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Utilization Management Pharmacist Jobs in Michigan

Pharmacy Careers

Formulary Management Pharmacist

Detroit, MI · On-site

$53.25 - $64/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy ... Active U.S. pharmacist license. * Experience: Managed care, PBM, or health-plan ideal. All ...

Lthc

Utilization Management Services Rep I

Dewitt, MI · On-site

$13.50 - $18.25/hr

... pharmacists, and support staff. * Provide one-on-one support, coaching, and training to UM Services Reps. * Collaborates with other key departments (Claims, Customer Service, related care management ...

Lthc

Utilization Management Services Rep I

Dewitt, MI · On-site

$13.50 - $18.25/hr

... pharmacists, and support staff. * Provide one-on-one support, coaching, and training to UM Services Reps. * Collaborates with other key departments (Claims, Customer Service, related care management ...

divvyDOSE

Specialty Pharmacist Per | , Michigan

Owosso, MI · On-site

$44.09 - $78.70/hr

Oversee prior authorizations and utilization management, ensuring compliance with payer and program ... Active pharmacist license in good standing in the state of Michigan Preferred Qualifications:

UMR

Specialty Pharmacist Per Diem

Owosso, MI · On-site

$44.09 - $78.70/hr

Oversee prior authorizations and utilization management, ensuring compliance with payer and program ... Active pharmacist license in good standing in the state of Michigan Preferred Qualifications:

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All JobsUtilization Management Pharmacist JobsUtilization Management Pharmacist Jobs in Michigan

Utilization Management Pharmacist information

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$16

$50

$75

How much do utilization management pharmacist jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for utilization management pharmacist in Michigan is $50.64, according to ZipRecruiter salary data. Most workers in this role earn between $40.62 and $59.90 per hour, depending on experience, location, and employer.

What is a utilization management pharmacist?

A Utilization Management Pharmacist is responsible for evaluating prescription drug use to ensure cost-effective and evidence-based treatment. They review prior authorization requests, assess medication appropriateness, and collaborate with healthcare providers to optimize patient outcomes. They work in insurance companies, pharmacy benefit managers (PBMs), or healthcare organizations to enforce formulary compliance and reduce unnecessary healthcare costs. Their role helps balance patient care with financial stewardship by ensuring medications meet clinical guidelines and coverage policies.

What are the typical responsibilities of a utilization management pharmacist, and how do they interact with other healthcare professionals?

As a Utilization Management Pharmacist, your daily responsibilities often include reviewing medication requests for appropriateness, evaluating coverage under insurance plans, and ensuring adherence to clinical guidelines. You will regularly collaborate with physicians, nurses, case managers, and insurance representatives to optimize medication therapy and manage prior authorizations. Providing clinical recommendations, supporting appeals processes, and participating in the development of drug utilization policies are also common aspects of the role. This position offers a blend of independent decision-making and teamwork, allowing you to have a meaningful impact on patient care while coordinating with a variety of healthcare professionals.

What are the key skills and qualifications needed to thrive in the utilization management pharmacist position, and why are they important?

To thrive as a Utilization Management Pharmacist, candidates typically need a Doctor of Pharmacy (PharmD) degree, current pharmacist licensure, and a solid understanding of clinical guidelines and formulary management. Familiarity with pharmacy benefit management (PBM) software, electronic medical records (EMR) systems, and utilization review processes is commonly required, along with certification such as Board Certified Pharmacotherapy Specialist (BCPS) being advantageous. Strong analytical skills, attention to detail, effective communication, and the ability to work collaboratively with healthcare providers make someone stand out in this position. These competencies are crucial for ensuring safe, effective, and cost-efficient medication use while supporting optimal patient outcomes within healthcare organizations.

What are the most commonly searched types of Utilization Management Pharmacist jobs in Michigan?

The most popular types of Utilization Management Pharmacist jobs in Michigan are:

What are popular job titles related to Utilization Management Pharmacist jobs in Michigan?

For Utilization Management Pharmacist jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Utilization Management Pharmacist jobs in Michigan look for?

The top searched job categories for Utilization Management Pharmacist jobs in Michigan are:

Utilization Management Pharmacist jobs near you
Infographic showing various Utilization Management Pharmacist job openings in Michigan as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $105,333 per year, or $50.6 per hour.

Formulary Management Pharmacist

Pharmacy Careers

Grand Rapids, MI • On-site

$54 - $65/hr

Other

Posted 5 days ago

Job description

Formulary Management Pharmacist - Influence Therapy Access at Scale | Hybrid/Remote Friendly
Shape which medications patients can access by evaluating new drugs, analyzing clinical and economic data, and supporting P&T; Committee decisions. This role offers strong intellectual challenge and often hybrid or remote flexibility.
Key Responsibilities

  • Evaluate and review new drug products for formulary inclusion or exclusion.
  • Analyze clinical trial data, cost-effectiveness, and therapeutic outcomes to support recommendations.
  • Collaborate with Pharmacy & Therapeutics (P&T;) Committees on formulary decisions.
  • Maintain and update formulary lists in compliance with health-plan, PBM, and regulatory standards.
  • Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines.
What You'll Bring
  • Education: PharmD or Bachelor of Pharmacy.
  • Licensure: Active U.S. pharmacist license.
  • Experience: Managed care, PBM, or health-plan ideal. All pharmacists interested in formulary and policy work are encouraged to apply.
  • Skills: Strong analytical ability, interpretation of clinical research, and excellent written communication.
Why This Role?
  • Influence therapy access decisions that affect large populations.
  • Gain specialized expertise in managed-care pharmacy.
  • Many positions are hybrid or remote-friendly.
  • Competitive pay, benefits, and professional development.

About Us
We are a confidential healthcare organization working with PBMs, insurers, and health systems nationwide. Our pharmacists drive evidence-based decisions that balance patient care with responsible resource use.
Apply Today
Take the next step - apply now for our Formulary Management Pharmacist opening and make your expertise count system-wide.

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