• Staff Utilization Management

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical pharmacist who ... medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work… more
    Humana (06/25/25)
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  • Pharmacist , Clinical/MTM Remote, PST

    Molina Healthcare (Albany, NY)
    …Adherence follow-up efforts to improve Part D STARS, Medicare/MMP LOB. Molina Pharmacy Services/ Management staff work to ensure that Molina members have access ... efficiently and effectively. These pharmacists may also be involved in providing utilization management /prior authorization services. Key duties include any or… more
    Molina Healthcare (06/26/25)
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  • Dialysis Charge Registered Nurse

    Fresenius Medical Center (Albany, NY)
    …Charge 1 role **PURPOSE AND SCOPE:** Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ... with policies, procedures and training. Provides nursing support to patients and staff . Assists with staffing, staff training, equipment, physician and patient… more
    Fresenius Medical Center (06/14/25)
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  • Pharmacy Technician, Clinical/MTM Remote Outbound…

    Molina Healthcare (Albany, NY)
    …and state laws. Jobs in this family include those involved in formulary management (such as, reviewing drug/provider utilization patterns and pharmacy costs ... to 630pm **Mountain Standard Time.** Molina MTM Pharmacy Services staff work to ensure that Molina members have access...is a MUST! **Job Duties** + Collaborate with Molina pharmacist on medication adherence and provide follow-up on identified… more
    Molina Healthcare (06/25/25)
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