patient ca...

Join our team as a Telehealth Pharmacist, where you'll enhance member health through Medication Therapy Management and clinical outreach programs, ensuring high-quality care and compliance with indust...

Drive the development and execution of clinical programs, ensuring effective support, education, and coordination across departments while managing health outcomes and utilization data for continuous...

Unlock potential by leveraging clinical expertise to enhance pharmacy benefit management, analyze drug trends, and build strong client relationships. Drive strategic recommendations and support client...

Oversee preoperative utilization review processes to ensure proper patient status designation while collaborating with clinical teams to enhance compliance and financial stewardship, ultimately minimi...

Lead the evaluation of outpatient referrals and inpatient admissions for medical necessity, utilizing guidelines and criteria to ensure quality care. Collaborate with providers and mentor UM nurses to...

Join a team that's redefining operational excellence in healthcare. Lead a diverse team to streamline utilization management processes, enhance technology integration, and drive measurable improvement...

Join our team to provide utilization review and care coordination, ensuring quality and cost-effective healthcare for members across the continuum. Your expertise will enhance patient outcomes and str...

Elevate healthcare delivery by leveraging your RN expertise in utilization management. Collaborate with interdisciplinary teams to ensure timely, evidence-based care while managing a high-volume casel...

Shape the future of clinical pharmacy operations by leading daily services, ensuring compliance, and mentoring staff. Collaborate with interdisciplinary teams to enhance medication safety and optimize...

Empower healthcare excellence by leading clinical pharmacy operations, ensuring compliance, and mentoring staff. Drive interdisciplinary initiatives to enhance medication safety and optimize pharmacy...

Join a team that's dedicated to optimizing patient care through comprehensive medication management. Collaborate with healthcare professionals to enhance pharmacotherapy and improve outcomes in a dyna...

Create impactful care management strategies to advocate for patient reimbursement, ensuring compliance and effective communication between healthcare providers and payers in a dynamic, patient-focused...

Join a dynamic team as you manage clinically based appeals, ensuring patient-focused advocacy and compliance in a remote setting. Leverage your nursing expertise to enhance care management and support...