Utilization Management Pharmacist Jobs in Washington, DC

Join a dynamic team to develop and manage supply chain contracting strategies that optimize costs and enhance value for member pharmacies. This role involves supplier negotiations, category performanc...

Transform your career by leading a multidisciplinary team to assess premarket tobacco product applications, providing expert guidance and developing comprehensive technical reports in a dynamic regula...

Manage and lead field-based medical teams, ensuring client delivery and team performance while fostering scientific engagement and program growth. Collaborate with cross-functional teams to achieve st...

Lead the charge in optimizing coding accuracy and compliance by analyzing complex patient care documentation, providing expert guidance, and enhancing coder education to ensure adherence to ethical st...

Join a team that's dedicated to conducting thorough medical reviews and applying clinical judgment to ensure compliance and prevent fraud in healthcare claims. Collaborate with professionals to suppor...

Optimize pharmacy operations by leading a team, ensuring compliance, and enhancing patient care through effective management and quality improvement initiatives. Collaborate with departments to drive...

Transform your career by ensuring data integrity and accuracy in master data management. Collaborate with cross-functional teams to streamline processes and support SAP projects, while maintaining com...

Drive the success of inpatient Payment Integrity programs by overseeing audits, ensuring compliance, and enhancing quality across teams and vendors. Collaborate with stakeholders to optimize processes...

Champion the future of healthcare audit integrity by managing inpatient programs, ensuring compliance, quality, and efficiency across teams and vendors. Drive continuous improvement and uphold audit s...

Lead the charge in delivering exceptional pharmaceutical care by interpreting prescriptions, consulting with patients, and ensuring quality assurance. Collaborate with healthcare professionals to opti...

Lead PBM compliance audits, ensuring adherence to state regulations and industry standards. Supervise examiners, manage client relationships, and adapt to a fast-paced environment while driving progra...

Drive strategic growth by managing high-impact relationships with health systems and specialty pharmacies. Lead account management, enhance client satisfaction, and identify opportunities for value ex...

Unlock potential by leading pharmacy operations across multiple locations, ensuring safe dispensing and patient care. Collaborate with teams to enhance service quality and support health outcomes whil...

Empower patient health by leading pharmacy operations, ensuring safety, compliance, and quality care. Collaborate with your team to enhance service delivery and drive performance in a dynamic healthca...

Lead the charge in enhancing patient care and pharmacy operations. Oversee staff, ensure compliance, and drive quality service while fostering a collaborative team environment to achieve optimal healt...

Reimagine health care delivery as a District Support Pharmacist, enhancing patient care and pharmacy operations across multiple locations. Collaborate with teams to ensure safe practices, improve pati...

Unlock financial insights at a strategic level, driving value realization and governance for transformation investments. Collaborate across functions to enhance performance, support decision-making, a...

Drive your career forward by managing reimbursement support in a dynamic environment. Engage with healthcare providers, educate on reimbursement processes, and enhance patient services while collabora...

Join a team that's dedicated to enhancing patient access by managing reimbursement challenges and providing education to healthcare providers. This role requires strong relationship-building skills an...

Optimize office operations by leading staff management, workflow coordination, and policy compliance. Ensure efficient business practices and high-quality patient services through effective oversight...

Shape provider data governance and operational excellence in Medicaid. Collaborate with cross-functional teams to ensure data integrity, resolve issues, and enhance business performance while maintain...

Empower operational excellence by leading provider data governance and attribution processes. Collaborate across departments to ensure data integrity, enhance reporting accuracy, and drive continuous...

Drive operational excellence by managing daily practice activities, ensuring compliance, and collaborating with stakeholders to enhance efficiency and patient care. Lead a team to achieve financial go...

Transform your career by leading underwriting teams, driving pricing strategies, and ensuring financial performance. Collaborate across departments to influence business growth and deliver sustainable...

Champion the future of pharmacy operations by overseeing all aspects of the Pharmacy Department. Lead a dedicated team, ensure compliance with quality standards, manage inventory, and enhance patient...