Healthfirst
The Manager, Clinical Pharmacist UM leads the utilization management pharmacy team, overseeing prior authorization reviews for medications under the medical benefit and developing clinical criteria and policies. This hybrid role involves people management, quality assurance, regulatory compliance, and collaboration with physicians and medical directors.
Headquarters
New York, New York, United States
Company Size
1001-5000 employees
Founded
1993
Healthfirst is a New York-based health insurer offering Medicare Advantage, Medicaid, Essential Plans, Child Health Plus, and other individual and family plans, along with long-term care options. Serving New York City, Long Island, Westchester, Rockland, Sullivan and surrounding areas, Healthfirst emphasizes a broad provider network, care coordination, and member resources to help New Yorkers access affordable health coverage.
12% below the average for this role
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