Top 117 Pharmacy advisor Jobs in New York State

Utilization Management (UM) Clinical Team Lead
MetroPlusHealth —New York, NY
- $124,836 a year
- Hybrid work
- RN License
- Physical & Rehabilitation Medicine
- Mid-level
Quick Apply
Regional Account Executive - NY City/Long Island
McKesson —New York, NY
- $132,900 - $221,500 a year
- Nursing
- Bachelor of Science
- Mid-level
- Wellness program
- Employee stock purchase plan
PIC Clinical Care Manager HIV Care (LMSW, LCSW, LMHC)
MetroPlusHealth —New York, NY
- $85,000 - $85,490 a year
- Spanish
- Customer service
- Computer literacy
Quick Apply
Pharmacist - Clinical Advisor
CVS Health —New York State
- $110,925 - $249,600 a year
- Full-time
- Microsoft Excel
- Bachelor of Science
- Writing skills
- Health insurance
- Dental insurance
13d
Pharmacy Sales Consultant - Queens, NYC
McKesson —New York, NY
- $132,900 - $221,500 a year
- Full-time
- Clean driving record
- Microsoft Outlook
- Marketing
- Wellness program
- Employee stock purchase plan
Care Manager - Utilization Management (Must Have UAS Experience)
MetroPlus Health Plan —New York, NY
- $112,351 a year
- Full-time
- Remote
- RN License
- Physical & Rehabilitation Medicine
- Mid-level
Strategic Account Executive Commercial - Remote
Optum —New York, NY
- $112,700 - $193,200 a year
- Full-time
- Remote
- 5 years
- Pass drug screening
- Travel
- Adoption assistance
Quick Apply
2d
Strategic Account Executive - Commercial Remote
Optum —New York, NY
- $112,700 - $193,200 a year
- Full-time
- Remote
- 5 years
- Pass drug screening
- Travel
- Adoption assistance
Quick Apply
2d
Principal Solutions Strategist
Humana —New York State
- $172,200 - $236,900 a year
- Full-time
- Remote
- Oracle
- HIPAA
- Travel
- Paid parental leave
- Paid holidays
Senior Director, Health Fund Ops & Admin
BLDG SVC 32 B-J —New York, NY
- $250,000 - $270,000 a year
- Full-time
- Master's degree
- Bachelor's degree
- Product management
- Dental insurance
- Vision insurance
Quick Apply
Advisor - VIVOHealth
Northwell Health —New Hyde Park, NY
- $121,200 - $212,100 a year
- Full-time
- Research
- Bachelor's degree
- Recruiting
Senior Associate, Consumer Communications
Ro —New York, NY
- $91,800 - $111,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
Quick Apply
Lead Account Strategy Partner (Forward-Deployed, Healthcare Data)
Pear VC —New York, NY
- $150,000 - $180,000 a year
- Full-time
- Hybrid work
- SQL
- Senior level
- 2 years
- Health insurance
- Dental insurance
Producer - Healthcare
HUB International —New York, NY
- $100,000 - $225,000 a year
- Full-time
- 5 years
- Bachelor's degree
- Travel
- Health savings account
- Disability insurance
Utilization Management (UM) Clinical Team Lead
MetroPlus Health Plan —New York, NY
- $124,836 a year
- Full-time
- Hybrid work
- RN License
- Physical & Rehabilitation Medicine
- Mid-level
Inventory Control Associate - Central Fill Pharmacy
McKesson —New York, NY
- $17.49 - $29.15 an hour
- Overtime
- Microsoft Outlook
- Ability to walk for extended periods
- Computer literacy
Senior Manager, Performance Analytics and Insights, Oncology
Pfizer —New York, NY
- $111,900 - $207,400 a year
- Online Application
- Hybrid work
- 6 years
- Management
- Office
- Paid holidays
- Relocation assistance
Specialty Sales Representative- Immunology - Long Island, NY
Grifols —Ronkonkoma, NY
- $120,000 - $145,000 a year
- Weekends as needed
- Bachelor of Science
- Microsoft Office
- Master's degree
- Paid holidays
- Health insurance
Chronic Practice Liaison
Option Care Enterprises, Inc. —Albany, NY
- $55,769.70 - $92,949.50 a year
- Full-time
- Microsoft Excel
- Mid-level
- Windows
- Health savings account
- Health insurance
Quick Apply
1d
Success Coach
Long Island University —Brooklyn, NY
- $66,300 a year
- Weekends as needed
- Computer literacy
- Mid-level
- Residential

I want to receive the latest job alert for pharmacy advisor in new york state

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

pharmacy advisor jobs near new york state

Utilization Management (UM) Clinical Team Lead

MetroPlusHealth -
New York, NY

Quick Apply

Job Details

$124,836 a year

Qualifications

High school diploma or GED
Utilization management
Resource utilization in healthcare

Full Job Description

Empower. Unite. Care.
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

About NYC Health + Hospitals

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.

Position Overview:

The Clinical Team Lead, under the direction of the Vice President of Clinical Services, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient. The Clinical Team Lead will assist the provider in directing care to the most appropriate setting, evaluating alternative care plans, and assessing outcomes through outreach to the members.

Work Shifts

9:00 AM - 5:00 PM

Duties & Responsibilities

Performs care management including hospital admission certification, continued stay review, discharge planning, outpatient, and ancillary services review, etc., following established MetroPlusHealth Utilization Management policies, procedures, and protocols.

Oversee the coordination and delivery of comprehensive, quality healthcare and services for all members requiring care management in a cost-effective manner.
Interacts and obtains relevant clinical information from members' PCP and other providers; approves care that meets established criteria; and refers all other cases to the MetroPlusHealth Physician Advisor/Medical Director.
Inform member and provider of Utilization Management determinations and treatment alternatives.
Identifies utilization trends and potential member needs by means of generating reports of encounter data, pharmacy data review, and new member health assessment forms.
Evaluate member needs for referred cases (from providers or member self-referred).
Assists all departments with the resolution of members' problems related to utilization management issues.
Performs all Utilization Management activities in compliance with all regulatory agency requirements.
Conducts medical record reviews as appropriate to case management functions.
Participate in Medical Management grand rounds with the Physician Advisor.
Performs all other duties as assigned

Minimum Qualifications

High School Diploma General Equivalency Diploma (GED) required; and
2-5 years' clinical experience in an acute or applicable care setting.
UM/UR experience in managed care or hospital setting required

Licensure and/or Certification Required:

Valid New York State license and current registration to practice as a Registered Professional Nurse (RN), License Practical Nurse (LPN), or Physical Therapist (PT) issued by the New York State Education Department (NYSED).

Professional Competencies:

Integrity and Trust
Customer Focus
Excellent communication, written and analytical skills.
Knowledge of computer systems.

#LI-Hybrid #MPH50

Quick Apply

Refine Your Search

pharmacy advisor jobs in new york state

Utilization Management (UM) Clinical Team Lead

Regional Account Executive - NY City/Long Island

PIC Clinical Care Manager HIV Care (LMSW, LCSW, LMHC)

Pharmacist - Clinical Advisor

Pharmacy Sales Consultant - Queens, NYC

Care Manager - Utilization Management (Must Have UAS Experience)

Strategic Account Executive Commercial - Remote

Strategic Account Executive - Commercial Remote

Principal Solutions Strategist

Senior Director, Health Fund Ops & Admin

Advisor - VIVOHealth

Senior Associate, Consumer Communications

Lead Account Strategy Partner (Forward-Deployed, Healthcare Data)

Producer - Healthcare

Utilization Management (UM) Clinical Team Lead

Inventory Control Associate - Central Fill Pharmacy

Senior Manager, Performance Analytics and Insights, Oncology

Specialty Sales Representative- Immunology - Long Island, NY

Chronic Practice Liaison

Success Coach

I want to receive the latest job alert for pharmacy advisor in new york state

Related Searches

Explore jobs in more locations

About NYC Health + Hospitals

Work Shifts

Duties & Responsibilities

Minimum Qualifications

Job Seeker Tools

Employer Tools

Browse

Stay Connected