Remote Clinical Utilization Pharmacist

Humana Inc; Madison (WI); On-site; USD 104,000 - 143,000; Full time

Job summary

Humana Inc. is seeking a Utilization Management Clinical Pharmacist 2 (VSP/PT) to perform medical necessity and comprehensive medication reviews for pre-authorized prescriptions.

The role involves independent interpretation and decision-making, with guidance as needed, to support cost-effective utilization and quality patient outcomes. The position is remote with occasional travel to Humana offices for training or meetings.

Qualifications

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

Responsibilities

• Perform medical necessity reviews and comprehensive medication reviews for prescriptions requiring pre-authorization.
• Interpret data and determine appropriate action with limited supervision.
• Advise patients and providers to promote cost-effective utilization and quality outcomes.

Skills

Clinical pharmacist

Education

Bachelor's degree or equivalent

Job description

Humana Inc. is seeking a Utilization Management Clinical Pharmacist 2 (VSP/PT) to perform medical necessity and comprehensive medication reviews for pre-authorized prescriptions.

The role involves independent interpretation and decision-making, with guidance as needed, to support cost-effective utilization and quality patient outcomes. The position is remote with occasional travel to Humana offices for training or meetings.