- Banner Health (AZ)
- …If you're looking to leverage your abilities - apply today. In this role of ** Associate Director Pharmacy Utilization Management,** you will oversee the ... You are expected to form a dyad with the Associate Director Pharmacy Technician, who...Grievance and Appeals, Customer Care, Claims, and the Medical Utilization Management Teams. You will manage results and reporting… more
- CenterWell (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Director of Clinical Pharmacy Drug Evaluation and Policy Strategies is responsible for ... the Pharmacy and Therapeutics (P&T) Committee, and the strategies for utilization management automation programs. The Director will collaborate with leaders… more
- CenterWell (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Director of Clinical Pharmacy will be the leader of Forecasting and would lead the ... potential market events that would drive unanticipated changes in cost and utilization . The team also leads our trend detection process, responsible for identifying… more
- University of Utah Health (Murray, UT)
- **Overview** **University of Utah Health is looking for a new Associate Chief Pharmacy Officer to lead Pharmacy Operations!** The Pharmacy Operations ... Responsibilities and Accountabilities** + Supports and oversees the organization's pharmacy operations, direct patient care programs, medication utilization … more
- Independent Health (Buffalo, NY)
- …criteria to determine medical necessity, and when necessary, will consult with the Associate Medical Director and/or Medical Director for all requests ... and a culture that fosters growth, innovation and collaboration. **Overview** The Utilization Review Nurse (URN) performs clinical review to determine the medical… more
- AmeriHealth Caritas (Southfield, MI)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... Under the direction of a supervisor, the Clinical Care Reviewer, Utilization Management evaluates medical necessity for inpatient and outpatient services, ensuring… more
- Merck (Upper Gwynedd, PA)
- **Job Description** **Title: Associate Principal Scientist/ Associate Director , Outcomes Research** **Role Summary** + Under the guidance of a senior leader, ... an Associate Principal Scientist/ Associate Director , has...characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, clinical… more
- AmeriHealth Caritas (Charleston, SC)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer is responsible for completing medical necessity reviews.… more
- Novo Nordisk (San Diego, CA)
- …ongoing clinical relationships with business-critical customers including C-suite individuals, Pharmacy Directors, Medical Directors, and other key clinical decision ... Maintains a network of external relationships with key C-suite individuals, pharmacy directors, medical directors, and other customer groups within Managed Markets.… more
- Ascendis Pharma (Princeton, NJ)
- …to grow and develop their skills. Ascendis Pharma is looking to hire an Associate Director , Pricing & Contracting to join our team. Responsibilities will include ... demonstrating strong leadership, project management, and communication skills. As the Associate Director , Pricing & Contracting, you will be responsible… more