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 2 days ago
Similar jobs that could be interesting for youBased on the Formulary Strategy & Utilization Review Pharmacist in Plano, TX vacancy
  •  ...looking for a motivated manager to help manage a team of Prior Authorization Pharmacists. This role is pivotal in driving daily performance of the prior authorization team by ensuring high quality reviews, adhering to turnaround times, and delivering exceptional member... 
    Suggested
    Temporary work
    Flexible hours

    SmithRx

    Plano, TX
    7 days ago
  •  ...A healthcare organization in Texas is seeking an RN Utilization Review Coordinator to perform utilization reviews and ensure medical necessity compliance. The role involves collaborating with healthcare teams, managing denial appeals, and supporting discharge planning... 
    Suggested
    Full time

    Surgery Partners

    Addison, TX
    1 day 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... 
    Suggested
    Flexible hours

    SmithRx

    Plano, TX
    10 days ago
  • Medical City McKinney Pharmacist PRN Schedule Mixed Clinical/Operational...  ...staff Sustain the hospital formulary, minimizing nonformulary procurements, utilizing therapeutic interchanges and...  ...PRN opening. We promptly review all applications. Highly qualified... 
    Suggested
    Full time
    Temporary work
    Part time
    Relief
    Work at office
    Flexible hours

    Mission Hospital

    Mckinney, TX
    1 day ago
  • $70 per hour

     ...Pharmacist in Charge (PIC) – Non-Dispensing Operations Rx relief is seeking a dynamic,...  ...the driving force behind our regulatory strategy, operational efficiency, and clinical case...  ...-to-day operations, including the swift review and processing of prescription orders and... 
    Suggested
    Hourly pay
    Work at office
    Immediate start
    Monday to Friday
    Flexible hours

    Rx relief

    Plano, TX
    1 day 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
    24 days ago
  •  ...position type and/or level. Job Summary The Pharmacist Clinical 1 PRN provides pharmaceutical...  ...alternative sources of drug therapy. Reviews medications for accuracy,...  ...Reviews adverse drug reactions and proper utilization. Uses clinical methods to monitor drug... 
    Work experience placement
    Relief
    Immediate start
    Shift work
    Weekend work

    JobRx, Inc.

    Frisco, TX
    1 day ago
  •  ...group of talented, committed team members-pharmacists, pharmacy care coordinators,...  ...developing, implementing, and overseeing strategies aimed at improving healthcare outcomes...  ...optimizing therapeutic outcomes. • Utilize health data analytics to identify trends... 

    Stellus RX

    Plano, TX
    23 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... 
    Full time
    Work at office
    Local area
    Visa sponsorship
    Flexible hours

    Zelis

    Plano, TX
    2 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... 
    Full time
    Remote work

    Innovative Systems Group

    Richardson, TX
    2 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
    1 day 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
    10 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
    Flexible hours
    Shift work
    Night shift

    Oak St. Health

    Plano, TX
    4 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
    Work experience placement
    Local area
    Flexible hours
    Shift work
    Night shift

    CVS Health

    Richardson, TX
    2 days ago
  • $65 per hour

     ...Hospital of Richardson. We are currently recruiting for a PRN Pharmacist to pick up shifts at both locations as needed during facility...  ...may receive more detailed instruction on new projects. Work reviewed for sound reasoning and accuracy. Pay rate: $65.00 per hour... 
    Hourly pay
    Relief
    Local area
    Immediate start
    Monday to Friday
    Shift work

    Cardinal Health

    Richardson, TX
    1 day 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
    2 days ago
  •  ...members to provide the very best care for patients. The Staff Pharmacist position is to perform professional, clinical tasks that will ensure...  ...~150 Top Places to Work in Healthcare by Becker’s Hospital Review , 2023 ~ Top 10 Military Friendly® Employer, Gold Designation... 
    Work experience placement
    Shift work
    Weekend work
    Weekday work

    Methodist Health System

    Richardson, TX
    12 hours ago
  • $125.63k - $138.32k

     ...and professional pharmaceutical work in reviewing, processing, transferring and...  ...state and federal regulations. Conduct pharmacist functions for specialty pharmacy orders...  ...leadership, and coaching skills Experience utilizing pharmacy and clinical systems Focused... 
    Full time

    Walgreens

    Frisco, TX
    12 hours ago
  • $60.9 - $82.3 per hour

     ...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... 
    Hourly pay
    Work at office
    Flexible hours
    Shift work

    Walgreens

    Allen, TX
    6 days 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
    3 days ago
  •  ...Pharmacist This is a hybrid position based in Frisco, Texas, and requires onsite attendance approximately 15% of the time. Candidates...  ...performing clinical and professional pharmaceutical work in the review, processing, compounding and dispensing of prescribed medications... 

    Walgreens

    Frisco, TX
    2 days 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
    1 day ago
  • $43 per hour

     ...Pay Rate: $43 Duties/Responsibilities: • Review documentation to code diagnosis and procedures • Communicate...  ...or procedures via the query process • Assign accurate codes utilizing an electronic encoder application in accordance with practice policy... 
    Hourly pay
    Contract work
    Remote work

    Trident Consulting

    Plano, TX
    3 days ago
  • $20 per hour

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

    NTT America

    Plano, TX
    1 day ago
  •  ...California applicants: Please review the Costco Applicant Privacy Notice. Position Summary Dispenses prescription medications in high-volume pharmacy. Benefits We offer a comprehensive package of benefits including paid time off, health benefits (medical/dental/vision... 
    Temporary work

    Elijahhouseliving

    Allen, TX
    1 day 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
    4 days ago
  •  ...performing clinical and professional pharmaceutical work in the review, processing, compounding and dispensing of prescribed...  ...communities. External Basic Qualifications ~ BS in Pharmacy or Pharmacist Degree from an accredited educational institution ~ Current Pharmacist... 
    Hourly pay
    Work experience placement
    Work at office

    Walgreens Boots Alliance

    Frisco, TX
    10 days ago
  •  ...performing clinical and professional pharmaceutical work in the review, processing, compounding and dispensing of prescribed...  ...team members and communities. Job ID: 1794084BR Title: Pharmacist 80 hours- ON-SITE Company Indicator: Walgreens Employment... 
    Hourly pay
    Work experience placement
    Work at office
    Shift work

    Walgreens

    Frisco, TX
    1 day 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... 
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Flexible hours
    Shift work
    Night shift

    Oak St. Health

    Richardson, TX
    4 days 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
    4 days ago

Do you want to receive more vacancies?

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