Staff Utilization Management Clinical Pharmacist – VSP/PT

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $104k - $143k / year

⏱ Part Time

🔴 Lead

💊 Pharmacist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Humana

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Complete medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization • Interpret cases and independently determine appropriate courses of action • Work varied assignments in utilization management • Participate in training from 10:00 AM–6:30 PM ET • Work assigned mid-to-later shifts based on business need • Provide occasional travel to Humana offices for training or meetings if required • Collaborate effectively with team members and contribute to improving the consumer experience

🎯 Requirements

• Doctor of Pharmacy (Pharm.D.) from an accredited college of pharmacy • Active pharmacist license in the state of residence • Eligibility to participate in federal prescription programs (e.g., Medicare/Medicaid) • Ability to work effectively independently and in a team environment • Strong problem-solving skills • High attention to detail and strong work ethic focused on accuracy and productivity • Excellent verbal and written communication skills • Proficiency with Microsoft Office Suite (Word, Excel, Outlook) • Proficiency with clinical decision support tools (e.g., Micromedex, Lexicomp) • Proficiency with pharmacy benefit management (PBM) platforms • Proficiency with electronic health records (EHRs) • Passion for continuously improving the consumer experience • Dedicated, interruption-free workspace protecting member PHI/HIPAA information • Home internet service with at least 25 Mbps download and 10 Mbps upload speed • Ability to work varied hours between 24–40 hours per week, including assigned mid-to-later shifts • Some weekend coverage may be required • Availability for mandatory overtime during peak season

🏖️ Benefits

• Paid time off • 401(k) retirement savings plan • Employee assistance program • Business travel and accident benefits • Internet expense payment for employees working from home in California, Illinois, Montana, or South Dakota • Humana-provided telephone equipment appropriate to business requirements