State Licensed Medicare Pharmacist Manager

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 oversee team performance Collaborate with internal stakeholders and manage contracts with regulatory vendors Required Qualifications 2+ years of Medicare PA leadership experience required Experience managing large remote teams preferred 4+ years of experience at a PBM or health plan preferred Active, unrestricted pharmacist license required Medicare implementation experience preferred

Created: 2026-03-05