Utilization Management Pharmacist Jobs in Tampa, FL

Advance patient care by integrating clinical pharmacy services and transitions of care. Focus on reducing readmissions through medication management and education, while ensuring safe medication use f...

Join a dynamic team focused on enhancing patient care through medication management and transitions of care, ensuring safety and effectiveness in pharmaceutical practices while supporting clinical sta...

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...

Empower patient care by delivering specialized pharmacy services, ensuring medication access, adherence, and compliance with 340B regulations while collaborating with healthcare teams to enhance clini...

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 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 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...

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 your career by providing essential clinical pharmacy services, ensuring safe medication management and patient care. Collaborate on clinical programs and enhance patient outcomes through expe...

Champion clinical pharmacy services to enhance patient care and safety. Collaborate with healthcare teams to implement and maintain pharmacy programs, ensuring appropriate medication management and ad...

Help us enhance client wellness through effective case management, advocacy, and resource coordination. Collaborate with healthcare providers to deliver quality, client-centered services while maximiz...

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...

Unlock potential by managing CDMO client projects, ensuring compliance and customer satisfaction throughout the product lifecycle in a dynamic, FDA-regulated environment. Drive success from pre-clinic...

Lead the charge in shaping client utilization management strategies and ensuring delivery excellence. Foster trust-based relationships while driving impactful results across projects in a client-cente...

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...

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 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...

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...

Drive the success of training programs by leading daily operations, ensuring effective onboarding, and adapting training to meet evolving client and operational needs while fostering trainer developme...

Elevate your career by providing expert technical direction for complex claims. Collaborate with teams to ensure compliance, enhance quality assurance, and drive solutions that improve outcomes in a d...

Champion operational excellence by leading compliance and process improvements in Utilization Management. Collaborate across teams to identify gaps, drive change, and ensure adherence to regulatory st...

Drive compliance excellence by executing the Medicare Compliance Advisory program, ensuring adherence to CMS regulations. Collaborate with leadership to provide regulatory guidance, conduct audits, an...