Staff Utilization Management Pharmacist - Clinical - Work At Home

Humana Inc. Rogers , AR 72757

Posted 2 months ago

Description

The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Staff Utilization Management Pharmacist 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. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications

  • Bachelor's degree in Pharmacy or PharmD

  • Must have an active license with the Board of Pharmacy in the appropriate state

  • Pharmacy degree from an accredited college of pharmacy

  • Ability to participate in Federal prescription programs

  • Self-directed, but also able to work well in a group

  • Ability to solve problems and encourage others in collaborative problem solving

  • Work ethic that is focused, accurate, and highly productive

  • Excellent communication skills

  • Proficient with computers

  • Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10 panel drug test

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

  • Able to work 8 hour shifts Monday thru Friday from 6:30am to 11:00pm EST or 10 hour shifts Tuesday thru Friday from 6:30am to 11:00pm EST.

  • Some weekend coverage may be required

Preferred Qualifications

  • 3 or more years experience in a high volume community or mail order pharmacy practice environment

  • Managed care experience preferred but not required

Additional Information

Scheduled Weekly Hours

40

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Staff Utilization Management Pharmacist - Clinical - Work At Home

Humana Inc.