Utilization Management Pharmacist Jobs in Pittsburgh, PA

Transform medical affairs by driving scientific excellence and strategic initiatives in ophthalmology. Collaborate with cross-functional teams to enhance field readiness and optimize engagement across...

Lead the Claims operations team, ensuring timely processing and quality outcomes. Oversee staff performance, workflow management, and process improvements while collaborating with executive leadership...

Help us drive operational excellence in provider data management, ensuring accuracy and efficiency throughout the lifecycle. Collaborate with teams to enhance processes, leverage insights, and impleme...

Unlock potential by joining our dynamic healthcare team, where you'll collaborate closely with physicians to deliver exceptional patient care and support in various practice settings, enhancing health...

Lead a team of specialists in managing absence and claim cases, ensuring operational excellence and high-quality service delivery while fostering a supportive and growth-oriented environment for team...

Transform healthcare auditing by conducting thorough medical claims reviews. Collaborate with a dynamic team to ensure compliance and improve processes while working remotely in a fast-paced environme...

Advance global clinical trials by leading cross-functional teams, ensuring compliance and operational excellence while managing timelines and budgets to deliver impactful results in Oncology research...

Lead a dynamic team of Real-Time Analysts to optimize operations, enhance performance, and drive continuous improvement in a fast-paced environment. Foster a culture of accountability while ensuring e...

Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...

Lead the charge in optimizing revenue cycle operations by managing coding teams, ensuring compliance, and driving performance metrics to enhance patient care and operational efficiency in a dynamic he...

Drive the success of insurance prior authorization processes by leading a team of specialists. Ensure timely approvals and minimize payment denials through effective management, communication, and pro...

Join a team that's dedicated to optimizing patient care through safe, effective pharmaceutical practices. Oversee drug dispensing, provide drug information, and manage pharmacy operations while ensuri...

Drive impactful data mining initiatives by analyzing complex claims across Medicare, Medicaid, and Commercial sectors. Leverage your expertise to identify anomalies and enhance recovery opportunities...

Drive your career with a global service organization, leading transformation in member services through automation and smarter workflows. Shape client retention and member trust while managing perform...

Champion cost reporting processes by ensuring data accuracy, preparing detailed reports, and analyzing financial information. Collaborate across departments to enhance reporting systems and support st...

Lead and oversee Medical Information teams, ensuring high-quality service delivery and compliance. Drive strategic initiatives, manage resources, and collaborate cross-functionally to enhance operatio...

Elevate client outcomes by leading utilization management consulting engagements, ensuring solutions meet client needs on time and within budget. Build trust-based relationships while managing project...

Drive operational excellence by leading strategic initiatives that enhance patient experiences. Collaborate across teams to identify solutions, improve processes, and leverage data for impactful decis...

Optimize proposal performance and strategic growth initiatives, leading a collaborative team to enhance RFP responses, competitive positioning, and resource allocation for maximum impact and success a...

Lead the charge in driving enterprise growth within healthcare by building relationships with national and regional health plans. Own new logo acquisition and expansion, leveraging a robust support sy...

Drive your career with a leadership role focused on Revenue Integrity, overseeing strategic direction, performance metrics, and team development to enhance operational efficiency and client satisfacti...

Lead the charge in optimizing patient care through effective drug therapy management, clinical service development, and interdisciplinary collaboration, while fostering a culture of learning and conti...

Join us to lead product strategy and development, driving innovation and performance in healthcare solutions. Collaborate cross-functionally to align business needs with customer expectations and ensu...

Unlock potential by leading corporate accounting, overseeing multi-entity consolidation, and driving ERP implementation. Collaborate with teams to establish standards and ensure compliance while manag...

Advance the effectiveness of clinical audit teams by designing and delivering targeted training programs. Collaborate with experts to enhance workflows and improve audit productivity, ensuring high st...