Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Formulary Strategy & Utilization Review Pharmacist

Pharmacy Careers

Formulary Strategy & Utilization Review Pharmacist

Shape the drug benefit landscape—analyze and optimize medication use.

Key Responsibilities:

  • Review prescribing trends and propose cost-saving alternatives.
  • Maintain evidence-based formularies across multiple payers.
  • Conduct retrospective DUR and prepare stakeholder reports.

Qualifications:

  • PharmD with managed care, DUR, or pharmacy benefit experience.
  • Strong Excel/data analytics background preferred.
  • Understanding of clinical guidelines and P&T processes.

Why Join Us?

  • Join a top-tier managed care team
  • Hybrid flexibility
  • Strategic and data-driven focus
Vacancy posted 22 hours ago
Similar jobs that could be interesting for youBased on the Formulary Strategy & Utilization Review Pharmacist in Plano, TX vacancy
  •  ...Pharmacist 2 The Pharmacist 2 provides pharmaceutical care to patients in a clinical...  ...alternative sources of drug therapy. Reviews medications for accuracy, appropriateness...  ...adverse drug reactions and proper utilization. Uses clinical methods to monitor drug... 
    Suggested
    Work experience placement

    Baylor University Medical Center

    Plano, TX
    1 day ago
  •  ...Description: Job description - Full-Time Pharmacist Looking to be at the cutting edge...  ...to focus on the clinical aspects of our formulary in addition to traditional pharmacist...  ...within our pharmacy platform Review and sign off on medications being refilled... 
    Suggested
    Full time
    Flexible hours

    TELYRX DALLAS LLC

    Parker, TX
    2 days ago
  • $59k - $75.05k

     ...Nurse Reviewer The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews...  ...accountability. Ability to withstand long period of computer work while utilizing multiple computer screens at one time. Please note at... 
    Suggested
    Full time
    Work at office
    Local area
    Visa sponsorship
    Flexible hours

    Zelis

    Plano, TX
    22 hours ago
  • $79.12k - $98.9k

     ...and external representatives. The role is responsible for the review, red-lining, and documentation of pharma contract language specific...  ..., we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our... 
    Suggested
    Full time
    Contract work
    Temporary work
    Work experience placement
    Work at office
    Local area
    Day shift
    2 days per week
    1 day per week

    Elevance Health

    Plano, TX
    4 days ago
  •  ...full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing and knowledge of accreditation standards. Candidates... 
    Suggested
    Full time
    Remote work

    Innovative Systems Group

    Richardson, TX
    22 hours ago
  •  ...medical necessity and appropriateness of the treatment plan . This position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or respond to correspondence from... 
    Full time
    Contract work
    Remote work

    Innovative Systems Group

    Richardson, TX
    22 hours ago
  •  ...advocate for our clients. As a Plan Operation Pharmacist, you will support the clinical needs and...  ..., including insights on drug spend and utilization, clinical management strategies, medication alternatives, and formulary compliance for new groups. Serve as a clinical... 
    Flexible hours

    SmithRx

    Plano, TX
    3 days ago
  •  ...you will make an impact: Utilizes pharmacy's adjudication platform...  ...verification by Pharmacist. Maintain compliance with...  .... Assists the Pharmacist in reviewing, processing, preparing, filling...  ...is designed to advance our strategy but will also lead to personal... 
    Full time
    Temporary work
    Local area
    Immediate start
    1 day per week

    Elevance Health

    Plano, TX
    3 days ago
  •  ...will make an impact: Utilizes pharmacy's adjudication...  ...prescription verification by Pharmacist. Maintain compliance with...  .... Assists the Pharmacist in reviewing, processing, preparing, filling...  ...is designed to advance our strategy but will also lead to personal... 
    Full time
    Temporary work
    Local area
    Immediate start
    1 day per week

    Elevance Health

    Richardson, TX
    4 days ago
  •  ...availability to work shifts M-F 8:00am-5:30pm Job Summary The Pharmacist PRN will help our communities thrive by assisting members...  ...in monitoring health, wellness and chronic conditions. Reviews and analyzes clinical indicators and whether there is any 'gap... 
    Relief
    Shift work
    Day shift

    Stellus Rx

    Plano, TX
    9 days ago
  • $60 - $76 per hour

     ...Staff Pharmacist We're building a world of health around every individual — shaping a more connected, convenient and compassionate...  ...the pharmacy team to follow—pharmacy workflow procedures and utilizing the safety guardrails at every workstation Contributing to... 
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Remote work
    Flexible hours
    Shift work
    Night shift

    Oak St. Health

    Plano, TX
    2 days ago
  • $60 - $76 per hour

     ...we bring this promise to life with heart every day. Our Staff Pharmacists play a critical role in cultivating a culture of excellence in...  ...the pharmacy team to follow-pharmacy workflow procedures and utilizing the safety guardrails at every workstation Contributing to... 
    Hourly pay
    Full time
    Temporary work
    Part time
    Work experience placement
    Local area
    Flexible hours
    Shift work
    Night shift

    CVS Health

    Richardson, TX
    22 hours ago
  • $60 - $76 per hour

     ...Staff Pharmacist We're building a world of health around every individual — shaping a more connected, convenient and compassionate...  ...the pharmacy team to follow—pharmacy workflow procedures and utilizing the safety guardrails at every workstation Contributing to... 
    Hourly pay
    Full time
    Temporary work
    Part time
    Work experience placement
    Flexible hours
    Shift work
    Night shift

    Oak St. Health

    Richardson, TX
    22 hours ago
  • $60 - $76 per hour

     ...we bring this promise to life with heart every day. Our Staff Pharmacists play a critical role in cultivating a culture of excellence in...  ...the pharmacy team to follow-pharmacy workflow procedures and utilizing the safety guardrails at every workstationContributing to positive... 
    Hourly pay
    Full time
    Temporary work
    Part time
    Work experience placement
    Local area
    Flexible hours
    Shift work
    Night shift

    CVS Health

    Richardson, TX
    4 days ago
  •  ...Job Description Join Our Team at Walgreens as a Pharmacist! Why Walgreens - For You, For Your Family, For Your Future At Walgreens...  ...relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you... 
    Hourly pay
    Flexible hours

    Walgreens Boots Alliance

    Parker, TX
    1 day ago
  • $140k - $145k

     ...Job Title Intake Pharmacist Location CSI Plano TX Additional Location(s) Employee Type Employee Working Hours...  ...activities including initial contacts, clinical chart reviews, dosing and order creation, data entry, prescription entry and... 
    Work at office
    Local area
    Monday to Friday

    CSI Pharmacy

    Plano, TX
    1 day ago
  •  ...s broader mission, vision, and driving strategies. Directly accountable and reports to the...  ...that require the prescriber's or pharmacist's signature for billing are generated and...  ...ensure cost-effective delivery methods are utilized. 23. Oversees the work of pharmacy... 
    Temporary work
    Flexible hours

    KabaFusion

    Carrollton, TX
    4 days ago
  • $60 - $68 per hour

     ...Compound Pharmacist Company: Rx relief Location: Near Plano, TX Schedule: Full-Time Pay: $60.00 – $68.00 per hour (based on...  ...sterile and non-sterile lab operations during overnight hours Review compounding records, ensure adherence to aseptic procedures, and... 
    Hourly pay
    Full time
    Night shift

    Rx relief

    Plano, TX
    4 days ago
  •  ...ole and Responsibilities The Clinical Pharmacist will help our communities thrive by...  ...Provides medication management services utilizing prescribed workflows. Complete assigned...  ...decisions in their medication management review and recommendations and not participate... 
    Local area

    Stellus RX

    Plano, TX
    17 days ago
  • $16.5 - $25 per hour

     ...company SOPs at each workstation to help our Pharmacists manage and improve patient health...  ...events per public health requirements Reviewing and collecting patient information; tracking...  ...interact with patients and colleagues Utilize active listening by giving full attention... 
    Hourly pay
    Full time
    Local area
    Work from home
    Flexible hours
    Shift work
    Night shift

    CVS Health

    Plano, TX
    3 days ago
  •  ...Job Description Job Description The Reny Company's bill reviewer is a professional who combines experience in health insurance and...  ...accuracy and appropriateness. This support is achieved by utilizing intelligent software and by understanding and applying knowledge... 
    Hourly pay
    Work experience placement

    The Reny Company

    Plano, TX
    11 days ago
  •  ...Pharmacist Schedule: PRN, Monday- Friday WellBridge Healthcare Fort Worth is part of Lifepoint Health, a diversified healthcare...  ...therapy protocols as a part of an interdisciplinary team. Reviews, interprets and evaluates medication orders to identify, prevent... 
    Relief
    Monday to Friday

    LifePoint Health

    Plano, TX
    22 hours ago
  • $60 - $76 per hour

     ...this promise to life with heart every day. Our District Support Pharmacists (DSPs) play a critical role in cultivating a culture of...  ...the pharmacy team to follow—pharmacy workflow procedures and utilizing the safety guardrails at every workstation Assumes Pharmacy... 
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Local area
    Flexible hours
    Shift work
    Night shift

    CVS Health

    Richardson, TX
    7 days ago
  •  ...Pharmacist Create an outstanding customer experience by embracing the Customer 1st strategy and inspire associates to deliver excellent customer service. Establish and maintain...  ...24-hour post dispensing audit report, are utilized appropriately - Establish/maintain all record... 
    Full time
    Local area

    Kroger

    Frisco, TX
    2 days ago
  • $60 - $76 per hour

     ...District Support Pharmacist We're building a world of health around every individual — shaping a more connected, convenient and compassionate...  ...the pharmacy team to follow—pharmacy workflow procedures and utilizing the safety guardrails at every workstation Assumes Pharmacy... 
    Full time
    Work experience placement
    Flexible hours
    Shift work
    Night shift

    Oak St. Health

    Richardson, TX
    2 days ago
  •  ...Rehabilitation & Long-Term Care Pharmacist Support patient recovery and independence through personalized medication plans. Key Responsibilities: Review and monitor complex regimens in skilled nursing or rehab facilities. Coordinate care with therapists... 
    Weekday work

    Pharmacy Careers

    Plano, TX
    3 days ago
  • $55 - $66 per hour

     ...We have a new opening for a Pharmacist at Joint Base Elmendorf-Richardson in Anchorage, Alaska Sign-on Bonus: $5,000 payable with first...  ...Counsel patients regarding appropriate use of medications. • Review patient profiles at the time of dispensing in order to closely... 
    Relocation package
    Monday to Friday
    Shift work
    Rotating shift

    Vantage Search Group Inc

    Richardson, TX
    2 days ago
  •  ...Job Description Join Our Team at Walgreens as a Pharmacist! Why Walgreens - For You, For Your Family, For Your Future At Walgreens...  ...relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you... 
    Hourly pay
    Relocation package
    Flexible hours

    Walgreens Boots Alliance

    Parker, TX
    4 days ago
  •  ...Job Description Job Description Description: The pharmacist is responsible for providing pharmacy services to pharmacy patients...  ...knowledge of pharmaceutical products and to manage changes to formulary. Monitor inventory levels to ensure adequate supplies. Maintain... 
    Work at office

    Excel RX Consulting LLC

    Plano, TX
    10 days ago
  • $20 per hour

     ...apply now.We are currently seeking a Sales Executive-Energy and Utilities to join our team in Plano, Texas (US-TX), United States (US)....  ..., Energy, and Utilities industries.Develop and execute a strategy for new logo acquisition within the territory.Build and maintain... 
    Temporary work
    Part time
    Work experience placement
    Work at office
    Remote work
    Flexible hours

    NTT DATA

    Plano, TX
    1 hour ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Formulary Strategy & Utilization Review Pharmacist. Be the first to apply!