Utilization Management Pharmacist Jobs in New York, NY

Unlock insights into medical cost trends by leveraging data analytics. Collaborate with cross-functional teams to develop strategic recommendations, track program outcomes, and present findings clearl...

Unlock potential by leading financial modeling and risk assessment for value-based care arrangements. Collaborate with teams to analyze vendor performance and drive strategic insights, ensuring contra...

Lead the charge in delivering strategic consulting solutions for clients in the pharmaceutical and healthcare sectors, managing multiple projects while ensuring high-quality outcomes and client satisf...

Lead the charge in holistic clinical care management, enhancing health outcomes through comprehensive assessments, care planning, and coordination for diverse member populations with complex needs...

Join us to lead impactful HCP marketing execution, driving adoption and engagement through strategic field initiatives. Collaborate cross-functionally to optimize resources and enhance customer experi...

Deliver impactful category strategies and sourcing initiatives for technology spend, driving savings and supplier performance while collaborating with cross-functional teams to optimize value and mana...

Transform medical affairs by driving scientific excellence and strategic initiatives in ophthalmology. Collaborate with cross-functional teams to enhance field readiness and optimize engagement across...

Empower decision-making by utilizing data-driven insights to enhance operations, supporting growth through statistical modeling and AI techniques while maintaining compliance in a complex regulatory e...

Lead the Claims operations team, ensuring timely processing and quality outcomes. Oversee staff performance, workflow management, and process improvements while collaborating with executive leadership...

Help us drive operational excellence in provider data management, ensuring accuracy and efficiency throughout the lifecycle. Collaborate with teams to enhance processes, leverage insights, and impleme...

Transform the future of patient care by ensuring safe, accurate delivery of radiopharmaceuticals. In this specialized role, you'll support critical medical decisions in a dynamic, regulated environmen...

Lead a team of specialists in managing absence and claim cases, ensuring operational excellence and high-quality service delivery while fostering a supportive and growth-oriented environment for team...

Transform healthcare auditing by conducting thorough medical claims reviews. Collaborate with a dynamic team to ensure compliance and improve processes while working remotely in a fast-paced environme...

Advance global clinical trials by leading cross-functional teams, ensuring compliance and operational excellence while managing timelines and budgets to deliver impactful results in Oncology research...

Join a team that's driving financial excellence in the US Generics sector. You'll partner with leadership to deliver insights on profitability, manage budgets, and support strategic decisions, enhanci...

Join a dynamic team to oversee medication management, ensuring safe and effective pharmaceutical practices while supervising pharmacy technicians and collaborating with healthcare professionals to enh...

Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...

Lead the charge in optimizing revenue cycle operations by managing coding teams, ensuring compliance, and driving performance metrics to enhance patient care and operational efficiency in a dynamic he...

Drive the success of insurance prior authorization processes by leading a team of specialists. Ensure timely approvals and minimize payment denials through effective management, communication, and pro...

Drive your career with a global service organization, leading transformation in member services through automation and smarter workflows. Shape client retention and member trust while managing perform...

Drive impactful data mining initiatives by analyzing complex claims across Medicare, Medicaid, and Commercial sectors. Leverage your expertise to identify anomalies and enhance recovery opportunities...

Unlock patient access by serving as a key resource for healthcare professionals, providing expert guidance on reimbursement and support programs while collaborating cross-functionally to enhance patie...

Lead the charge in transforming clinical utilization management operations by implementing strategic processes, modernizing workflows, and ensuring high-quality, compliant practices through effective...

Champion cost reporting processes by ensuring data accuracy, preparing detailed reports, and analyzing financial information. Collaborate across departments to enhance reporting systems and support st...

Elevate patient care by ensuring accurate medication therapy management, collaborating with healthcare teams, and maintaining compliance with regulations. Play a vital role in enhancing treatment outc...