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Staff Utilization Management Pharmacist - Work at Home - Contract Position
Company name
Humana Inc.
Location
Dover, DE, United States
Employment Type
Full-Time
Industry
Work At Home, Pharmaceutical
Posted on
Aug 10, 2021
Profile
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
Schedule :
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
Mandatory overtime during peak season
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
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
This role is Variable Staffing Pool( VSP), Variable Staffing Pool Humana associates work flexible hours to meet business needs, with no guaranteed minimum or maximum number of hours in any week. This role is also eligible for limited benefits.
Scheduled Weekly Hours
40
Company info
Humana Inc.
Website : http://www.humana.com
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