Utilization Management Pharmacist Jobs in Los Angeles, CA

Unlock potential by managing complex workers' compensation claims, driving investigations, and shaping strategies. Build relationships, ensure compliance, and mentor others while making a direct impac...

Explore advanced revenue analysis and month-end controls to ensure accurate invoicing and financial reporting. Collaborate across functions to resolve discrepancies, mentor junior analysts, and drive...

Drive data strategy and business intelligence initiatives to enhance Market Access and Patient Services. Collaborate with cross-functional teams to optimize data pipelines, ensure data integrity, and...

Drive product strategy and execution for Patient Experience solutions, enhancing healthcare practices' connection with patients. Lead cross-functional teams, leverage AI, and optimize workflows to imp...

Champion analytics and market research initiatives to shape U.S. Immunology brand strategy. Lead insights on payer opportunities and reimbursement dynamics, delivering actionable recommendations to en...

Champion the development of innovative tools for customer service teams, enhancing agent efficiency and service quality. Collaborate across departments to drive product strategy, leveraging data and u...

Champion medical affairs for Photofrin and PDT, engaging with healthcare professionals and leading initiatives. This role offers autonomy and visibility, ideal for experienced Medical Affairs professi...

Champion the successful delivery of projects and technology initiatives by coordinating cross-functional teams and managing risks, ensuring timely and high-quality outcomes that align with business ob...

Lead the charge in shaping HR strategies that enhance workforce efficiency, drive talent acquisition, and ensure compliance with healthcare regulations while fostering a collaborative and high-perform...

Transform care delivery by leading a dedicated team of RN case managers, ensuring optimal health outcomes for PACE participants in an ambulatory setting while fostering collaboration and innovation in...

Join a team that's redefining business processes through digital transformation. Lead cross-functional initiatives, ensuring scalable and standardized practices that align with strategic goals while f...

Empower patient access operations by leading teams, ensuring compliance, and enhancing customer satisfaction. Drive strategic initiatives and foster collaboration across departments to optimize servic...

Optimize medical management strategies by providing executive leadership and operational oversight. Drive performance improvement and value-based care initiatives while ensuring compliance with regula...

Elevate healthcare by driving product demand and managing key accounts. Build relationships with healthcare professionals, educate on disease states, and coordinate cross-functional teams to enhance p...

Champion patient-centered care by providing safe, competent nursing support. Lead the healthcare team with professionalism while ensuring adherence to facility standards and excellence in service deli...

Empower employees by managing leave of absence programs with expertise and compassion. Collaborate with HR and safety teams to ensure compliance and support during emergencies, while also contributing...

Lead regulatory and compliance oversight for Operations, ensuring accuracy and efficiency. Collaborate with enterprise partners to enhance operational processes, implement automation, and drive contin...

Transform inpatient coding operations by leading a dedicated team to ensure accurate coding, compliance, and timely billing. Collaborate with clinical and administrative staff to enhance financial per...

Transform credentialing operations by leading a dedicated team to ensure compliance, enhance efficiency, and support provider network growth through strategic oversight and process improvement initiat...

Transform healthcare delivery by coordinating strategic programs that enhance clinical and operational excellence. Collaborate with diverse teams to implement innovative solutions, ensuring compliance...

Join a team that's dedicated to enhancing resident development through effective program management, collaboration with clinical leaders, and innovative professional development sessions to ensure a s...

Lead the charge in renewing and expanding customer relationships within complex healthcare environments. Leverage your expertise in the 340B program to drive strategy, enhance partnerships, and delive...

Transform patient access by guiding stakeholders through insurance and reimbursement processes, ensuring timely therapy access while collaborating with cross-functional teams to address barriers and e...

Innovate post-acute payment integrity by developing and optimizing audit concepts for DME, home health, and infusion therapy claims. Collaborate cross-functionally to ensure compliance and enhance ope...

Collaborate with cross-functional teams to drive project execution and operational excellence in medical communications. Leverage your project management skills to ensure timely delivery and high-qual...