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

Drug Utilization Review Pharmacist

Pharmacy Careers

Drug Utilization Review Pharmacist – Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for pharmacists who enjoy analyzing medication use, applying clinical guidelines, and collaborating with providers to promote safe, cost-effective care. Key Responsibilities Conduct prospective, concurrent, and retrospective drug utilization reviews. Evaluate prescribing patterns against clinical guidelines and formulary criteria. Identify potential drug interactions, duplications, and inappropriate therapy. Prepare recommendations for prescribers to optimize therapy and reduce risk. Document reviews and ensure compliance with state, federal, and health plan requirements. Contribute to quality improvement initiatives and pharmacy program development. What You’ll Bring Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. Licensure: Active and unrestricted pharmacist license in the U.S. Experience: Managed care, PBM, or health plan experience preferred — but hospital and retail pharmacists with strong clinical skills are encouraged to apply. Skills: Analytical mindset, detail-oriented, and excellent written and verbal communication. Why This Role? Impact: Shape prescribing decisions that affect thousands of patients. Growth: Build expertise in managed care and population health pharmacy. Flexibility: Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive salary, benefits, and career advancement opportunities. About Us We are a confidential healthcare partner providing managed care pharmacy services nationwide. Our DUR pharmacists play a key role in ensuring that medications are used safely, appropriately, and cost-effectively across diverse patient populations. Apply Today Advance your career in managed care pharmacy — apply now for our Drug Utilization Review Pharmacist opening and help lead the way in improving medication safety and outcomes. #J-18808-Ljbffr

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Drug Utilization Review Pharmacist in Providence, RI vacancy
  • $104k - $143k

     ...Become a part of our caring community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management Clinical... 
    Suggested
    Daily paid
    Full time
    Contract work
    Apprenticeship
    Remote work
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work

    Humana

    Providence, RI
    4 days ago
  •  ...Humana Inc is seeking a Utilization Management Clinical Pharmacist 2 in Rhode Island. This role involves conducting comprehensive medication reviews and making independent decisions related to patient care and medication utilization. Candidates must possess a Pharm.D... 
    Suggested
    Remote work
    Flexible hours

    Humana

    Providence, RI
    2 days ago
  • $56 - $58 per hour

     ...Description: The role of the Clinical Pharmacist in the Pharmacy Advisor team, a...  ...patient issues. The Pharmacists will utilize their skill sets as key drivers to...  ...experience. Preferred- Pharmacy knowledge, drug utilization review, excellent consultation skills with... 
    Suggested
    Hourly pay
    Permanent employment
    Contract work
    Flexible hours

    US Tech Solutions

    Providence, RI
    3 days ago
  • $110.3k - $182k

     ...clinical pharmacy team is seeking a pharmacist specialist with...  ...pharmacotherapeutics, pharmaceutical care, drug information services and...  ...care services. Reviews and analyzes proposed clinical...  ...and objectives. Monitors drug utilization projections and recommends corrective... 
    Suggested
    Temporary work
    Internship
    Remote work
    Monday to Friday
    Shift work

    Lifespan

    Providence, RI
    11 days ago
  •  ...Clinical Pharmacist Specialist, Ambulatory Reports to Director, Specialty...  ..., pharmaceutical care, and drug information services....  ...and standards of practice. Reviews and analyzes services provided...  ...specialized equipment and technologies utilized in drug information and... 
    Suggested
    Temporary work
    Internship

    Brown University Health

    Providence, RI
    3 days ago
  •  ...Clinical Pharmacist Specialist The Clinical Pharmacist Specialist...  ...pharmacotherapeutics, pharmaceutical care, and drug information services....  ...related to medication use, reviewing and analyzing Pharmacy...  ...objectives, monitoring drug utilization projections and recommending... 
    Temporary work
    Work experience placement
    Internship

    Brown University Health

    Providence, RI
    3 days ago
  • $25.42 - $26.5 per hour

     .... Under the supervision of a pharmacist and direction of a Pharmacy Technician...  ...Specialist, Inpatient utilizes experience-based knowledge to...  ...Rooms responsibility: Reviews and analyzes operations on an...  ...position must successfully pass a drug screen in conformance with Rhode... 
    Work at office
    Shift work
    Day shift
    Weekday work

    Lifespan

    Providence, RI
    5 days ago
  • $73k - $75k

     ...Fortune Best Workplaces in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To provide timely, evidence-based utilization...  ...benefits Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience... 
    Work at office
    Flexible hours

    Sedgwick

    Providence, RI
    3 days ago
  • $53.03 - $87.5 per hour

     ...cost-effective medication use. Reviews, monitors, and verifies...  ...medications for appropriateness of drug, dosage, route of...  ...orientation and training of pharmacists, residents, student interns,...  ...technicians, and student externs. Utilizes LifeChart reporting and inventory... 
    Temporary work
    Shift work
    Weekend work
    Day shift

    Lifespan

    Providence, RI
    9 days ago
  • $126.3k - $173.7k

     ...caring community The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist monitors drug development...  ...support for internal stakeholders. Utilizes broad understanding of managed...  ...appropriate state. Complete clinical reviews, policy development, operations... 
    Full time
    Temporary work
    Apprenticeship
    Remote work
    Home office

    Humana

    Providence, RI
    3 days ago
  •  ...Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote-United States...  ...relevant to Medicare managed care appeals or utilization management activities, preferred....  ..., or local law. Tanaq complies with the Drug-free Workplace Act of 1988 and E-Verify.... 
    Full time
    Contract work
    Part time
    For contractors
    Work at office
    Local area
    Remote work
    Night shift

    St. George Tanaq Corporation

    Providence, RI
    7 days ago
  • $23.11 - $38.16 per hour

     .... Under the supervision of a pharmacist and Purchasing Specialist receives...  ...in compliance with the Drug Supply Chain Security Act (DSCSA...  ...transferred out of the CSC. Utilizes computerized systems to...  ...University Health facilities. Reviews and analyzes pharmacy supply... 
    Work experience placement
    Immediate start
    Shift work

    Lifespan

    Providence, RI
    11 days ago
  •  ...A healthcare partner is seeking a skilled Drug Utilization Review Pharmacist to analyze medication use and improve patient outcomes. This role involves conducting drug utilization reviews and evaluating prescribing patterns. Applicants should possess a PharmD or Bachelor... 
    Remote work

    Pharmacy Careers

    Providence, RI
    2 days ago
  • $118.4k

     ...environment monitoring FDA-approvals, drug manufacturer pipelines, and assessing drug utilization reports, to develop and execute...  ...drug monographs for committee review; develop and implement the...  ...CERTIFICATIONS Required ~ Registered Pharmacist (Non-State Specific)... 
    For contractors
    Work at office
    Local area
    Remote work

    Highmark Health

    Providence, RI
    5 days ago
  •  ...Description: ~ The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform...  ...to decision cases Utilize work instructions and Medicare...  ...clinical judgement and knowledge, drug compendia resources, relevant and... 
    Contract work

    US Tech Solutions

    Providence, RI
    7 days ago
  • $53 - $56 per hour

     ...zone Job Description: The Pharmacist/Clinician is an operation-...  ...conducts criteria based & clinical review of medical data collected to...  ...providers, and appropriately utilizing clinical knowledge and...  ...professional and technical knowledge of drug and disease states for the... 
    Hourly pay
    Contract work
    Local area
    Remote work
    Monday to Friday
    Shift work

    US Tech Solutions

    Providence, RI
    4 days ago
  • $105.02k - $173.26k

     ...SUMMARY: Reports to the Pharmacist-in-Charge. Under general supervision of a Pharmacy Supervisor...  ...medication use. Oversees and closely reviews the work of pharmacy technicians and...  ...the patient's clinical status, concomitant drug therapy and diet, and with consideration... 
    Temporary work
    Shift work
    Rotating shift

    Lifespan

    Providence, RI
    6 days ago
  • $50.49 - $83.3 per hour

     ...supervision of a Pharmacy Supervisor or Pharmacist-in-charge, is responsible for the interpretation...  ...adult, geriatric). Oversees and closely reviews the work of pharmacy technicians and...  ...therapeutic appropriateness of the patient's drug regimen as it relates to the patient's... 
    Daily paid
    Shift work

    Lifespan

    Providence, RI
    4 days ago
  • $19.97 - $32.96 per hour

     ...Pharmacy Services. Under the supervision of a Pharmacist and direction of the Pharmacy Technician...  ...and knowledge for the respective area. Utilizes experience-based knowledge to perform...  ...of wait times and any issues regarding drug availability, including advising on the... 
    Daily paid
    Work experience placement
    Work at office
    Immediate start
    Shift work

    Lifespan

    Providence, RI
    5 days ago
  • $65.72 - $69.47 per hour

     ...HIRING: WFH- Prior Authorization Pharmacist Adecco Healthcare is...  ...AZ Time What You'll Do Review and evaluate medication prior...  ...clinical guidelines, FDA labeling, drug compendia, and formulary...  ...benefit management trends • Utilization management processes Apply... 
    Hourly pay
    Temporary work
    Local area
    Immediate start
    Remote work
    Work from home
    Monday to Friday
    Flexible hours

    Adecco US, Inc.

    Cumberland, RI
    4 days ago
  • $50.49 - $83.3 per hour

     ...SummaryReports to the Pharmacist-in-Charge. Under general supervision of a Pharmacy Supervisor...  ...health record (EHR) by a provider.Reviews and interprets each order for completeness...  ...the patient's clinical status, concomitant drug therapy, diet, and developmental stage.Contacts... 
    Daily paid
    Temporary work
    Remote work
    Flexible hours
    Shift work
    Afternoon shift
    Weekday work

    Lifespan

    Providence, RI
    5 days ago
  • $105.02k - $173.26k

     ...applicable. Under the supervision of the Pharmacist-In-Charge, Pharmacy Supervisor, Senior Clinical...  ...medication use. Oversees and closely reviews the work of pharmacy technicians,...  ...therapeutic appropriateness of the patient’s drug regimen as it relates to the patient’s clinical... 
    Temporary work
    Shift work
    Rotating shift

    Lifespan

    Providence, RI
    8 days ago
  •  ...Job Responsibilities Review and assess medication orders to identify, prevent, and resolve potential and actual drug-related problems. Recommend formulary alternatives when appropriate. Compound and dispense medications for accurate delivery to patients. Provide drug information... 
    Full time

    MDA Edge

    Providence, RI
    2 days ago
  •  ...recommendations to meet QM objectives Responsibilities: · Reviews documentation and evaluates Potential Quality of Care issues...  ...Nurse in state of residence · Must have prior authorization utilization experience · Able to work in multiple IT platforms/systems... 
    Contract work

    US Tech Solutions

    Providence, RI
    7 days ago
  • $65 per hour

     ...Infusion Pharmacist Job Locations US-MA-HUDSON | US-RI-PAWTUCKET | US-RI-PROVIDENCE...  ...diseases, robust pipeline of infusible drugs coming to market, and an industry shift...  ..., customer service and distribution. Reviews, receives and verifies all new patient... 
    Full time
    Temporary work
    Local area
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    BrightSpring Health Services

    Providence, RI
    6 days ago
  • $65 - $71 per hour

     ...Pharmacist Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for...  ..., you will... Evaluate and monitor drug therapy relative to the total needs of...  ...nurses, customer service and distribution. Review, receive and verify all new patient... 
    Temporary work
    Relief
    Monday to Friday
    Flexible hours
    Weekend work
    Afternoon shift

    BrightSpring Health Services

    Providence, RI
    6 days ago
  • $53 - $58 per hour

     ..., RI Contract Job Summary: The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization...  ...Maintain professional and technical knowledge of drug and disease-states for the Specialty Pharmacy... 
    Hourly pay
    Contract work
    Work experience placement

    US Tech Solutions

    Providence, RI
    7 days ago
  • $58.49k - $96.49k

     ...Drug Diversion Prevention Technician Specialist Reports to...  .... Under the supervision of a pharmacist, the Drug Diversion Prevention...  ...outliers based on assessment of utilization from controlled substance...  ...and ensures accuracy through review of transaction data and, if required... 
    Work experience placement
    Work at office
    Shift work

    Brown University Health

    Providence, RI
    1 day ago
  •  ...Pharmacist Position at Apotheco Pharmacy Our company, Apotheco Pharmacy, is searching for...  ...authorizations. Making sure all drugs have a minimum of 6 months prior to expiration...  ...physician calls, efficient drug utilization management, safe dispensing, providing accurate... 
    Daily paid
    Part time
    Remote work
    Monday to Friday

    Apotheco Pharmacy Group

    Providence, RI
    5 days ago
  •  ...Case Management Pharmacist – Coordinate Care and Improve Patient Outcomes A confidential managed care...  ...-risk or complex patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and... 
    Remote work

    Pharmacy Careers

    Providence, RI
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Drug Utilization Review Pharmacist. Be the first to apply!