• Staff Utilization Management…

    Humana (Atlanta, GA)
    **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for ... to work **1 company holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible… more
    Humana (11/06/25)
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  • Staff Utilization Management…

    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
    Humana (11/01/25)
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  • Pharmacist , Utilization…

    Molina Healthcare (Columbus, 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
    Molina Healthcare (10/16/25)
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  • Senior Pharmacist - Care Management

    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
    Highmark Health (11/04/25)
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  • Pharmacist ( Staff Pharmacist…

    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
    Justice, Bureau of Prisons/Federal Prison System (11/02/25)
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  • Clinical Pharmacist Sr- REMOTE

    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
    Prime Therapeutics (10/31/25)
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  • RN Plan Case Manager

    PruittHealth (Augusta, 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
    PruittHealth (10/29/25)
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  • Licensed Vocational Nurse

    US Tech Solutions (GA)
    …to the Pharmacy Operations Manager, you will work with physician office staff and customer service, admissions and pharmacy operations departments to communicate ... fax processing and provide telephone call assistance for prescriber office staff , pharmacies and members based on program criteria. **Responsibilities:** +… more
    US Tech Solutions (10/17/25)
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