Utilization Management Pharmacist Jobs in Pittsburgh, PA

Lead the strategic design and management of comprehensive benefits programs, ensuring alignment with employee needs and company objectives. Drive innovation and compliance while enhancing employee eng...

Lead the creative vision and execution of impactful design assets, enhancing brand identity and streamlining production processes using AI tools. Collaborate across teams to deliver high-quality marke...

Help us streamline partner diligence and change management processes, ensuring compliance and operational efficiency. Collaborate across teams to enhance partner relationships and support their lendin...

Empower success by leading strategic programs that enhance clinical, financial, and operational outcomes. Collaborate with teams to optimize processes and ensure alignment with organizational goals, d...

Unlock potential by leading global HEOR strategies to maximize brand value and access across neurology assets. Drive evidence generation, lifecycle management, and payer engagement to ensure optimal m...

Transform the future of healthcare by leading global HEOR strategies that maximize brand potential and drive evidence generation across neurology assets. Collaborate with cross-functional teams to ens...

Manage complex Pennsylvania workers' compensation claims from start to finish. Investigate, evaluate, and resolve claims while ensuring compliance with state laws. Collaborate with stakeholders to dev...

Engage in a dynamic role that empowers team collaboration and drives results in a leading organization recognized for innovation and excellence in performance, fostering an environment of growth and p...

Optimize revenue cycle management by leading a dynamic team to enhance processes, drive automation, and ensure compliance in a fast-paced telehealth environment. Collaborate with cross-functional team...

Engage in comprehensive outpatient care for OB/GYN patients, collaborating with a multidisciplinary team to enhance patient outcomes and ensure high-quality healthcare delivery in a dynamic environmen...

Empower patient care by collaborating with a dynamic healthcare team to provide high-quality OB/GYN services. This role focuses on outpatient care, fostering relationships with patients and families w...

Partner with us to innovate and transform Quality & Regulatory operations through technology and data analytics. Drive automation, improve efficiency, and foster effective digital solutions that enhan...

Unlock potential by providing specialized, patient-centered care in non-acute settings, addressing chronic health conditions, and collaborating with physicians to deliver high-quality healthcare servi...

Elevate billing processes by overseeing design and governance within Oracle, ensuring efficiency and accuracy in invoicing. Collaborate with cross-functional teams to drive improvements and mentor jun...

Transform financial operations by leveraging Workday expertise to enhance reporting, payroll, and planning processes. Collaborate with cross-functional teams to deliver scalable solutions and drive co...

Champion scientific engagement by building relationships with key opinion leaders in Urology and Women's Health. Leverage expertise to support medical strategies and enhance product knowledge across t...

Join a dedicated pharmacy team focused on delivering exceptional pharmaceutical care in a non-retail environment. Collaborate with healthcare professionals to optimize medication therapy for long-term...

Drive operational excellence by leading multi-state revenue cycle management, optimizing physician billing, and enhancing payer relationships. Collaborate with stakeholders to maximize collections and...

Optimize clinical data management processes by leading teams and ensuring compliance with standards. Collaborate with stakeholders to enhance data quality and streamline operations across multiple com...

Drive quality assurance excellence by leading the development of scalable processes that enhance student recruitment and enrollment, ensuring compliance and continuous improvement across all interacti...

Drive impactful actuarial analyses and modeling to enhance healthcare services, collaborating with teams to ensure accurate financial forecasting and decision support that shapes health program strate...

Lead the charge in comprehensive pharmacy oversight, ensuring optimal patient care and operational efficiency. Collaborate with healthcare teams to enhance pharmacy services and mentor staff while man...

Champion adolescent health initiatives by providing strategic guidance and support to federal agencies, enhancing youth engagement, and implementing evidence-based programs to improve outcomes for ado...

Empower your career by analyzing contracts and pricing strategies to optimize profitability and growth. Utilize your underwriting expertise to assess risks, support internal initiatives, and guide tea...

Grow your career by managing complex multi-line claims across multiple states. Collaborate with clients and teams to develop effective resolution strategies while maintaining compliance and building s...