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 ...
... 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:
Customer Success Utilization Manager
Columbus, OH · On-site
$73K - $95K/yr
Analyze data to maximize utilization of KARL STORZ software, OR1, and video products. Host Quarterly Business Reviews with executive leadership at customer sites to review utilization and adoption ...
Customer Success Utilization Manager
Columbus, OH · On-site
$73K - $95K/yr
Analyze data to maximize utilization of KARL STORZ software, OR1, and video products. Host Quarterly Business Reviews with executive leadership at customer sites to review utilization and adoption ...
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 ...
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 ...
IT Procurement Analyst 2
Columbus, OH · On-site
$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
$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 ...
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 ...
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 ...
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
$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 ...
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 ...
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 ...
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
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
$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 ...
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
Lancaster, 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
Lancaster, 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 ...
Case Manager/Social Worker - Substance Abuse Program Coordinator
$20.75 - $27.25/hr
... utilization review, discharge planning, case management or medical social work experience. ... and analytical skills. Possesses good computer skills. Possesses effective interpersonal ...
Case Manager/Social Worker - Substance Abuse Program Coordinator
$20.75 - $27.25/hr
... utilization review, discharge planning, case management or medical social work experience. ... and analytical skills. Possesses good computer skills. Possesses effective interpersonal ...
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 26 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.