Utilization Management Pharmacist Jobs

Shape the future of patient care as a Clinical Pharmacist Practitioner, collaborating with a multidisciplinary team to manage advanced heart failure therapies and enhance patient outcomes through educ...

Support our mission by providing clinical expertise in mental health and substance use treatment. Collaborate with multidisciplinary teams to ensure appropriate services and improve health outcomes fo...

Pioneer innovative solutions in mental health care by providing clinical expertise in utilization management, ensuring appropriate services for members while collaborating with multidisciplinary teams...

Champion the Utilization Management program by leading initiatives, ensuring compliance, and fostering collaboration across departments. Drive process improvements and mentor staff to enhance patient...

Champion patient care by overseeing clinical pharmacy services, ensuring safe medication use, and collaborating with healthcare teams to optimize therapeutic outcomes. Drive quality improvement initia...

Join a team that's dedicated to optimizing healthcare delivery through strategic leadership in Utilization Management. Drive excellence in clinical care and operational outcomes while ensuring complia...

Champion quality patient care by managing resource utilization and coordinating services. Collaborate with patients, families, and care teams to ensure optimal outcomes and compliance with regulations...

Advance healthcare by managing formulary operations and ensuring compliance with Medicare Part D regulations. Collaborate with healthcare teams to promote cost-effective prescribing and optimize drug...

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...

Oversee preoperative utilization review processes to ensure proper patient status designation while collaborating with clinical teams to enhance compliance and financial stewardship, ultimately minimi...

Drive patient care coordination by collaborating with multidisciplinary teams to ensure safe admissions, effective discharge planning, and compliance with healthcare regulations while advocating for o...

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...

Lead the charge in optimizing medication therapy through collaboration with healthcare teams, conducting drug utilization reviews, and educating pharmacy interns. Engage in quality improvement initiat...

Join a team that's dedicated to enhancing mental health services through clinical expertise. This remote role involves reviewing treatment requests, collaborating with providers, and ensuring quality...

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...

Elevate clinical pharmacy care by ensuring accurate prior authorization reviews, collaborating with providers, and driving optimal outcomes through evidence-based practices and proactive engagement in...

Optimize patient outcomes by collaborating with healthcare teams to provide expert oncology pharmacotherapy, ensuring safe medication management and education across multiple pharmacy locations with a...

Support members by providing complex care management and coordination, ensuring effective communication and resource connection. Collaborate with care coordinators to enhance member outcomes and meet...

Drive comprehensive pharmaceutical care by evaluating, preparing, and dispensing medications. Collaborate with healthcare providers to ensure patient safety, manage drug therapies, and oversee pharmac...

Join a team that's dedicated to optimizing patient care through effective utilization management. Leverage your clinical expertise to coordinate services, communicate with stakeholders, and ensure adh...

Manage the design and validation of pharmacy benefit plans, ensuring accurate coding and comprehensive client support. Maintain service levels to meet corporate performance and quality standards while...

Shape the future of pharmacy benefit management by ensuring accurate formulary coding and providing exceptional client support. Collaborate with pharmacists and clients to maintain high service levels...

Join our team to provide utilization review and care coordination, ensuring quality and cost-effective healthcare for members across the continuum. Your expertise will enhance patient outcomes and str...

Lead the charge in optimizing patient medication therapy management, collaborating with care teams to enhance health outcomes and reduce costs. Utilize your clinical expertise to conduct comprehensive...

Drive patient care excellence by delivering safe pharmacy services, coordinating with healthcare teams, and educating patients on medication use. This entry-level role emphasizes patient assessment, c...