Utilization Management Pharmacist Jobs in Pittsburgh, PA

Unlock potential by managing complex workers' compensation claims, driving investigations, and shaping strategies. Build relationships, ensure compliance, and mentor others while making a direct impac...

Explore advanced revenue analysis and month-end controls to ensure accurate invoicing and financial reporting. Collaborate across functions to resolve discrepancies, mentor junior analysts, and drive...

Drive product strategy and execution for Patient Experience solutions, enhancing healthcare practices' connection with patients. Lead cross-functional teams, leverage AI, and optimize workflows to imp...

Champion the development of innovative tools for customer service teams, enhancing agent efficiency and service quality. Collaborate across departments to drive product strategy, leveraging data and u...

Champion medical affairs for Photofrin and PDT, engaging with healthcare professionals and leading initiatives. This role offers autonomy and visibility, ideal for experienced Medical Affairs professi...

Champion the successful delivery of projects and technology initiatives by coordinating cross-functional teams and managing risks, ensuring timely and high-quality outcomes that align with business ob...

Join a team that's redefining business processes through digital transformation. Lead cross-functional initiatives, ensuring scalable and standardized practices that align with strategic goals while f...

Empower employees by managing leave of absence programs with expertise and compassion. Collaborate with HR and safety teams to ensure compliance and support during emergencies, while also contributing...

Join us to optimize patient care through safe, effective pharmaceutical practices. Oversee drug dispensing, monitor therapy, and collaborate with healthcare teams to enhance patient outcomes while man...

Lead regulatory and compliance oversight for Operations, ensuring accuracy and efficiency. Collaborate with enterprise partners to enhance operational processes, implement automation, and drive contin...

Transform inpatient coding operations by leading a dedicated team to ensure accurate coding, compliance, and timely billing. Collaborate with clinical and administrative staff to enhance financial per...

Transform credentialing operations by leading a dedicated team to ensure compliance, enhance efficiency, and support provider network growth through strategic oversight and process improvement initiat...

Transform healthcare delivery by coordinating strategic programs that enhance clinical and operational excellence. Collaborate with diverse teams to implement innovative solutions, ensuring compliance...

Join a team that's dedicated to enhancing resident development through effective program management, collaboration with clinical leaders, and innovative professional development sessions to ensure a s...

Lead transformative nursing practices and foster a culture of excellence, engagement, and safety. Collaborate with executive teams to enhance patient care and operational effectiveness while driving s...

Lead the charge in renewing and expanding customer relationships within complex healthcare environments. Leverage your expertise in the 340B program to drive strategy, enhance partnerships, and delive...

Innovate post-acute payment integrity by developing and optimizing audit concepts for DME, home health, and infusion therapy claims. Collaborate cross-functionally to ensure compliance and enhance ope...

Collaborate with cross-functional teams to drive project execution and operational excellence in medical communications. Leverage your project management skills to ensure timely delivery and high-qual...

Unlock potential by leading clinical data management for innovative cell therapy studies. Collaborate cross-functionally to ensure data integrity and compliance while managing teams and external partn...

Lead the charge in clinical excellence and staff development while providing direct patient care. This role combines leadership responsibilities with hands-on nursing, fostering a supportive environme...

Champion data-driven decision-making by leading the development of integrated analytics and reporting strategies. Drive operational efficiency and financial performance through innovative data solutio...

Accelerate progress at the forefront of AI initiatives, driving strategic development and implementation across the Health Systems and Government Services unit to enhance operational excellence and cu...

Elevate pharmacy services by leading daily operations, ensuring compliance, and enhancing patient care through collaboration with healthcare teams. Drive performance improvement while managing staff a...

Optimize specialty pharmacy operations by providing clinical oversight, enhancing patient care, and leading a dedicated team. Collaborate to ensure safety, regulatory compliance, and quality service d...

Optimize specialty pharmacy operations by providing clinical oversight, enhancing patient care, and leading a dedicated team to ensure regulatory compliance and quality service delivery...