Utilization Management Pharmacist Jobs in Los Angeles, CA

Unlock innovative healthcare solutions by leading product strategy and lifecycle management for clinical programs. Collaborate across teams to enhance member experiences and drive business value while...

Analyze financial data to drive insights in managed care, enhancing revenue and clinical outcomes. Collaborate on reporting, auditing, and budgeting to support strategic decision-making in healthcare...

Lead the charge in developing and executing drug formulary strategies, ensuring compliance with regulations while collaborating with cross-functional teams to enhance pharmacy utilization management a...

Oversee and enhance patient care delivery while managing departmental operations. Lead nursing personnel development, ensure satisfaction scores meet standards, and drive initiatives for quality impro...

Shape the future of health information management by overseeing operations, ensuring compliance, and enhancing patient care through effective management of medical records and electronic health system...

Lead the sales strategy for a healthcare Payer business unit, driving market penetration, revenue growth, and client satisfaction. Collaborate with leadership to shape go-to-market strategies and buil...

Unlock member value by managing pharmacy solutions, optimizing contract use, and fostering relationships with healthcare systems to enhance operational efficiency and savings...

Drive accurate, evidence-based clinical claims while collaborating with Marketing, Legal, and Clinical teams. Build and manage the claims framework and evidence library to support bold, compliant mark...

Lead the clinical direction for complex workers’ compensation claims, ensuring effective care coordination and cost management while guiding a team in applying regulatory standards and best practices...

Oversee the claims adjudication process, ensuring compliance and accuracy while analyzing data trends. Collaborate with departments to resolve issues and enhance operational efficiency in a managed ca...

Lead the charge in optimizing claims operations by overseeing data analysis, compliance tracking, and issue resolution. Collaborate across departments to enhance efficiency and accuracy in claims adju...

Transform the delivery of ADA Paratransit Eligibility by managing operations, ensuring compliance, and leading a dedicated team. Drive efficiency and excellence in service, while acting as a crucial l...

Shape the future of managed care by leading contract negotiations, performance monitoring, and strategic initiatives to optimize reimbursement and enhance payer relationships across healthcare service...

Empower clients by compounding non-sterile pharmaceuticals, providing expert guidance on medications, and ensuring compliance with regulations while collaborating in a dynamic, team-oriented environme...

Optimize compliance and revenue management across healthcare facilities, ensuring adherence to state and federal reimbursement regulations while enhancing financial performance through strategic analy...

Join a team that's dedicated to enhancing patient business services by coordinating workflows, resolving operational issues, and driving efficiency across billing and collections to ensure high-qualit...

Help us enhance patient care by providing expert pharmaceutical services, counseling, and immunizations. You'll play a vital role in community health while ensuring compliance and guiding pharmacy sta...

Engage in transformative patient care by providing pharmaceutical expertise, counseling, and immunizations while ensuring compliance and fostering community relationships. Empower pharmacy staff and e...

Shape the future of clinical pharmacy operations by leading daily services, mentoring staff, and driving interdisciplinary initiatives to enhance medication safety and care quality across the hospital...

Join a dynamic team to ensure safe and effective medication management, oversee pharmacy operations, and enhance patient care through clinical expertise and collaboration with healthcare professionals...

Develop and lead comprehensive benefits and compensation programs, ensuring alignment with business goals and enhancing employee experience through strategic management and continuous improvement init...

Empower healthcare quality by leading evidence-based reviews of member appeals. Collaborate with a skilled team to enhance clinical decision-making and drive improvements in patient care while advanci...

Join a dynamic team to evaluate and process medication prior authorization requests, ensuring compliance with clinical guidelines and regulatory standards while facilitating timely patient access to n...

Lead the charge in driving operational excellence and strategic direction for a high-performing underwriting team, ensuring quality Medicare underwriting services that support profitable growth and bu...

Empower our channel partner division by managing operational activities, coordinating RFPs, and driving cross-functional collaboration to enhance sales and partner engagement. Your insights will shape...