- Healthfirst (NY)
- …appropriate billable units based on dosing, indication, weight, BMI and other clinical considerations + Develop clinical criteria and medical policies for ... the review of medications + Ensure all clinical criteria is in compliance with Center of Medicare...degree from an accredited school of pharmacy + Registered Pharmacist with a state license in good standing. +… more
- Molina Healthcare (Columbus, OH)
- Molina Healthcare is hiring for a Pharmacist in our UM /Prior Authorization department. This position is remote and can be worked from a variety of locations ... patient outcomes, medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage… more
- University of Michigan (Ann Arbor, MI)
- Clinical Pharmacist Specialist- Cardiology (Part-Time) Apply Now **How to Apply** Applicants will only be considered after successful completion and submission ... of the following: + Completed application via the UM Careers website + Letter of intent + Updated...employer. **Job Detail** **Job Opening ID** 258888 **Working Title** Clinical Pharmacist Specialist- Cardiology (Part-Time) **Job Title**… more
- University of Michigan (Ann Arbor, MI)
- Clinical Pharmacist - Emergency Medicine Apply Now **How to Apply** Applicants will only be considered after successful completion and submission of the ... following: + Completed application via the UM Careers website + Letter of Intent + Updated...employer. **Job Detail** **Job Opening ID** 258113 **Working Title** Clinical Pharmacist - Emergency Medicine **Job Title**… more
- Actalent (Omaha, NE)
- …position offers a great opportunity for a pharmacist looking to transition from a clinical setting to a remote role. Pay and Benefits The pay range for this ... Job Title: Pharmacist - Utilization ManagementJob Description This position will...UM programs and plan design changes. + Provide clinical oversight of the first-level review process. + Perform… more
- University of Michigan (Ann Arbor, MI)
- Clinical Pharmacist Specialist Apply Now **Job...of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the ... opportunity/affirmative action employer. **Job Detail** **Job Opening ID** 260304 **Working Title** Clinical Pharmacist Specialist **Job Title** Clinical … more
- Actalent (Omaha, NE)
- …that URAC accreditation is maintained. Responsibilities + Create and maintain clinical criteria for applicable Utilization Management ( UM ) programs, including ... UM programs and plan design changes. + Provide clinical oversight of the first level review process and...with URAC accreditation Work Environment This is a 100% remote role with a shift from 8am-5pm, Monday to… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Program Development Director/RPh required- REMOTE **Job Description** The Director ... team of pharmacists in a discipline such as Prime UM (Utilization Management) program development or Clinical ...(PharmD) or Bachelor of Science Pharmacy Degree + Current pharmacist license in good standing with the State Board… more
- Highmark Health (Harrisburg, PA)
- …products and services. Ensures attainment of client and/or market-specific operational, clinical , and financial commitments and performance guarantees in addition to ... etc.). Includes analysis and determination and reporting of the clinical and financial value of all member outreach. +...case management, MTM services, and integrated knowledge of pharmacy UM guidelines + Other duties as assigned or requested.… more
- University of Michigan (Ann Arbor, MI)
- …Function as part of a multidisciplinary team with physicians, RNs, a pharmacist , dieticians, fellows, residents and administrative support staff. + Assist with ... of Pediatric Surgery RN/NP experience) + Two years of clinical experience in pediatrics. + Current DEA registration required...of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the… more