- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Director of Utilization Management leads and manages all utilization management (UM) functions for physical health ... state and federal regulatory requirements and all applicable accreditation standards. The Director of Utilization Management is responsible for setting strategic… more
- Dignity Health (Bakersfield, CA)
- …be expected to work within PST business hours.** **Position Summary:** The Medical Director of UM reports to the Chief Physician Executive (CPE) and is responsible ... to developing clinical guidelines, measuring adherence to guidelines, and communicating utilization and quality concerns on specific cases to the provider network.… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Director Clinical Pharmacy and Specialty Operation? At HealthTrust, you come first. HCA ... and you have the opportunity to make a difference. We are looking for a dedicated Director Clinical Pharmacy and Specialty Operation like you to be a part of our… more
- Fallon Health (Worcester, MA)
- …Outpatient case management rounds + Provider appeals review + Member appeals review + Pharmacy issues and referral requests + Medical director on-call coverage + ... licensable). Board certified in medical or surgical specialty. **Experience:** Utilization management; network management; medical policy and technology experience.… more
- Banner Health (AK)
- …and the happiness, satisfaction, wellbeing and fulfilment of their employees. As a **Medical Director for Pharmacy Services** , you will be joining team safety ... (Sr Director of Transfer Services and Sr. Director Clinical Pharmacy ). Looking for someone that...utilization , and/or behavior are problematic. May assist applicable Pharmacy leadership and/or facility CMO in addressing issues. 4.… more
- City and County of San Francisco (San Francisco, CA)
- …care hospital and campus. This position serves as a key partner for the Pharmacy Director to develop and execute key goals, objectives, and priorities. ... provides a range of mental health and substance use treatment services. The inaugural Pharmacy Assistant Director will be a pivotal leader in the Department of… more
- Catholic Health Initiatives (Lufkin, TX)
- …provides millions of dollars in charity care and community support each year. The Director Pharmacy will be responsible for the oversight and coordination of ... of practice, organizational policies/standards, procedures and applicable regulatory requirements. Pharmacy service operations includes the compounding/dispensing of drugs according… more
- Essentia Health (Superior, WI)
- **Job Description** **Job Description:** The Pharmacy Care Management Director is responsible for operations, clinical practice, and ongoing development and ... clinical services, population health pharmacy , medication access, and specialty pharmacy . The Director will drive performance quality measures tied to or… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Specialty Pharmacy position is responsible for providing strategic direction for a system-wide comprehensive specialty ... and a practice model that provides value-based care to patients. The Director Specialty Pharmacy position anticipates and recognizes evolving factors (ie,… more
- Trinity Health (Boise, ID)
- …ten (10) years' experience as a pharmacist. Minimum five (5) years of pharmacy management experience. Previous director level experience. Management within a ... exceptional service and the highest quality of care. **POSITION PURPOSE** The Pharmacy Leader (PL) is a licensed registered pharmacist accountable for leading,… more
- Scripps Health (San Diego, CA)
- …of pharmacy , hosting pharmacy students and residents every year.The Pharmacy Director is responsible for the provision of the overall administration, ... design, financial performance, human resource management, regulatory compliance, quality, utilization management, marketing, integration and evaluation of Pharmacy… more
- Limitless Male (Omaha, NE)
- Job Title: Director of Pharmacy Why Atlas RX? Atlas is a fast-growing, unique, and team-oriented company that loves to take care of our employees AND our ... insurance, Atlas branded clothing, discounts, a great culture, and more! Summary: The Director of Pharmacy is responsible for the overall management and… more
- AdventHealth (Tampa, FL)
- …Association as a Primary Stroke Center. **The role you'll contribute:** + Pharmacy Residency Program Director is responsible for direction, conduct, oversight, ... pharmacy experience. . Advance Cardiac Life Support (ACLS). . Applicable State Pharmacy License. ASHP Residency Program Director experience OR ASHP Residency… more
- Centene Corporation (Tallahassee, FL)
- …and driving performance. + Ownership of financial and operational objectives for pharmacy quality initiatives and retrospective drug utilization programs through ... committees (ie Pharmacy Quality Oversight, Quality Improvement Work group, Drug Utilization Review) + Performs special duties as needed. **Preferred A Doctor of … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Director , Pharmacy Government Programs is responsible for implementing the organization's pharmacy vision and ... compliance, population health, and/or member/provider experience. + Analyzes Medicare and Medicaid pharmacy and medical drug utilization data to identify trends… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …organizational policies/standards, procedures and applicable regulatory requirements. Pharmacy service operations includes the compounding/dispensing of drugs ... issues. If applicable to the assigned facility, directs and evaluates the Pharmacy Residency Program and supervises on-site program participants. + Work requires… more
- Sutter Health (Lakeport, CA)
- …and operational planning for the activities and resources of the Pharmacy Department. Provides leadership and administrative support in operations, budget planning, ... and high cost pharmacy product purchases. Ensures optimal provision and coordination of...and oversees implementation of patient medication safety strategies. Ensures utilization of best practice clinical programs and cost savings… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Directs, plans, and leads pharmacy business operations functions. Coordinates activities between the various stakeholders within Pharmacy , Revenue ... ( ie , electronic medical records). Works closely with Information Services and Pharmacy leaders to develop and maintain a pharmacy technology roadmap. Oversees… more
- Cleveland Clinic (Cleveland, OH)
- In collaboration with the Chief Pharmacy Officer, provides strategic direction and leadership for Community and Specialty Pharmacy segments of the pharmacy ... community pharmacies, mail order service, adherence packaging and specialty pharmacy . Assures pharmacies execute department strategies that drive business and… more
- Fairview Health Services (Minneapolis, MN)
- …execution of cutting-edge payer programs and services that position Fairview Specialty Pharmacy as a market leader in the competitive specialty marketplace. Drive ... Specialty for success in competitive bidding scenarios against national specialty pharmacy organizations. + Partner with senior leaders to evaluate and recommend… more