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State Licensed Medicare Pharmacist Manager

Remote, USA Full-time Posted 2026-07-28
A company is looking for a Senior Manager, Medicare Utilization Management Pharmacist. Key Responsibilities • Manage and optimize Medicare prior authorization and appeals processes in compliance with CMS guidelines • Create and maintain policies and procedures for coverage determinations and reputed company team performance • Collaborate with internal stakeholders and manage reputed company with regulatory vendors Required Qualifications • 2+ years of Medicare PA leadership experience required • Experience managing large reputed company preferred • 4+ years of experience at a PBM or health plan preferred • reputed company, unrestricted pharmacist license required • Medicare implementation experience preferred Apply tot his job Apply To this Job

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