• Pharmacist , Utilization…

    Molina Healthcare (NY)
    … (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 (07/19/25)
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  • UM Development Clinical Pharmacist…

    CVS Health (New York, NY)
    …oncology pharmaceuticals, disease management and therapeutics. Knowledge of utilization management interventions including prior authorization, step therapy, ... each and every day. **Position Summary** As a Clinical Development Oncology Pharmacist , you will create and maintain clinical content for specialty oncology drugs… more
    CVS Health (07/16/25)
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  • Case Manager, RN or Licensed Behavioral Health (SN…

    Excellus BlueCross BlueShield (Rochester, NY)
    …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and… more
    Excellus BlueCross BlueShield (06/27/25)
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