• Womens Health Nurse Practitioner - West

    Adelante (Phoenix, AZ)
    …Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations POSITION REPONSIBILITIES + Reports to the Regional Medical ... Womens Health Nurse Practitioner - West Phoenix Job Details...the review of protocols and procedures + Review results of utilization and quality monitoring… more
    Adelante (11/07/25)
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  • Dental Network Service Representative

    Highmark Health (Phoenix, AZ)
    …designs, competitive position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
    Highmark Health (11/14/25)
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  • Senior Clinical Pharmacist, Medical Affairs…

    CVS Health (Scottsdale, AZ)
    …Compliance to ensure equitable application of UM across medical/surgical and behavioral health therapies. **Regulatory Strategy & Compliance** + Facilitate ... At CVS Health , we're building a world of health...for Medical Affairs. This includes accountability and support for utilization management (UM), formulary development, regulatory audits and clinical… more
    CVS Health (11/14/25)
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  • Pharmacy Product Director - Medicare DSNP

    Highmark Health (Phoenix, AZ)
    …+ Participate in product specific Pharmacy and Therapeutics Committees and Drug Utilization Review (DUR) Committees as necessary or contractually required. + ... position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
    Highmark Health (11/14/25)
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  • Market CMO, Centerwell Senior Primary Care…

    CenterWell (Phoenix, AZ)
    …medical guidance and expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more… more
    CenterWell (10/24/25)
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  • Clinical Pharmacist - Pharmacy Advisor

    CVS Health (Phoenix, AZ)
    …AT TOP OF RESUME PLEASE. **Preferred Qualifications** - Pharmacy knowledge, drug utilization review , excellent consultation skills with patients, strong customer ... At CVS Health , we're building a world of health...disease-specific training program including learning the innovative skill of behavioral modification and interviewing. The Pharmacists will utilize these… more
    CVS Health (11/22/25)
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  • Pharmacist - Case and Disease Management (CMDM)…

    Highmark Health (Phoenix, AZ)
    …or care giver, physician, and/or pharmacist through the intervention. **ESSENTIAL RESPONSIBILITIES** + Review gaps in care for high risk patients ​ss part of a ... Pharmacy + 3 - 5 years in Pharmacist - Utilization Management + 3 - 5 years in Pharmacist...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (11/15/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Phoenix, AZ)
    …Director of Physician Strategy at Utilization Management. The Medical Director conducts Utilization review of the care received by members in an assigned ... review organization, such as Medicare Advantage,managedMedicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or… more
    CenterWell (11/06/25)
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  • OB/GYN Physician - West Valley

    Adelante (Goodyear, AZ)
    …Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations POSITION RESPONSIBILITIES Health Care Delivery + ... the review of protocols and procedures + Review results of utilization and quality monitoring...​​☐​Yes or ​☒​No Level One Fingerprint Clearance Required Specialty Behavioral Health Location ​​☒​Yes or ​☐​No Annual… more
    Adelante (10/02/25)
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  • Physician Family Practice

    Adelante (Goodyear, AZ)
    …Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations POSITION REPONSIBILITIES + Health Care Delivery ... Education Level MD degree or DO degree Job Category Health Care Description POSITION SUMMARY The Family Medical Physician...the review of protocols and procedures + Review results of utilization and quality monitoring… more
    Adelante (11/15/25)
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