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Healthcare Compliance

Utilization Management Pharmacist – Prior Authorization

Job in Nashville, Davidson County, Tennessee, 37247, USA
Listing for: Highmark Health
Full Time position
Listed on 2026-02-05
Job specializations:
  • Healthcare
    Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 67500 - 126000 USD Yearly USD 67500.00 126000.00 YEAR
Job Description & How to Apply Below
A healthcare organization is seeking a Pharmacist to review medication coverage determination requests and evaluate clinical information against medical policy criteria. This role involves making coverage determinations, conducting necessary research for decisions, and maintaining system records. A Bachelor's degree in Pharmacy and 1-3 years of experience are required. The position is office-based, with physical lifting requirements up to 10 pounds regularly.

The pay range is between $67,500 and $126,000 annually.
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