Utilization Management Pharmacist Jobs in Madison, WI

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...

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...

Manage and oversee Payment Analytics and Reimbursement Policy departments, ensuring accurate provider claim payments. Collaborate with stakeholders to drive improvements, analyze data, and report find...

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 provider network performance by developing and managing contracts that align with business goals. Collaborate with healthcare providers to ensure a competitive network while analyzing market t...

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...

Drive compliance excellence by executing the Medicare Compliance Advisory program, ensuring adherence to CMS regulations. Collaborate with leadership to provide regulatory guidance, conduct audits, an...

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...

Lead strategic initiatives to enhance referral growth and provider engagement across chronic therapy markets. Drive collaboration among cross-functional teams to optimize patient progression and deliv...

Oversee regional pharmacy operations, driving excellence and compliance across multiple fulfillment sites. Lead a high-performing team, implement strategic initiatives, and enhance patient experience...

Shape the future of pharmacy IT by mentoring staff and enhancing application functionality. Collaborate on planning, development, and support while ensuring quality through effective testing and evalu...

Join us to lead the Professional Coding Operations team, ensuring accurate coding practices and compliance. Collaborate with stakeholders, mentor staff, and drive improvements in coding efficiency and...

Transform the Funding Department by leading a dedicated team, ensuring compliance with policies, optimizing processes, and fostering professional development to achieve high-quality funding approvals...

Elevate compliance standards by leading oversight initiatives, managing complex projects, and collaborating across teams to ensure regulatory adherence and effective governance in a dynamic environmen...

Champion seamless communication by managing VoIP and telephony systems, ensuring optimal performance and user satisfaction. Collaborate across departments to analyze data, enhance workflows, and uphol...

Join us to shape the future of pharmacy by leading product strategy and innovation. Drive growth and commercialization for a diverse portfolio of healthcare technology solutions, influencing enterpris...

Lead quality initiatives and peer review processes to enhance healthcare delivery. Collaborate with medical staff and leaders to analyze performance data, support physician development, and ensure com...

Join us to enhance member health outcomes through holistic care management, collaborating with multidisciplinary teams to support individuals with complex needs. Utilize assessments and interventions...

Transform healthcare by leading a dynamic PMO, ensuring program transparency and compliance across multiple customer accounts while fostering collaboration and continuous improvement...