• Pharmacist , Utilization…

    Molina Healthcare (Yonkers, 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 (09/25/25)
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  • Sr Mgr, Aetna Medicare Medical Pharmacy…

    CVS Health (Albany, NY)
    …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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  • Case Manager, RN (Commercial)

    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 (09/30/25)
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