Utilization Management Pharmacist Jobs in New York, NY

Shape the future of patient safety by leading Product Quality Complaints Case Management. Oversee operations, enhance workflows, and ensure compliance while collaborating with cross-functional teams t...

Lead the execution of the Medicare Compliance Advisory program, ensuring adherence to CMS regulations. Collaborate with stakeholders to provide regulatory guidance, conduct audits, and enhance complia...

Join a dedicated Mental Health team as an Advanced Practice Nurse, providing comprehensive care to veterans. Utilize your expertise in psychiatric nursing to manage patient panels, collaborate with in...

Drive your career with a Senior Program Analyst role focused on solving complex cross-functional challenges. Utilize analytical skills to enhance pricing, agreements, and program performance while col...

Transform mental health care by providing comprehensive psychiatric services as a Certified Registered Nurse Practitioner. Collaborate with physicians to deliver quality patient care, manage crises, a...

Drive operational excellence in patient access by leading teams, enhancing processes, and fostering collaboration across healthcare facilities. Your leadership will ensure compliance, improve patient...

Grow your expertise in workforce management by building and optimizing systems that enhance operational efficiency and member experience. Lead cross-functional initiatives to ensure staffing aligns wi...

Oversee nursing personnel to ensure compliance with policies and regulations, enhancing client care. Engage in staff recruitment, training, and quality improvement initiatives while managing controlle...

Provide exceptional pharmacy operations management, ensuring compliance with regulations, delivering professional services, and fostering customer relationships while overseeing workflow and inventory...

Unlock transformative potential by leading provider data solutions, driving modernization and operational excellence across healthcare systems. Collaborate with cross-functional teams to enhance effic...

Lead critical compliance reviews and manage 340B program operations, ensuring regulatory adherence and operational excellence. Collaborate with multidisciplinary teams to enhance patient care and stre...

Drive compliance and operational excellence in the 340B program, ensuring accurate audits, inventory tracking, and collaboration within the pharmacy department to enhance patient care and regulatory a...

Join our team as a 340B Analyst, where you'll drive compliance and operational excellence in patient care. Utilize your expertise to manage complex audits, ensure accurate inventory tracking, and coll...

Lead the charge in developing and optimizing patient affordability programs, ensuring minimal financial barriers for patients while collaborating across multiple departments to support brand objective...

Lead the charge in ensuring compliance for sterile and OSD manufacturing processes by managing batch reviews, documentation, and investigations, while training staff and participating in regulatory in...

Shape the future of audit excellence by developing innovative concepts, mentoring teams, and ensuring quality control. Drive client satisfaction and enhance audit productivity through strategic oversi...

Join our dynamic Medical Affairs team to lead Medical Information initiatives, ensuring compliance and scientific accuracy while driving strategic insights across our pipeline. Collaborate with cross...

Elevate your career by joining a dynamic Medical Affairs team, where you'll lead Medical Information initiatives, ensure compliance, and drive strategic insights to support our innovative pipeline in...

Champion quality assurance in sterile compounding, ensuring compliance with USP standards. Lead training, analyze microbiological results, and oversee pharmacy operations to maintain high-quality serv...

Drive strategic initiatives by developing KPI frameworks and operational dashboards, analyzing performance data, and collaborating across teams to enhance business outcomes and support informed decisi...

Join a team that's dedicated to enhancing healthcare quality through thorough medical claims audits. Leverage your nursing expertise in a dynamic remote environment, collaborating with experienced aud...

Transform healthcare delivery by leading the RN UM Team, ensuring timely care decisions and maintaining documentation quality while fostering a culture of clinical excellence and accountability...

Join a team that leads value-based care initiatives, enhancing risk adjustment accuracy and quality improvement across clinical networks. Collaborate with leaders to drive organizational goals through...

Join a dynamic team to drive strategic Advisory services, engaging clients and enhancing relationships while leveraging your expertise in the Medical Market Access space. This remote role involves ext...

Lead the development of pharmacy claims adjudication technology, driving product direction and enhancing transaction capabilities. Collaborate with cross-functional teams to solve complex challenges a...