Utilization Management Pharmacist Jobs in Pittsburgh, PA

Join a team that's dedicated to advancing innovative research in malignant hematology and oncology. Drive impactful studies, collaborate across disciplines, and contribute to patient care and educatio...

Empower patients and families by delivering quality palliative care. Join a multidisciplinary team focused on education, innovation, and improving quality of life through clinical care and scholarly a...

Join a team that's dedicated to advancing pediatric critical care through clinical excellence, innovative research, and education. Contribute to a dynamic environment focused on improving outcomes for...

Support audit remediation initiatives by coordinating with stakeholders, analyzing findings, and developing strategies to enhance audit readiness and internal controls, ensuring effective communicatio...

Elevate operational efficiency by managing account priorities and delivering proactive business solutions. Collaborate with teams to ensure high-quality service and maintain strong relationships with...

Manage and analyze Lost-Time Workers Compensation claims, ensuring timely resolution and adherence to service expectations. Collaborate with clients and stakeholders to deliver innovative solutions in...

Champion the development of business and application architecture strategies, ensuring alignment with customer needs. Oversee project execution, collaborate with technical teams, and drive sustainable...

Grow your career with a pivotal role in client relationship management, enhancing membership retention and expanding strategic partnerships through exceptional service and sales expertise in a dynamic...

Unlock potential by leading the Automated Operations capability within Member Services. Oversee AI support experiences, enhance team productivity, and drive continuous improvement to elevate member in...

Lead the charge in optimizing clinical documentation processes, enhancing provider education, and fostering collaboration with service line leaders to improve documentation integrity and reduce admini...

Empower healthcare IT delivery by managing a dynamic team, ensuring operational excellence, and driving EMR performance. Collaborate with clinical stakeholders to enhance patient care through effectiv...

Build strong client partnerships and drive growth by managing a portfolio of mid-sized employers. Collaborate cross-functionally to enhance engagement, retention, and revenue while delivering data-dri...

Join a team that's shaping the future of AI in healthcare by leading multi-year strategies, resolving complex technical challenges, and influencing executive decisions across the organization to ensur...

Manage multiple Corporate Performance Management projects, providing strategic guidance and ensuring timely deliverables. Utilize strong communication and organizational skills to coordinate tasks and...

Join a team that's dedicated to enhancing underwriting excellence through analytics and innovation. Lead a skilled group of underwriters, manage complex cases, and collaborate across teams to improve...

Manage and optimize Epic Professional Billing workflows, focusing on Claims and Remittance. Serve as a key resource for end-users, troubleshooting issues and enhancing billing processes to ensure accu...

Drive your career with impactful consulting in healthcare, enhancing operational efficiency and financial performance for provider organizations through data analysis and project management...

Grow your career by managing a dynamic sales territory, driving revenue, and building relationships within the medical community. Leverage your expertise to educate clients and expand business opportu...

Join a dedicated team as you support members in care coordination, focusing on health needs, education, and lifestyle modifications while managing records and completing assessments remotely. Enjoy a...

Serve as the primary contact for clients, driving engagement and service quality while fostering relationships with key stakeholders and leveraging expertise to enhance organizational growth and clien...

Transform healthcare by leading Risk Adjustment strategies and educational initiatives. Collaborate with teams to enhance coding accuracy and documentation, ensuring compliance and delivering impactfu...

Transform your career by leading a dynamic team in managing complex Commercial Casualty claims. Drive superior outcomes through effective workforce management, collaboration, and innovative technology...

Elevate your career by leading strategic financial planning and analysis across diverse business units. Drive insights, enhance reporting processes, and partner with leadership to optimize decision-ma...

Transform healthcare payment solutions by driving business growth and optimizing client relationships. Leverage your expertise to develop tailored proposals and secure long-term partnerships with larg...

Elevate client relationships by leading Client Success teams to ensure operational excellence, proactive issue resolution, and strategic growth, while fostering collaboration across departments to enh...