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

Apply

Vacancy posted 4 days ago

Similar jobs that could be interesting for youBased on the Formulary Strategy & Utilization Review Pharmacist in Dallas, TX vacancy

Pharmacist
...dispensing and order review activities. MINIMUM... ...Must be a Registered Pharmacist in the State of Texas... ...ensures appropriate formulary use. Resolves routine... ...implements cost containment strategies such as therapeutic... ...to ensure maximum utilization of individuals while...
Suggested
Part time
Local area
Shift work
Rotating shift
Parkland Health and Hospital System (PHHS)
Dallas, TX
2 days ago
Utilization Review Specialist
$16.74 - $26.92 per hour
...Utilization Review (Ur) Intake Specialist The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals...
Suggested
Hourly pay
Minimum wage
Full time
Work at office
Local area
Flexible hours
CorVel
Dallas, TX
5 days ago
Utilization Review Specialist
...About the Role The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing treatment costs. This position involves coordinating, assessing, and authorizing treatment plans, collaborating...
Suggested
Full time
Part time
Weekend work
Bradford Health Services
Dallas, TX
3 days ago
Clinical Pharmacist - Managed Care PharmD
$102k - $184.3k
...is responsible for conducting clinical reviews to optimize drug therapy for health... ...pharmacy benefit channels. The clinical pharmacist will utilize sound knowledge of member and/or client... ...to applying knowledge of utilization/formulary management programs, specialty pharmacy...
Suggested
Full time
Work at office
Work from home
Monday to Friday
Flexible hours
Health Care Service
Richardson, TX
5 days ago
Clinical Pharmacist
...Position Summary The Clinical Pharmacist will play a critical role in... ...preventable ED and hospital utilization, and monitor adherence to... ...(i.e. COPD, DM, CHF), HEDIS strategies to close gaps, clinic operations... ...comprehensive medication reviews while navigating multiple sources...
Suggested
Work at office
Local area
Suvida Healthcare LLC
Dallas, TX
5 days ago
Clinical Pharmacist PRN
...Clinical Pharmacist PRN Do you have the career opportunities as a Clinical... ...staff Sustain the hospital formulary, minimizing nonformulary procurements, utilizing therapeutic interchanges and promotes... ...PRN opening. We promptly review all applications. Highly qualified...
Temporary work
Relief
Flexible hours
Shift work
Day shift
Afternoon shift
TriStar Centennial Medical Center
Dallas, TX
3 days ago
Certified Medical Coder I (Professional Review Specialist I)
$19.24 - $31.04 per hour
...Professional Review Specialist The Professional Review Specialist analyzes medical services and billing across various claim types... ...claims process Prospective, concurrent and retrospective utilization review Pay Range: CorVel uses a market based approach to...
Hourly pay
Minimum wage
Full time
Work at office
Local area
Remote work
Flexible hours
CorVel
Syracuse, NY
1 day ago
Staff Pharmacist
$79 per hour
...Staff Pharmacist Since 1887, Crouse Health has been a leading healthcare... ...any identified issues utilizing hospital approved guidelines... ...Initiates substitution of a formulary medication for a non-... ...all clinical activities. Reviews all orders for IV contrast as...
Daily paid
Shift work
Crouse Hospital
Syracuse, NY
1 day ago
Utilization Review Nurse Health Plans - HP Utilization Management
...Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission...
Full time
Christus Health
Irving, TX
4 hours ago
Clinical Staff Pharmacist, Central Access
...rewarding career! JOB SUMMARYThe Central Access Pharmacist is a dynamic role requiring a highly... ...accurate, thorough and timely manner. Reviews/updates medication profiles (therapies,... ...in multiple areas.Enforces the formulary system and follows departmental policy and...
Full time
UT Southwestern
Dallas, TX
4 days ago
Clinical Staff Pharmacist - Part-time
...career. Job Summary The Clinical Staff Pharmacist provides comprehensive pharmaceutical care... ...health conditions. This role involves reviewing and verifying medication orders,... ...decisions and use good judgment. Enforce the formulary system and follow departmental policy...
Full time
Part time
Shift work
Weekend work
UT Southwestern Medical Center
Dallas, TX
1 day ago
Clinical Staff Pharmacist - Part-time
...JOB SUMMARY The Clinical Staff Pharmacist provides comprehensive pharmaceutical care... ...health conditions. This role involves reviewing and verifying medication orders, monitoring... ...in multiple areas. Enforces the formulary system and follows departmental policy...
Full time
Part time
Shift work
Weekend work
846445 - UTSW Psychiatric Hospital
Dallas, TX
1 day ago
Clinical Pharmacist
$112.44k - $187.41k
...Health Job Description Summary The Clinical Pharmacist is a licensed professional who is... ...and Option Care policies and procedures. Utilizes pharmacy support personnel effectively.... ...replace, undo, spell check, track changes, review pane and/or print functions). Basic level...
Flexible hours
Option Care Home Health LLC
Irving, TX
2 days ago
RN Utilization Review
Job Title With level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, utilization management or utilization review, and interfacing with health care payers/regulatory agencies. AMN Healthcare
AMN Healthcare
Syracuse, NY
5 days ago
Clinical Pharmacist
...Dallas, TX is seeking a Full-time Clinical Staff Pharmacist for variable shifts. The role emphasizes safe... ...a clinical setting. Responsibilities include reviewing orders, maintaining accurate records, and enforcing formulary policies while supporting education and...
Full time
Shift work
UT Southwestern Medical Center
Dallas, TX
3 days ago
Utilization Review Intake Specialist
$16.74 - $26.92 per hour
...Job Description Job Description The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals of...
Hourly pay
Minimum wage
Full time
Work at office
Local area
Remote work
Flexible hours
CorVel Healthcare Corporation
Dallas, TX
17 days ago
Advanced Clinical Pharmacist
...Advanced Clinical Pharmacist Medical City Dallas Benefits Comprehensive medical coverage which includes prescription... ...of drug and dose. Sustain the hospital formulary, minimizing nonformulary procurements, utilizing therapeutic interchanges and promoting rational drug...
Full time
Temporary work
Part time
Flexible hours
Shift work
JobRx, Inc.
Dallas, TX
2 days ago
Utilization Review Nurse
$35 - $45.94 per hour
...Job Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed...
Hourly pay
Full time
Remote work
Work from home
Home office
Weekend work
Oscar Health
Dallas, TX
9 days ago
Pharmacist - CA license required
...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...
Full time
Flexible hours
TELYRX DALLAS LLC
Mesquite, TX
3 days ago
Travel Pharmacist
...experienced Travel Night Shift Inpatient Pharmacist for a pediatric hospital in Lubbock, TX... ...pediatric and adult patients. Review medication orders for safety, accuracy,... ...professionals to optimize patient care. Utilize EPIC for documentation and order verification...
Weekly pay
Full time
Contract work
Immediate start
Night shift
Day shift
Soliant Health
Dallas, TX
1 day ago
Pharmacist
...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
Syracuse, NY
4 days ago
Pharmacist - PRN
...Pharmacist - Pediatric Inpatient Nexus Children's Hospital - Dallas ABOUT NEXUS CHILDREN... ...& Operational Excellence Review, interpret, and process physician medication... ...staff to optimize medication therapy and formulary use Communicate drug-related...
Relief
Nexus Health Systems
Dallas, TX
4 days ago
Grad Pharmacist
$19.75 - $42 per hour
...pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District... ...patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding...
Work experience placement
Internship
Local area
Work from home
Flexible hours
Shift work
Night shift
Oak St. Health
Syracuse, NY
3 days ago
Pharmacist
...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...
Full time
Flexible hours
TELYRX DALLAS LLC
Sunnyvale, TX
3 days ago
Specialty Pharmacist
$130k - $135.2k
...organization for those decisions Responsible for patient drug utilization reviews and analysis Responsible for adverse event reporting... ...states as required Serve as the responsible licensed pharmacist in other states as required Responsible for keeping...
Minimum wage
Local area
KPH Healthcare Services
Syracuse, NY
4 days ago
RN Case Manager / Utilization Review
$65 per hour
...Job Description Job Description RN Case Manager / Utilization Review - Syracuse, NY (#25268) Location: Acute Care/Academic Medical Center, Syracuse, NY Employment Type: Full-time Hourly Rate: $65/hour About Greenlife Healthcare Staffing: Greenlife...
Hourly pay
Full time
Private practice
Monday to Friday
Day shift
GreenLife Healthcare Staffing
Syracuse, NY
29 days ago
Staff Pharmacist - FT
$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 positive...
Hourly pay
Full time
Temporary work
Work experience placement
Local area
Flexible hours
Shift work
Night shift
CVS Health
Richardson, TX
2 days ago
PHARMACY/MODIFIED FULL TIME PHARMACIST
...experience by embracing the Customer 1st strategy and inspire associates to deliver... ...-hour post dispensing audit report, are utilized appropriately - Establish/maintain all... ...hours, counseling sign, services signs, pharmacists' photographs and names, and all other signs...
Full time
Local area
Kroger Family of Companies
Dallas, TX
2 days ago
Staff Pharmacist - FT - Pharmacy
...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
Methodist Health System
Dallas, TX
3 days ago
Clinical Staff Pharmacist, Transitions of Care - Transplant
...rewarding career! JOB SUMMARYThe Transitions of Care Clinical Staff Pharmacist - Transplant is critical in ensuring patients are prepared to... ...safely, appropriately, and consistently. The pharmacist will review the medications prescribed for appropriate dosing, frequency,...
Full time
UT Southwestern
Dallas, TX
2 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!