• Staff Utilization Management

    Humana (Albany, NY)
    **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 (Yonkers, NY)
    **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 (09/25/25)
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  • Clinical Account Pharmacist

    Independent Health (Buffalo, NY)
    …for supporting sales efforts through goals set by Reliance Rx management , supporting non-clinical sales staff , fostering supportive relationships with ... also include performance of the duties of an actively licensed staff /specialty pharmacist including dispensing, on-call coverage, vacation coverage, following… more
    Independent Health (11/01/25)
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  • Supervising Pharmacist , Trade Relations

    Independent Health (Buffalo, NY)
    …best implement and maximize rebate and manufacturer contracts/amendments. The Supervising Pharmacist will also develop pricing, utilization metrics and analysis ... culture that fosters growth, innovation and collaboration. **Overview** The Supervising Pharmacist , Trade Relations will be responsible for administering the rebates… more
    Independent Health (10/13/25)
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  • Trade Relations Pharmacist

    Independent Health (Buffalo, NY)
    …culture that fosters growth, innovation and collaboration. **Overview** The Trade Relations Pharmacist will play an integral role in the rebates and drug ... rebate and manufacturer contracts/amendments. This position will assist in pricing, utilization metrics and analysis reports. They will help in negotiations on… more
    Independent Health (10/13/25)
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  • Clinical Review Pharmacist

    Independent Health (Buffalo, NY)
    …**Overview** The Clinical Review Pharmacist shall assist the Supervising Pharmacist , Prior Authorizations in formulary management including, but not limited ... to: overseeing the prior authorization process, utilization review reporting, pharmacy and therapeutics committee activities, communication with physicians and… more
    Independent Health (10/24/25)
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  • Temporary-Managed Care Pharmacist

    CDPHP (Latham, NY)
    …with managed care pharmacy principles including prior authorization reviews, formulary management , and utilization review preferred. + Experience with Microsoft ... be a part of that experience. The Managed Care Pharmacist -Level I is primarily responsible for the operational...on the outcome of these requests, training of new staff in this process, support of the Plan's care… more
    CDPHP (09/06/25)
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  • 340B Pharmacy Manager- Pharmacist

    Bassett Healthcare (Cooperstown, NY)
    …Health Network 340B team; approximately 2-4 FTE of professional and technical staff + Understanding and oversight of the department budget + Demonstrates fiscal ... Develops and routinely monitors monthly and annual reports which clearly document utilization , savings, problem areas and exceptions or discrepancies, to be passed… more
    Bassett Healthcare (10/29/25)
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  • Chief of Pharmacy Service

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …for the position of Chief, Pharmacy Service. The incumbent must be a licensed pharmacist with previous management experience. The Chief is responsible for all ... management , determining resource needs, allocating resources, ensuring proper utilization in productivity, efficiency, and cost effectiveness of the operation.… more
    Veterans Affairs, Veterans Health Administration (10/30/25)
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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 ... clinical staff . Acts as resource to Case Management staff , members, and providers. + Provides...group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization more
    Excellus BlueCross BlueShield (10/29/25)
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