Utilization Management Pharmacist Jobs in Phoenix, AZ

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...

Optimize patient outcomes by collaborating with healthcare teams to evaluate and individualize medication regimens, ensuring effective drug therapy and addressing medication-related issues in a clinic...

Shape the future of Medicaid pharmacy programs by leading complex projects, providing expert insights, and driving innovative solutions for state agencies. Collaborate with diverse stakeholders to enh...

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

Manage compliance initiatives by ensuring adherence to regulations, maintaining filing schedules, and collaborating with stakeholders. Play a key role in developing internal controls and policies whil...

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...

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...

Accelerate progress at the forefront of specialty pharmaceuticals by driving adoption and utilization of biosimilars. Collaborate with healthcare professionals to enhance patient access and deliver im...

Unlock potential by managing anticoagulation clinic programs, providing expert patient care, and leading clinical pharmacy initiatives. Collaborate with healthcare teams to enhance patient outcomes an...

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...

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...

Optimize patient care by delivering comprehensive pharmaceutical services, overseeing pharmacy operations, and ensuring safe medication practices. Collaborate with healthcare teams to assess patient n...

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

Tackle comprehensive care coordination for chronic conditions and mental health. Collaborate with healthcare providers to advocate for members, ensuring effective communication and positive outcomes t...

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

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...

Lead the transformation of claims administration and fraud prevention, ensuring operational excellence and regulatory compliance across Life, Health, and Annuity products while enhancing member experi...

Unlock potential by leading strategic government programs, managing P&L, and driving operational excellence. Oversee contract delivery, mentor staff, and foster client relationships to ensure growth a...

Shape the future of data solutions by leading complex pharmacy claims and physician-level data integrations. Collaborate with cross-functional teams to deliver high-quality, scalable solutions that me...

Join us in leading product strategy and execution for a diverse portfolio, enhancing Provider Contracting and Credentialing. Collaborate with cross-functional teams to drive innovation, improve custom...

Transform billing operations by leading a team to optimize healthcare revenue cycle processes, ensuring timely and accurate claims submission while driving performance improvements and fostering stron...