• 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 - RN

    Fresenius Medical Center (Schenectady, NY)
    …Experience Required **PURPOSE AND SCOPE:** Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures ... 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 (06/28/25)
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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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  • Director of Business Development - Empire Home…

    Trinity Health (Malta, NY)
    …Marketing Plan for the home infusion service line which promotes greater utilization of by referral sources to delay or avoid unnecessary ED visits/hospitalizations ... offered to business partners, new prospects and colleagues. **Requirements** + NYS licensed pharmacist or NYS RN CRNI certified) required. + 5+ years of experience… more
    Trinity Health (05/13/25)
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