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Healthcare Compliance

Pharmacist - Utilization Management: Coverage & Appeals

Job in Santa Fe, Santa Fe County, New Mexico, 87503, USA
Listing for: Highmark Health
Full Time position
Listed on 2026-01-03
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 provider in New Mexico is seeking a professional to review medication coverage determinations for prior authorization requests and appeals. The selected candidate will evaluate clinical information and make coverage decisions using the Utilization Review system. A Bachelor's degree in Pharmacy and a Registered Pharmacist license are required. The position offers a competitive salary ranging from $67,500 to $126,000 annually.
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