Utilization Management Pharmacist Jobs in Worcester, MA

Advance complex CMC development programs by leading project management efforts, ensuring cross-functional alignment, and driving timely delivery of objectives through effective planning and risk manag...

Transform patient experiences by managing access to therapies in a dynamic team. Collaborate with healthcare providers and insurance companies to ensure seamless support for patients with rare disease...

Lead the charge in transforming clinical decision-making strategies within health insurance, ensuring compliance and quality in medical reviews while advancing innovation in medical management and cro...

Engage in driving sales success within primary care and specialty biopharmaceuticals. Collaborate effectively to execute strategic business plans, achieve sales goals, and launch new products in a dyn...

Shape the future of clinical research by leading cross-functional teams, developing strategic clinical plans, and ensuring compliance with regulatory standards to drive innovative solutions in patient...

Unlock the potential of AI and ML in claims processing by leading innovative data science initiatives. Collaborate with cross-functional teams to design impactful solutions that enhance workflows and...

Champion the adoption of MRD testing services by engaging clinicians and stakeholders, driving strategic business development, and maximizing client relationships within major cancer centers and healt...

Drive customer support excellence by managing a frontline team to ensure timely resolutions, operational efficiency, and a culture of continuous improvement, paving the way for stellar service in heal...

Lead the development of impactful medical communications that translate complex scientific data into clear, engaging content for healthcare professionals, while collaborating across functions to enhan...

Support the Patient Value and Access team by managing accounts, ensuring accurate rebate processing, and driving process improvements. Collaborate with stakeholders to enhance data governance and comp...

Manage and oversee multiple Real-World Evidence studies, ensuring successful execution through strong project management and cross-functional collaboration. Lead vendor oversight and maintain quality...

Lead operational excellence in laboratory departments, ensuring top-tier service delivery, fiscal management, and staff development while collaborating with internal and external stakeholders to achie...

Join a team that's dedicated to enhancing client relationships in healthcare. As a trusted advisor, you'll guide clients through workflows, drive feature adoption, and develop strategic plans to maxim...

Join a dynamic team to drive profitability and enhance Workers’ Compensation strategies. Utilize your analytical skills to analyze state profitability, recommend rate changes, and support actuarial re...

Champion profitable growth by managing E&S commercial property and casualty underwriting. Leverage strong technical skills and relationships to assess risks, deliver competitive quotes, and optimize p...

Accelerate commercial growth by defining strategies for product families, collaborating across teams to translate market insights into actionable plans that drive revenue, profitability, and customer...

Unlock potential by leading HEOR strategy and AI integration, ensuring project success and client satisfaction. Drive business growth, mentor teams, and influence health policy through innovative rese...

Champion accurate coding by interpreting diagnoses and resolving claim errors in this remote role. Leverage your expertise to ensure compliance with CPT, ICD-10, and HCPCS standards while collaboratin...

Champion cross-functional projects to enhance operational efficiency and achieve organizational goals. Lead initiatives from planning to completion, ensuring timely delivery within scope and budget wh...

Drive the claims module for health care projects, providing domain expertise and analysis. Collaborate with teams to ensure quality processes, meet customer expectations, and assist in implementation...

Join a team that's dedicated to providing exceptional inpatient urologic care. Collaborate with a multidisciplinary team in a vibrant community, utilizing state-of-the-art technology to enhance patien...

Drive your career with a dynamic urology team providing inpatient care across two campuses. Collaborate with multidisciplinary professionals to deliver patient-focused services in a vibrant community...

Lead the charge in optimizing HR operations, enhancing employee experience, and supporting Workday implementation. Collaborate across teams to ensure data integrity, compliance, and efficient HR proce...

Drive financial insight and optimize rebate processes by managing complex contracts, analyzing performance trends, and ensuring compliance within the revenue management lifecycle. Collaborate cross-fu...

Join us to drive commercial performance by engaging healthcare providers, building relationships, and supporting product launches. Collaborate with cross-functional teams to ensure patient access to i...