- Molina Healthcare (Yonkers, NY)
- … (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy ... patient outcomes, medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist , UM will be responsible for reviewing coverage… more
- The Cigna Group (Morris Plains, NJ)
- …Strategist Sr Advisor will hold a key role in in ensuring that our utilization management ( UM ) policies align with clinical guidance, drive formulary ... strategy teams, and other matrixed partners to assess for UM policies business impacts and contract adherence. This role...+ Minimum of 4 years of experience in healthcare utilization management or a related field. +… more
- The Cigna Group (Morris Plains, NJ)
- **Overall** Responsible for leading clinical strategy development and product management for pharmacy utilization management and the coordination of rebate ... contracting efforts to ensure alignment across formulary, utilization management , SafeGuard, and other trend solutions....management + 8+ years relevant experience + Licensed pharmacist in good standing, if degree is Pharmacy +… more