Lead Pharmacist - Prior Authorization Systems & Criteria
Capital Rx
Judi Health is seeking a licensed pharmacist with leadership experience to manage a team responsible for clinical criteria and prior authorization (PA) system configurations. You will oversee the creation of utilization management policies, decision trees, and member-facing communications to ensure compliance, efficiency, and clinical accuracy. The ideal candidate brings strategic thinking, strong clinical knowledge, and a passion for leading high-performing teams in a dynamic environment. #J-18808-Ljbffr
- ...Judi Health, LLC is seeking a licensed pharmacist leader to manage a team responsible for PA criteria, system configuration, and communications. You will shape utilization... ..., strong clinical knowledge, and capability to lead high-performing teams in a dynamic environment,...Suggested
$155k - $180k
...Senior Manager, Prior Authorization Systems Pharmacist Judi Health is a health technology company providing... ...millions of Americans and proudly leading the next generation of care. Location... ..., and maintenance of clinical criteria and prior authorization (PA) system...SuggestedWork at officeLocal areaMonday to Friday$128k - $160k
...Supervisor, Appeals Pharmacist Charlotte, North Carolina... ...fragmented, outdated systems with the industry's... ...and proudly leading the next generation of... ...subject matter expert on prior authorization and appeals operations... ...and contract criteria Perform scientific...SuggestedContract workWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift workWeekend work$100k - $120k
Job Description:We are seeking a Trading Systems Lead to conduct complex analysis, testing,... ...requirements, workflow designs, acceptance criteria, test plans, documentation, and clear... ...ability to influence without direct authority, build trusted partnerships, manage competing...SuggestedFull timeWork at officeFlexible hours- ...worldwide leaders in this field. We are actively looking for a Systems Solutions & Adoption Lead to join our IT team. As part of the IT Group, the... ...one sessions with nutritionists, access to a Healthwise Pharmacist, mindfulness apps like The Calm and BetterHelp, and moreFree...SuggestedFor contractorsWork at officeWorldwide
$105k - $120k
...Lead Business Systems AnalystWhere you'll work: Our flexible, hybrid work model offers the option... ...and QA analysts to refine acceptance criteria and align with strategic business goals... ...requirement discussions and present materials.Prior experience in implementing digital...Temporary workWork at officeRemote workFlexible hours- Company DescriptionProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional... ...seeks a IT Developer Lead - Medicaid Management Information System to support requirements for a State Government Medicaid Management...For contractorsWork at office
- ...PharmacistImmediate need for a talented Clinical Pharmacist. This is a 06+months contract... ...S(Remote).Key Responsibilities:Review prior authorization requests and make determinations for... ...adjudication systemsReview guideline criteria for prior authorization and non-formulary...Contract workRemote work
- ...Harris Teeter Floater Pharmacist (Modified Hours) supports multiple store locations. You will perform pharmacist duties, supervise technicians, immunize patients, counsel customers, and ensure compliance with state and federal regulations. The ideal candidate is a...
$56.8k - $71k
...fragmented, outdated systems with the industry's first... ...and proudly leading the next generation of... ...Senior Customer Success Pharmacist and be accountable for... ...existing clients of Judi's Prior Authorization Tool. This role will... ...guidance through criteria, letter, and...Work at officeRemote workShift work3 days per week$85.07 - $93.07 per hour
...Job Description Job Description Genesis10 is currently seeking a Pega - Lead System Architect for a contract position with a Global Financial Institution located in Charlotte, NC or Plano, TX. This is a 12 month contract opportunity. This role is for an experienced...Hourly payPermanent employmentContract work$60 - $63 per hour
...transportation, communications, and consumer and retail industries. Rate Range: $60-$63/Hr Job Description: The Pega Lead System Architect (LSA) with good understanding of Smart Dispute framework, is responsible for driving the end-to-end Pega Application implementation...Work experience placement$116k - $147k
The Systems Analysis job participates in the designing of information systems that are appropriate... ...in role, base salary of internal peers, prior performance, business sector, and... ...retire with dignity, today we're a market-leading retirement company fueled by world-class...Work experience placementWork at office$38 - $45 per hour
Traveling Electronic Security Systems Site Lead Join to apply for the Traveling Electronic Security Systems Site Lead role at Evergreen Fire... ...continuing random background, drug, and MVR screenings Great to Have Prior experience working on government contracts or military bases...Hourly payDaily paidFull timeContract workPart timeFor contractorsFor subcontractorFlexible hours- ...andmaintainoutbound data flows for downstream systems (Oracle FDI)Data Integration &... ...in role, base salary of internal peers, prior performance, business sector, and geographic... ...retire with dignity, today weʼre a market-leading retirement company fueled by world-class...Full timeWork at office
$65 - $77 per hour
...Healthcare & Life Sciences is hiring Pharmacists on-site in Kentucky, Indiana... ...pharmacy services as authorized by law and employer policies... ...with pharmacy management systems and electronic health records... ...pay upon meeting eligibility criteria. Equal Opportunity...Hourly payTemporary workWork at officeLocal areaRelocation package- ...Duke Energy seeks a technically skilled engineer to lead evaluations of utility‑scale BESS equipment, manage the Approved Vendor List... ...role requires hands-on FAT experience, strong knowledge of power system modeling tools, and the ability to travel up to 15% domestically...
- ...Medication Access Pharmacist Help patients start therapy on time | Remote options available Serve as a patient advocate by navigating prior authorizations, insurance requirements, and financial assistance programs. Many roles offer remote or hybrid work so you can focus...Remote work
- ...Salas O’Brien is seeking a Senior Mechanical Engineer in Charlotte, NC to lead HVAC and mechanical system design across healthcare, federal, industrial, municipal, and commercial projects. The role involves client meetings, design through construction support, and collaboration...
$103.8k - $139.2k
...Applicants must be legally authorized to work in the United States. We are unable to sponsor or take over sponsorship of a school... ...the Twin Cities to build a career. Job Purpose: The Lead Business Systems Analyst serves as a senior liaison between Information Technology...Remote workWork visa$170k - $230k
...Industrial Wastewater (IWW) Program Lead - Oil, Gas, and Chemicals... ...water/wastewater treatment systems for the Oil, Gas, and... ...capacities. Develop design criteria, equipment and procurement specifications... ...coordinate with permitting authorities. Provide internal and...Full timeTemporary workPart timeFor contractors$133.37k - $156.9k
...practices at U.S. Bank. This role leads a mix of security... ...expectations.Define and measure success criteria for the function, including... ...identity, authentication, authorization, privileged access, external... ...employment eligibility verification system operated by the U.S....Full timeLocal area3 days per week- ...Arcadis is seeking a Sr. Power System Planning & Study Engineer to join the Power Delivery team in USA. The role focuses on coordinating and developing power system planning studies, performing HVDC planning/feasibility, interconnection and transient studies for North...
- ...Vanguard is seeking a Principal UX Designer to lead the Design Systems and Practices (DS+P) team in shaping the Advisor Experience System (AXS). You will drive architecture for components, tokens, and patterns, partnering with engineers to ensure scalable, accessible,...
- ...HDR, Inc. invites applications for a Senior Control Systems Engineer in Charlotte, NC. This role leads the planning, design and implementation of automated industrial control systems for multiple market sectors, coordinating with clients and multidisciplinary teams to...
- ...Kimmel & Associates Inc. is seeking a commercially minded General Manager to lead the Power Systems Division in Charlotte, NC. You will drive profitability, lead business development, and manage key supplier relationships including major manufacturers, ensuring operational...
- ...Albemarle is seeking a Global Quality Systems Manager to lead strategy, governance, and standardization of Quality Management Systems across its global manufacturing network. This role functions as the company’s global subject-matter expert for QMS governance, process...
- ...through tailored solutions based on industry-leading practices. ProSidian provides Enterprise... ...documented, and comply with established criteria.All employees, in the performance of... ..., including business processes, data, systems, and peopleCommunication - ability to effectively...Full timeContract workWork at office
- ...ProDriven Global Brands seeks an experienced Accounting Manager – Financial Systems & Controls to bridge Accounting, Finance, and IT. You’ll lead ERP modules, governance, and data integrity, driving improvements across North America and global operations. You’ll work...Work at office
- ...Who are we looking for? The Pega Lead Business Architect (LBA) with good understanding... ...and tracking user stories, Acceptance criteria Run Show & Tell sessions with Client as... ...Agile, Center Out, Identify and separate system user stories, integration user stories...Work experience placement
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