Utilization Management Pharmacist Jobs in Pittsburgh, PA

Transform patient care by leading pharmacy programs, enhancing operations, and fostering partnerships. Drive compliance and quality while mentoring a high-performing team to deliver exceptional servic...

Lead complex pharmacy benefit projects, leveraging financial expertise and strategic insights to guide clients through evolving landscapes. Collaborate with a skilled team to deliver innovative soluti...

Transform clinical review processes by conducting thorough prepayment and post-payment assessments of inpatient admissions. Leverage your expertise to ensure compliance, support appeals, and enhance q...

Join a team that's dedicated to delivering compassionate hospice care by assessing patient needs, collaborating with care teams, and developing tailored care plans that enhance quality of life for pat...

Drive client success by leading strategic account teams, ensuring satisfaction, and fostering strong relationships. Leverage expertise to enhance service delivery and support client retention through...

Advance quality performance initiatives by collaborating across departments to enhance healthcare outcomes, manage data analytics, and ensure compliance with regulatory standards, driving continuous i...

Transform healthcare delivery by leading operations for a growing telehealth practice. Collaborate with clinical teams to enhance patient care through innovative solutions and efficient workflows, ens...

Reimagine medical communication by leading a team of writers to craft regulatory and scientific documents. Oversee projects, ensuring clarity and quality for diverse audiences while adhering to timeli...

Lead the charge in optimizing procurement processes for pharmaceuticals, ensuring efficient inventory management and compliance while developing a high-performing team to support organizational goals...

Elevate patient care by ensuring optimal therapeutic outcomes through clinical assessments, collaboration with healthcare teams, and effective pharmacy services. Lead pharmacy operations while mentori...

Lead the charge in enhancing patient care as a Staff Pharmacist, overseeing medication management, supervising pharmacy technicians, and ensuring compliance with safety standards while making a positi...

Transform healthcare initiatives by leading projects from inception to completion. Coordinate teams, manage timelines, and ensure clear communication to drive organizational priorities and deliver mea...

Empower community health by leading pharmacy operations and patient care. Oversee a dedicated team, ensure compliance, and enhance service quality while driving outreach initiatives to improve local h...

Join a team that's dedicated to transforming patient care by leading a pharmacy team, ensuring compliance, and fostering a culture of excellence while delivering exceptional service and support to pat...

Grow your career with a leadership role focused on pharmacy operations, team management, and clinical safety. Drive performance and operational excellence while ensuring compliance in a dynamic, fast...

Join a team that's dedicated to delivering exceptional client service and operational excellence. As a Program Manager, you'll oversee program execution, account management, and financial oversight wh...

Lead the charge in enhancing clinical systems operations, driving efficiency and effectiveness across pharmacy initiatives while managing a dedicated team and overseeing complex workflows and data int...

Elevate operational excellence by leading claims operations, ensuring compliance and efficiency while driving process improvements and team development. Collaborate across functions to meet client com...

Engage with clients to enhance messaging solutions, manage proposals, and drive account growth. Oversee program performance and deliver impactful communications while collaborating across teams to ens...

Engage with healthcare providers to optimize reimbursement processes and patient support. Build strong relationships while delivering education on insurance coverage and claims assistance. Travel requ...

Optimize clinical program analytics by leveraging pharmacy expertise to enhance data integrity, design evaluation frameworks, and ensure compliance with healthcare standards, while mentoring analysts...

Reimagine health plan payment integrity by leading operational projects, analyzing claims data, and collaborating across teams to enhance compliance and financial outcomes. Drive strategic initiatives...

Champion data-driven insights as you lead a multidisciplinary analytics team, driving client performance and strategic recommendations to enhance business growth and market competitiveness...

Drive innovation in pharmacy products and services, enhancing patient access and outcomes. Collaborate across teams to identify market opportunities and implement scalable solutions, ensuring complian...

Join a dynamic team to develop and manage supply chain contracting strategies that optimize costs and enhance value for member pharmacies. This role involves supplier negotiations, category performanc...