Utilization Management Pharmacist Jobs in Los Angeles, CA

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...

Unlock potential by managing pharmacy applications to enhance operational workflows. Collaborate with teams to ensure seamless integration, support, and optimization of systems that drive efficiency i...

Empower operational excellence by leading provider data governance and attribution processes. Collaborate across departments to ensure data integrity, enhance reporting accuracy, and drive continuous...

Join a team that's dedicated to enhancing patient care by leading authorization processes in Hematology-Oncology. Utilize your expertise to train staff, verify insurance, and ensure seamless coordinat...

Transform your career by leading underwriting teams, driving pricing strategies, and ensuring financial performance. Collaborate across departments to influence business growth and deliver sustainable...

Lead the charge in encounter data reconciliation, ensuring accurate submissions to regulatory bodies. Oversee technical operations, manage staff, and enhance compliance processes to protect risk score...

Join a team that's redefining care management by leading strategic initiatives in utilization and appeals processes. Drive high-quality, cost-effective care while ensuring compliance and fostering a c...

Help us deliver exceptional patient care by overseeing pharmacy operations, ensuring compliance with regulations, and collaborating with healthcare teams to enhance medication management for our adult...

Innovate media strategies in Oncology, collaborating with brand teams to execute impactful campaigns across traditional and digital channels, ensuring alignment with business goals and driving results...

Optimize cross-portfolio analytics to enhance Gross-to-Net performance, identify anomalies, and drive process improvements. Collaborate with diverse teams to deliver actionable insights and scalable r...

Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...

Lead the charge in optimizing drug library implementations for smart infusion pumps, collaborating with healthcare teams to enhance medication safety and workflow efficiency across mid- to large-sized...

Lead the evolution of Payment Integrity strategies, ensuring payment accuracy and cost performance. Build a high-performing team, optimize vendor partnerships, and drive innovative solutions to enhanc...

Lead NCQA Health Outcomes and Community-Focused Care Accreditation initiatives, driving quality improvement and compliance across health plans. Collaborate with teams to enhance equitable health outco...

Join a team that's dedicated to ensuring data integrity and quality across fundraising systems. Utilize your analytical skills to enhance operations, support data governance, and drive continuous impr...

Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...

Educate healthcare providers on patient support programs and reimbursement strategies, addressing access barriers while navigating payer landscapes. Collaborate with internal teams to ensure complianc...

Deliver comprehensive patient care by conducting evaluations, diagnoses, and treatments for diverse age groups. Collaborate in a supportive environment focused on quality over quantity, ensuring patie...

Drive statistical leadership in oncology clinical development, guiding study design, analysis, and regulatory submissions. Collaborate with cross-functional teams to ensure high-quality deliverables a...

Join a dynamic team as a Medical Claims Auditor, ensuring compliance and integrity in healthcare payments. Collaborate with cross-functional teams to identify fraud, waste, and abuse while leveraging...

Lead cross-functional Publications Teams to execute strategic publication plans, ensuring high-quality scientific communications and alignment with therapeutic area objectives while managing resources...

Lead transformative process improvements to enhance healthcare quality and efficiency. Collaborate with teams to elevate performance metrics, oversee cultural competency initiatives, and drive strateg...

Grow your career with a dynamic team focused on optimizing provider operations. Lead credentialing initiatives, implement AI solutions, and enhance workflows while ensuring compliance and operational...

Champion quality performance initiatives by collaborating across departments to enhance healthcare outcomes through data analysis, project management, and compliance with regulatory standards, ensurin...

Elevate compliance and efficiency in the 340B program by overseeing analysts, managing data, and driving process improvements to optimize performance and identify cost-saving opportunities...