Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential ... This role is ideal for pharmacists who enjoy analyzing medication use, applying clinical guidelines ...
Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential ... This role is ideal for pharmacists who enjoy analyzing medication use, applying clinical guidelines ...
Monitors and reviews MCO portals to track authorization status, pending requests, approvals ... Strong analytical skills and ability to interpret utilization and authorization reports. * Ability ...
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Monitors and reviews MCO portals to track authorization status, pending requests, approvals ... Strong analytical skills and ability to interpret utilization and authorization reports. * Ability ...
Medical Review Nurse Analyst
Columbus, OH · On-site
$68K - $70K/yr
This analyst ensures that providers are being reimbursed appropriately for services provided based ... Experience with medical record review or utilization review. Remote Work Requirements * Wired ...
Medical Review Nurse Analyst
Columbus, OH · On-site
$68K - $70K/yr
This analyst ensures that providers are being reimbursed appropriately for services provided based ... Experience with medical record review or utilization review. Remote Work Requirements * Wired ...
... utilization contract * Reviewing necessary medical record reviews and making a determination on hospital appeals. * Supervising and training RNs, Auditors, and Analysts in identifying fraud, waste ...
... utilization contract * Reviewing necessary medical record reviews and making a determination on hospital appeals. * Supervising and training RNs, Auditors, and Analysts in identifying fraud, waste ...
... utilization contract * Reviewing necessary medical record reviews and making a determination on hospital appeals. * Supervising and training RNs, Auditors, and Analysts in identifying fraud, waste ...
... utilization contract * Reviewing necessary medical record reviews and making a determination on hospital appeals. * Supervising and training RNs, Auditors, and Analysts in identifying fraud, waste ...
Professionally appropriate analytical and organizational skills required. Experience: * Two years ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Professionally appropriate analytical and organizational skills required. Experience: * Two years ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
BUDGET ANALYST
Columbus, OH · On-site +1
$64K - $101K/yr
Reviews expenditure of G-3 appropriations, re-imbursement allocations and transfer of funds ... Identifies trends and patterns, recommends ways to improve utilization of funds, and suggests ...
BUDGET ANALYST
Columbus, OH · On-site +1
$64K - $101K/yr
Reviews expenditure of G-3 appropriations, re-imbursement allocations and transfer of funds ... Identifies trends and patterns, recommends ways to improve utilization of funds, and suggests ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ... analytical skills. Certain contracts require a Master's degree. Job Level: Non-Management Non ...
New
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ... analytical skills. Certain contracts require a Master's degree. Job Level: Non-Management Non ...
New
Tax Analyst Senior / Principal - Indirect Taxes
Columbus, OH · On-site
$87K - $102K/yr
Prepare/review state and local transaction tax and property tax (non-income) returns, reports ... including the utilization of technology tools such as Power BI, Power Query, Alteryx, etc.
Tax Analyst Senior / Principal - Indirect Taxes
Columbus, OH · On-site
$87K - $102K/yr
Prepare/review state and local transaction tax and property tax (non-income) returns, reports ... including the utilization of technology tools such as Power BI, Power Query, Alteryx, etc.
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
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Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Client Insurance Specialist
Circleville, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
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Client Insurance Specialist
Circleville, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Client Insurance Specialist
Columbus, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Client Insurance Specialist
Columbus, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Client Insurance Specialist
Washington Court House, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
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Client Insurance Specialist
Washington Court House, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Quick apply
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Client Insurance Specialist
Ashville, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Quick apply
Client Insurance Specialist
Ashville, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Quick apply
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Quick apply
Client Insurance Specialist
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
IT Procurement Analyst 2
$110K - $115K/yr
Analyze IT requests in terms of merit, cost effectiveness, agency utilization, and strategic plan consistency to determine appropriate acquisition action. * Review and approve requisitions in ...
IT Procurement Analyst 2
$110K - $115K/yr
Analyze IT requests in terms of merit, cost effectiveness, agency utilization, and strategic plan consistency to determine appropriate acquisition action. * Review and approve requisitions in ...
IT Procurement Analyst 2
Columbus, OH · On-site
$41.81/hr
Analyze IT requests in terms of merit, cost effectiveness, agency utilization, and strategic plan consistency to determine appropriate acquisition action. * Review and approve requisitions in ...
IT Procurement Analyst 2
Columbus, OH · On-site
$41.81/hr
Analyze IT requests in terms of merit, cost effectiveness, agency utilization, and strategic plan consistency to determine appropriate acquisition action. * Review and approve requisitions in ...
Utilization Review Analyst information
See salary details
$31K - $40K
11% of jobs
$40K - $49K
9% of jobs
$52.1K is the 25th percentile. Wages below this are outliers.
$49K - $58K
15% of jobs
$58K - $67K
15% of jobs
The median wage is $67.3K / yr.
$67K - $76K
18% of jobs
$82.5K is the 75th percentile. Wages above this are outliers.
$76K - $85K
11% of jobs
$85K - $94K
7% of jobs
$94K - $103K
5% of jobs
$103K - $112K
4% of jobs
$112K - $121K
2% of jobs
$121K - $130K
3% of jobs
$31K
$73.3K
$130K
How much do utilization review analyst jobs pay per year?
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Other
Medical
Re-posted 21 days ago
Job description
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.
- 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.
- 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.