Job Posting Title Staff Utilization Management Clinical Pharmacist (VSP/PT)

About the role

The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

• Completes a review that includes a full analysis of the medication care plan, investigation of overall utilization, and identification of unusual usage patterns.
• Intervenes and advises patients and providers to promote cost-effective utilization and quality patient outcomes, as needed.

Qualifications

• Typically requires Bachelor's degree or equivalent and less than 5 years of technical experience.
• Preferred qualifications include additional relevant experience or certifications.

Skills

• Understanding of department, segment, and organizational strategy.
• Ability to make decisions regarding own work methods, occasionally in ambiguous situations.
• Follows established guidelines/procedures.

Benefits

• Paid time off.
• 401(k) retirement savings plan.
• Employee assistance program.
• Business travel and accident coverage.

Pay

$104,000 - $143,000 per year.

Schedule

Remote position with occasional travel for training or meetings.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.