Utilization Management Pharmacist Jobs in Washington, DC

Advance global clinical trials by leading cross-functional teams, ensuring compliance and operational excellence while managing timelines and budgets to deliver impactful results in Oncology research...

Drive success by promoting innovative products to diverse healthcare accounts, fostering relationships, and delivering expert training. Collaborate with teams to exceed sales goals while ensuring comp...

Engage in strategic clinical development as a Solutions Consultant, driving impactful solutions and fostering cross-functional collaboration to enhance client success and market positioning in a dynam...

Join a team that's dedicated to enhancing patient care through effective case management. Collaborate with clinical staff to implement programs, ensure compliance, and drive quality outcomes while sup...

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...

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...

Lead a dynamic Pharmacy Team to ensure safe medication dispensing and exceptional patient care. Manage staff, optimize workflows, and enhance customer experiences while adhering to regulatory standard...

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 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 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...

Drive strategic operations for revenue cycle performance, optimizing collections while ensuring patient and employee satisfaction. Lead a high-functioning team, manage accounts receivable, and impleme...

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 the charge in advancing risk adjustment strategies by driving innovative, cross-functional initiatives that ensure operational excellence and enhance healthcare quality, partnering with various s...

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...

Lead transformative engagements in Payer Utilization Management, driving client success through strategic solutions, operational excellence, and team development while fostering lasting client relatio...

Transform the future of Medicaid systems by leading large-scale MMIS implementations. Manage cross-functional teams, engage with state stakeholders, and ensure compliance with CMS certification proces...

Engage in impactful program coordination and stakeholder engagement to support the Equity Equals Excellence Strategy. Collaborate on data analysis, communications, and operational support to enhance p...

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...

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...

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...

Elevate healthcare delivery by overseeing utilization review and care management, ensuring compliance with medical standards while enhancing quality and cost-effectiveness in patient care. Collaborate...

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...

Elevate client engagement by leading reimbursement research and consulting projects. Manage teams, budgets, and timelines while developing strategic recommendations in healthcare reimbursement and mar...