Jobtailor is seeking a Pharmacist to lead clinical criteria development for Utilization Management programs, ensuring URAC accreditation and state compliance. The role oversees UM reviews, provides clinical updates, and supports PBM/Medicare Advantage activities.
Requirements include Doctor of Pharmacy, Nebraska license within 6 months, and 3–4 years in Managed Care Pharmacy. Strong data analysis and predictive modeling skills are essential.
#J-18808-LjbffrClinical Pharmacist – Utilization Management & QA in town of florida at Unknown Company
This position is listed as full time and onsite.