Utilization Management Pharmacist Jobs in Washington, DC

Join a team that's redefining care management by leading strategic initiatives in utilization and appeals processes. Drive high-quality, cost-effective care while ensuring compliance and fostering a c...

Optimize cross-portfolio analytics to enhance Gross-to-Net performance, identify anomalies, and drive process improvements. Collaborate with diverse teams to deliver actionable insights and scalable r...

Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...

Lead the charge in optimizing drug library implementations for smart infusion pumps, collaborating with healthcare teams to enhance medication safety and workflow efficiency across mid- to large-sized...

Drive continuous improvement initiatives by identifying opportunities, developing best practices, and implementing metrics to enhance performance across the business unit, fostering a culture of excel...

Lead NCQA Health Outcomes and Community-Focused Care Accreditation initiatives, driving quality improvement and compliance across health plans. Collaborate with teams to enhance equitable health outco...

Optimize advocacy content development to enhance legislative and policy priorities. Collaborate with stakeholders to create engaging materials, translating complex healthcare issues into accessible fo...

Transform healthcare sales by driving growth through strategic partnerships with HCPs. Leverage insights and effective communication to enhance product adoption and customer engagement while achieving...

Transform healthcare reimbursement by drafting and standardizing payment policies that enhance accuracy, compliance, and provider experiences across stakeholders, ensuring clear operational guidance w...

Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...

Empower Medicaid leaders by driving client growth and innovative solutions in finance and program integrity. Leverage deep expertise to enhance payment accuracy and operational efficiency while foster...

Transform utility operations by leveraging expertise in grid systems and energy technology. Lead projects, mentor junior staff, and provide strategic insights to enhance performance and support progra...

Drive statistical leadership in oncology clinical development, guiding study design, analysis, and regulatory submissions. Collaborate with cross-functional teams to ensure high-quality deliverables a...

Join a dynamic team as a Medical Claims Auditor, ensuring compliance and integrity in healthcare payments. Collaborate with cross-functional teams to identify fraud, waste, and abuse while leveraging...

Lead transformative process improvements to enhance healthcare quality and efficiency. Collaborate with teams to elevate performance metrics, oversee cultural competency initiatives, and drive strateg...

Grow your career with a dynamic team focused on optimizing provider operations. Lead credentialing initiatives, implement AI solutions, and enhance workflows while ensuring compliance and operational...

Transform sales enablement by unifying training programs across teams. Collaborate with stakeholders to design playbooks and KPIs, ensuring alignment with commercial goals. Drive adoption and measure...

Join a team that's dedicated to enhancing Medicaid and CHIP programs. Lead complex projects, provide expert insights, and collaborate with stakeholders to drive impactful solutions in a dynamic consul...

Lead clinical pharmacy services in infectious diseases, enhancing patient care through direct involvement, education, and collaboration with healthcare teams to ensure safe and effective drug therapy...

Empower your career by managing clinical pharmacy services for infectious diseases. Collaborate with healthcare teams to enhance patient care, develop protocols, and educate staff, making a significan...

Drive operational excellence in provider credentialing by leading a hands-on team, optimizing workflows, and implementing AI solutions to enhance efficiency and scalability in a fast-paced environment...

Lead the effective daily operations of Risk Management, integrating corporate programs and supervising staff to ensure compliance and continuous reporting within a dynamic healthcare environment...

Champion quality performance initiatives by collaborating across departments to enhance healthcare outcomes through data analysis, project management, and compliance with regulatory standards, ensurin...

Manage and execute drug formulary strategies, ensuring compliance with regulations while collaborating with cross-functional teams to enhance pharmacy utilization management and educational initiative...

Lead the sales strategy for a healthcare Payer business unit, driving market penetration, revenue growth, and client satisfaction. Collaborate with leadership to shape go-to-market strategies and buil...