Utilization Management Pharmacist Jobs in San Diego, CA

Unlock potential by providing comprehensive pharmaceutical care and administrative support, ensuring compliance and quality in specialty pharmacy services while collaborating with healthcare teams to...

Drive strategic initiatives in behavioral health, collaborating with cross-functional teams to enhance quality and improve member experiences. Lead complex projects that align with organizational goal...

Transform pharmacy analytics by leading a dynamic team to drive data-driven insights, enhance operational performance, and improve member experiences across a $5 billion pharmacy spend portfolio. Coll...

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...

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...

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...

Shape the future of healthcare by driving sales growth in the benefits technology space. Collaborate with stakeholders to deliver innovative solutions for health plans and large employers, maximizing...

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...

Join a team that's dedicated to delivering compassionate telehealth services. Conduct evaluations, collaborate with care teams, and manage patient outcomes while enjoying a stable salary and a structu...

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...

Grow your career by providing comprehensive diagnostic radiology services, including consultations and interpretations for a diverse patient population. Collaborate remotely to ensure timely and accur...

Transform payment integrity operations by leading a dedicated team to enhance recovery processes, ensure compliance, and drive continuous improvement while achieving optimal performance and quality st...

Elevate the technology function by leading engineering, delivery, and operations. Collaborate closely with leadership to shape technical strategy, ship code weekly, and ensure high standards in a dyna...

Provide comprehensive in-home assessments for patients with chronic care needs, collaborating with an interdisciplinary team to ensure quality, cost-effective healthcare outcomes while adhering to reg...

Join a team that's dedicated to delivering successful projects by managing small complexity initiatives, ensuring milestones are met, and fostering collaboration across business and IT stakeholders fo...

Join a team that's dedicated to delivering high-quality projects on time and within budget. As a key player, you'll coordinate efforts across departments, ensuring effective communication and resource...

Analyze performance metrics to empower ACOs in Value-Based Care programs. Collaborate with teams to provide actionable insights, track KPIs, and optimize risk scores, driving data-driven decisions for...