• Pharmacist , Utilization…

    Molina Healthcare (Augusta, GA)
    … (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
    Molina Healthcare (09/25/25)
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  • Pharmacist , Utilization…

    Molina Healthcare (Macon, GA)
    …and quality initiatives under the direction of leadership. * Monitors drug utilization and assists leadership team in understanding quality and cost-control issues ... pharmacy benefit changes for the upcoming year. * Works with the care management department as part of a member-centered interdisciplinary care team (ICT). * Works… more
    Molina Healthcare (10/09/25)
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  • Sr Mgr, Aetna Medicare Medical Pharmacy…

    CVS Health (GA)
    …long-term vision and strategy around Part B drug management related to utilization management ( UM ), clinical programs, and pharmacy operations. + Lead ... every day. As the Senior Manager, Aetna Medicare Medical Pharmacist , you will play a key role in the...B and specialty drugs. Key areas of responsibility include utilization management , clinical programs, and operational excellence.… more
    CVS Health (09/27/25)
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  • Pharmacist - Clinical Advisor

    CVS Health (GA)
    …+ Consulting with and recommending standard and custom formulary options and utilization management edits. + Collaborating with internal partners to develop ... drives lowest net cost. + Consulting with and recommending utilization management programs or other clinical programs...Advisor will consult with and advise the Clinical Benefits Pharmacist , and or other members of the Benefits and… more
    CVS Health (10/08/25)
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  • Clinical Staff Pharmacist Remote

    Prime Therapeutics (Atlanta, GA)
    …evaluation for coverage determination requests for prior authorization (PA) or other utilization management ( UM ) programs, including quantity limits, step ... Pharmacist is responsible for the processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization, step therapy,… more
    Prime Therapeutics (10/01/25)
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