- Molina Healthcare (Columbus, OH)
- Molina Healthcare is hiring for a remote Pharmacist in our Utilization Management department. This role is 100% remote. The Pharmacist , UM will ... and quality initiatives under the direction of leadership. + Monitors drug utilization and assist leadership team in understanding quality and cost-control issues… more
- Highmark Health (Columbus, OH)
- …coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by ... requests for prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to ensure claims… more