Senior Clinical Pharmacist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $126.3k - $173.7k / year

⏰ Full Time

🟠 Senior

💊 Pharmacist

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ 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.

📋 Description

• monitors clinical criteria to provide clinical support for internal stakeholders • utilizes broad understanding of managed care and PBM to implement strategies and programs • develops, maintains, and/or operationalizes preferred drug lists related to coverage, utilization management edits, or clinical coverage policies • conducts analysis on drug utilization trends • supports trend management by conducting analysis of drug spend, utilization, and/or approval scenarios • makes decisions on moderately complex to complex issues regarding technical approach for project components • exercises considerable latitude in determining objectives and approaches to assignments

🎯 Requirements

• Pharmacy Degree (PharmD or RPh) from an accredited School of Pharmacy • Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state • Must be passionate about contributing to an organization focused on continuously improving consumer experiences • Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data • Flexible, dynamic personality who works well in a team environment and is also an effective individual contributor • Health Plan experience • Knowledge of Medicaid as it relates to pharmacy • Six Sigma and/or Project Management Professional certification • Pharmacy practice residency or similar pharmacy practice experience • Proficient in Microsoft Applications (Excel, PowerPoint, Word).

🏖️ Benefits

• medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, paid parental and caregiver leave) • short-term and long-term disability • life insurance • many other opportunities