Staff Utilization Management Clinical Pharmacist – VSP/PT

🔥 9 minutes ago

🇺🇸 United States – Remote

💵 $104k - $143k / year

⏱ Part Time

🔴 Lead

💊 Pharmacist

🦅 H1B Visa Sponsor

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Logo of Humana

Humana

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

• completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization • completes a review that includes a full analysis of the medication care plan • investigation of overall utilization • identification of unusual usage patterns • intervenes and advises patients and providers to promote cost effective utilization and quality patient outcomes

🎯 Requirements

• Typically requires Bachelor's degree or equivalent • less than 5 years of technical experience

🏖️ Benefits

• paid time off • 401(k) retirement savings plan • employee assistance program • business travel and accident

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