RN Pharmacy Utilization Management
USAble Mutual Insurance Company
About this role
The Pharmacy Utilization Management Nurse conducts clinical evaluation of prior authorizations, network exceptions, and benefit inquiries to determine the appropriateness of pharmaceutical therapies. The role assesses medical necessity using evidence-based criteria, clinical and corporate guidelines, and state and federal mandates. The position supports cost-effective, quality pharmaceutical care and maintains current knowledge of pharmaceutical and healthcare trends.
Skills
Qualifications
About USAble Mutual Insurance Company
usablemutual.comUSAble Mutual Insurance Company has a rich history of creating insurance plans and services that fit your life…and your budget.
Recent company news
Peterson-KFF Health System TrackerHow much and why ACA Marketplace premiums are going up in 2026
Aug 6, 2025
Healthcare Finance NewsSee the Medicare Advantage 2024 star ratings list: Fewer plans earn 5 stars
Oct 13, 2023
KFFHow the Loss of Cost-Sharing Subsidy Payments is Affecting 2018 Premiums
Oct 27, 2017
PR NewswireImproving Healthcare, Life & Specialty Ventures Partners with Harvard
Mar 28, 2019
Peterson-KFF Health System TrackerHow much and why ACA Marketplace premiums are going up in 2025
Aug 2, 2024
About USAble Mutual Insurance Company
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for USAble Mutual Insurance Company.
Salary
$87k – $117k
per year
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