Licensed Utilization Management PharmacistVirtualVocations • Detroit, Michigan, United States
serp_jobs.error_messages.no_longer_accepting
Licensed Utilization Management Pharmacist
VirtualVocations • Detroit, Michigan, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Utilization Management (UM) Pharmacist Reviewer to lead the clinical validation and translation of payer policies into AI-powered prior authorization workflows.
Key Responsibilities
Translate payer and evidence-based policies into structured clinical decision logic
Validate and approve AI-generated prior authorization recommendations for medications and biologics
Partner with cross-functional teams to define requirements and guide the design of clinical decision trees
Required Qualifications
Licensed Pharmacist (PharmD or RPh) in good standing
3+ years of experience in pharmacy utilization management or medical policy review
Proven ability to lead clinical policy translation and review workflows
Strong understanding of specialty and biologic drug reviews
Experience interpreting payer drug policies and clinical criteria
serp_jobs.job_alerts.create_a_job
Pharmacist • Detroit, Michigan, United States
Job_description.internal_linking.related_jobs
CVOR Technologist for a local contract job in Clinton Township, Michigan.Job Description & Requirements.The CVOR Tech performs a variety of technical duties to assist in preparing and caring fo...serp_jobs.internal_linking.show_more)
Trusted Resource Associates (TRA) is seeking a local contract Occupational Therapist for a local contract job in Detroit, Michigan.
Job Description & Requirements.TRA is Tenet's in-house nat...serp_jobs.internal_linking.show_more A company is looking for a Clinical Pharmacist 1.Key Responsibilities Dispenses prescription medications and monitors drug therapies for safe and effective use Organizes pharmacy operations and ...serp_jobs.internal_linking.show_more 
Heron Ridge Associates, part of the Optum family of businesses is seeking a Independent Licensed Therapist (LMSW, LPC, LMFT) to join our team in Brighton, MI.Optum is a clinician-led c...serp_jobs.internal_linking.show_more
Premier Medical Staffing Services is seeking a travel Occupational Therapist for a travel job in Livonia, Michigan.Job Description & Requirements.
Premier Medical Staffing Job ID #595374.Pay pac...serp_jobs.internal_linking.show_more A company is looking for a Utilization Review Specialist.Key Responsibilities Review and process Independent Review (IR) requests for potential conflicts of interest Request and organize additio...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management RN.Key Responsibilities Monitor admissions and perform medical necessity reviews for initial and continued stays Collaborate with the multidisci...serp_jobs.internal_linking.show_more 
Host Healthcare is seeking a local contract CT Technologist for a local contract job in Pontiac, Michigan.Job Description & Requirements.
Pay package is based on 11 hour shifts and 40 hours per ...serp_jobs.internal_linking.show_more Premier Medical Staffing Services is seeking a local contract CT Technologist for a local contract job in Detroit, Michigan.
Job Description & Requirements.Schedule : 6 : 00pm - 6 : 00am Midnight shi...serp_jobs.internal_linking.show_more A company is looking for a Nocturnist to provide clinical evaluation, assessment, and treatment for members using their platform.
Key Responsibilities Provide synchronous / asynchronous clinical eva...serp_jobs.internal_linking.show_more 
Wage : Between $119-$239 an hour.Licensed psychiatrist - Are you ready to launch or expand your private practice? .Headway is here to help you start accepting insurance with ease, increase your...serp_jobs.internal_linking.show_more
AG Globe Services is seeking a local contract CT Technologist for a local contract job in Pontiac, Michigan.Job Description & Requirements.
Acute Care Hospital | Start Date : 11 / 10 / 2025.Why Clini...serp_jobs.internal_linking.show_more Host Healthcare is seeking a local contract Occupational Therapist for a local contract job in Detroit, Michigan.Job Description & Requirements.
Pay package is based on 8 hour shifts and 40 hour...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management Supervisor (Remote within Arkansas).Key Responsibilities Manage and oversee Utilization Management activities Ensure clinical programs meet high...serp_jobs.internal_linking.show_more A company is looking for an Occupational Therapist Clinical Reviewer.Key Responsibilities Review medical records for accuracy and compliance with contract requirements Manage daily workload and ...serp_jobs.internal_linking.show_more A company is looking for a Medical Director for Medical Claims Review, working remotely.Key Responsibilities Conduct coverage reviews based on individual member plan benefits and national policie...serp_jobs.internal_linking.show_more 
The Dir, PA Market is responsible for Conifer’s Patient Access day-to-day operating activities.This role is responsible for meeting all goals set for the operations and has total control of the ope...serp_jobs.internal_linking.show_more
We are actively looking to hire talented Therapists in the area, who are passionate about patient care and committed to clinical excellence.
Wanting to deliver high quality behavioral healthcare.Int...serp_jobs.internal_linking.show_more At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better.
Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management Nurse RN - Remote.Key Responsibilities Validates authorization for procedures and manages concurrent cases to resolution Conducts medical necess...serp_jobs.internal_linking.show_more
Local Contract CVOR Technologist
MetaSense, Inc. • Charter Township of Clinton, MI, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Local Contract Occupational Therapist
Trusted Resource Associates (TRA) • Detroit, MI, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Texas Licensed Clinical Pharmacist
VirtualVocations • Warren, Michigan, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Therapist
Optum • Detroit, MI, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Occupational Therapist - Rehabilitation
Premier Medical Staffing Services • Livonia, MI, US
serp_jobs.job_card.permanent
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Utilization Review Specialist
VirtualVocations • Warren, Michigan, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Florida Licensed Utilization Management RN
VirtualVocations • Warren, Michigan, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Local Contract CT Technologist
Host Healthcare • Pontiac, MI, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Local Contract CT Technologist
Premier Medical Staffing Services • Detroit, MI, US
serp_jobs.job_card.permanent
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Multi-State Licensed Nocturnist
VirtualVocations • Warren, Michigan, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Licensed Psychiatrist
Headway • Detroit, MI, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Local Contract CT Technologist
AG Globe Services • Pontiac, MI, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Local Contract Occupational Therapist
Host Healthcare • Detroit, MI, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Arkansas Licensed Utilization Supervisor
VirtualVocations • Warren, Michigan, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Minnesota Licensed Occupational Therapist
VirtualVocations • Warren, Michigan, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medical Director - MN Licensed
VirtualVocations • Warren, Michigan, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Patient Access Market Director-Detroit, MI- $15K Sign-on
Conifer Revenue Cycle Solutions • DETROIT, Michigan, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
All Ages Outpatient Licensed Therapist (LCSW, LPC, LMFT, LMSW).
LifeStance Health • New Haven, MI, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Outpatient Licensed Therapist (LCSW, LPC, LMSW, LMFT)
LifeStance Health • Detroit, MI, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Maine Licensed Utilization Management Nurse
VirtualVocations • Warren, Michigan, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted