
10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
🔥 19 hours ago
🇺🇸 United States – Remote
đź’µ $44.9k - $60.2k / year
⏰ Full Time
🟡 Mid-level
đźź Senior
đź’Š Pharmacist
🦅 H1B Visa Sponsor
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10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
• Act as the intake for calls from patients, pharmacies and providers • Perform advanced administrative, operational and customer support duties • Help resolve medication access barriers for primary care-managed medications • Conduct medication list reviews and support formulary and cost-management needs • Process Patient Assistance Program applications • Support Low Income Subsidy screening and enrollment • Provide Medicare Prescription Payment Plan education • Manage referrals through established workflows • Conduct patient outreach and coordinate with clinics and providers • Document case activity and follow program guidelines • Conduct medication adherence outreach, auditing, documenting and reporting for STAR measures when applicable • Facilitate resolution of prior authorization and medication access issues • Attend team meetings and provide feedback on workflow issues • Initiate and follow through with patient assistance programs, prior authorizations, formulary exceptions or alternatives and tier reductions • Assist with medication packaging education, pharmacy transfers, third-party rejections and override assistance • Process select medication claim updates as requested by clinical pharmacists or providers • Document outreach attempts, outcomes and case status updates
• Completion of an accredited Pharmacy Technician Program • Active unrestricted State Pharmacy Technician License in your state of residence • PTCB Certified with Medication Therapy Management (MTM) Certification or ability to obtain MTM Certification within 60 days of hire date • Minimum three (3) more years of experience as a Pharmacy Technician • Knowledge of the top 200 drugs • Comfortable working with or learning electronic health record systems • Prior Authorization experience • Pharmacy Benefit Management experience • Dedicated workspace without ongoing interruptions to protect member PHI / HIPAA information • Self-provided internet service with at least 25 Mbps download and 10 Mbps upload speed
• Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Occasional travel to Humana offices for training or meetings may be required
Apply Now🔥 19 hours ago
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