• Staff Utilization Management

    Humana (Albany, NY)
    …of our caring community and help us put health first** Job Description Summary The Staff Utilization Management Pharmacist is a clinical pharmacist ... medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work… more
    Humana (05/17/25)
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  • Temporary-Managed Care Pharmacist

    CDPHP (Albany, NY)
    …with managed care pharmacy principles including prior authorization reviews, formulary management , and utilization review preferred. + Experience with Microsoft ... be a part of that experience. The Managed Care Pharmacist -Level I is primarily responsible for the operational...on the outcome of these requests, training of new staff in this process, support of the Plan's care… more
    CDPHP (05/14/25)
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  • Dialysis Charge Registered Nurse

    Fresenius Medical Center (Albany, NY)
    **PURPOSE AND SCOPE:** Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision ... 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 (04/25/25)
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  • Pharmacy Technician, Clinical/MTM

    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 ... **Job Description** **Job Summary** Molina MTM Pharmacy Services staff work to ensure that Molina members have access to Medicare Star medications and those meds are… more
    Molina Healthcare (05/03/25)
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