- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert ... be required + Mandatory overtime during peak season **Job Description:** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical professional… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members have access to all medically necessary ... (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy… more
- Highmark Health (Atlanta, GA)
- …pharmacy and member educational initiatives that promote Highmark Wholecare's formularies, utilization management programs, and case/disease management ... + Represent the organization to members, providers, and other staff at participating practices. + Assist in the development...implementation of various programs, including, but not limited to utilization management , disease management and… more
- Justice, Bureau of Prisons/Federal Prison System (Atlanta, GA)
- …usage and/or audits and the suggestion, authoring, or performance of Drug Utilization Evaluation studies needed to maintain quality patient care and cost effective ... medication management . Responsible for the records and reports related to...with responsibility for maintaining security of the institution. The staff correctional responsibilities precede all others required by this… more
- Prime Therapeutics (Atlanta, GA)
- …as a strategic partner during client project requirement sessions, including utilization management , coverage exceptions, and regulatory requirements + Establish ... drives every decision we make. **Job Posting Title** Clinical Pharmacist Sr- REMOTE **Job Description** The Senior Clinical ...with required skills, and provide coaching and feedback to staff consistent with performance management practices +… more
- PruittHealth (Atlanta, GA)
- …the patient to take an active role in his/her care * Working with pharmacist and patient/caregiver to ensure medication therapy management and compliance * ... management plan, utilizing partnership with the other plan staff where appropriate and needed. * Timely creation of...in a managed care setting focused on experience in utilization review/case management and at least two… more