Utilization Management Pharmacist Jobs in Washington, DC

Lead the charge in managing a clinical review team to ensure optimal member care through effective utilization management and compliance with healthcare standards. Drive improvements and foster commun...

Lead a dynamic team in enhancing member-centered care through effective utilization management. Drive quality improvement, ensure compliance, and foster strategic partnerships to optimize healthcare d...

Lead the charge in optimizing utilization management operations, enhancing efficiency, and driving performance improvements. Collaborate with clinical and operational teams to ensure timely reviews an...

Shape the future of healthcare by leading a dedicated utilization management team. Oversee clinical reviews and ensure compliance while enhancing member care through effective collaboration and proces...

Transform pharmacy outcomes by leading managed care initiatives that optimize clinical programs, enhance stakeholder collaboration, and drive cost efficiencies in pharmacy benefit management...

Transform healthcare delivery by leveraging your RN expertise in utilization management. Collaborate with clinical teams to ensure appropriate home and community-based services, enhancing patient care...

Take ownership of medication therapy management services, conducting comprehensive reviews and consultations. Collaborate with the MTM product team to ensure accurate data entry and enhance patient ca...

Join our team as a Telehealth Pharmacist, where you'll enhance member health through Medication Therapy Management and clinical outreach programs, ensuring high-quality care and compliance with indust...

Drive the development and execution of clinical programs, ensuring effective support, education, and coordination across departments while managing health outcomes and utilization data for continuous...

Unlock potential by leveraging clinical expertise to enhance pharmacy benefit management, analyze drug trends, and build strong client relationships. Drive strategic recommendations and support client...

Lead the evaluation of outpatient referrals and inpatient admissions for medical necessity, utilizing guidelines and criteria to ensure quality care. Collaborate with providers and mentor UM nurses to...

Join a team that's redefining operational excellence in healthcare. Lead a diverse team to streamline utilization management processes, enhance technology integration, and drive measurable improvement...

Join a dedicated team as a Clinical Pharmacist, providing essential pharmacy services to home care patients. Collaborate with healthcare professionals to ensure safe medication use and enhance patient...

Champion patient care by leading pharmacy operations, ensuring compliance, and enhancing community health through outreach and effective team management...

Innovate clinical product strategies by analyzing market data and collaborating across departments. Drive product development and regulatory compliance while enhancing clinical initiatives to ensure c...

Empower healthcare outcomes by leading clinical interventions and optimizing medication regimens. Collaborate with members and providers to enhance medication adherence and ensure safe, effective, and...

Join a dynamic team to lead pricing and underwriting functions, driving financial analysis and risk evaluation. Collaborate with supervisors and analysts to enhance pricing strategies and support clie...

Champion financial performance analysis for specialty pharmacy, collaborating with cross-functional teams to enhance revenue integrity and profitability through actionable insights and strategic recom...

Shape the future of clinical research data integrity by leading a dedicated team. Drive operational excellence, ensure compliance, and foster cross-functional partnerships to enhance data quality and...

Join our dynamic team as a Finance Manager, where you'll lead financial analysis, develop models, and present insights to senior leadership, driving growth and accuracy in financial reporting across t...

Elevate healthcare access by managing complex prior authorization processes. Contribute to improving outcomes for vulnerable populations by streamlining workflows, training teams, and resolving issues...

Champion product excellence in Prior Authorization Retrospective, driving the roadmap and lifecycle. Collaborate with technical leaders, conduct customer discovery, and mentor team members to enhance...

Join our team to lead the Virtual Utilization Management Program, ensuring clinical excellence and operational efficiency. Collaborate with diverse healthcare professionals to enhance patient care and...

Elevate healthcare by leveraging your clinical expertise to enhance patient outcomes through individualized health promotion, disease prevention, and collaborative care in a dynamic, supportive enviro...

Champion innovative solutions in Medicaid pharmacy consulting, leading projects and teams to enhance state programs. Collaborate with stakeholders to deliver expert insights and drive impactful change...