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Utilization Review Jobs In Ri - 13 Job Positions Available

1 – 9 of 13 jobs

Remote DUR Pharmacist Safe & Cost-Effective Medication Use Work From Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy

Pharmacy Careers  20 hours ago

Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people

UnitedHealthcare At Home  2 days ago

Remote Clinical Review Pharmacist Work From Home Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions and treatment plans for safety, appropriateness, and cost-effectiveness while working from home. Key Responsibilities Review prescriptions, treatment plans,

Pharmacy Careers  2 days ago
Genoa Telepsychiatry jobs

Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people

Genoa Telepsychiatry  20 hours ago
Blue Cross & Blue Shield of Rhode Island jobs

Pay Range:$53,400.00 - $72,000.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds, different

Blue Cross & Blue Shield Of Rhode Island  7 days ago

Remote Appeals Pharmacist Fair Medication Access Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations

Pharmacy Careers  20 hours ago
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MAXIMUS jobs

Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and supports, eligibility, level of

MAXIMUS  20 days ago
MAXIMUS jobs

Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within

MAXIMUS  12 days ago
MAXIMUS jobs

Essential Duties and Responsibilities: - Supervise a team of employees through cultivation of a high performance team - Ensure adequate staff coverage for assigned program area - Serve as subject matter expert for identified area of

MAXIMUS  4 days ago

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