Remote Utilization Management Clinical Pharmacist

Humana Inc; Lincoln (NE); On-site; USD 104,000 - 143,000; Full time

Benefits offered by this job

Paid time off

401(k) retirement savings plan

Employee assistance program

Business travel

Job summary

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

The role requires interpretation, independent decision making, and aims to improve care quality and cost-effective utilization. The position involves reviewing medication care plans, identifying unusual usage patterns, and advising patients and providers.

Qualifications

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

Responsibilities

• Completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization.
• Intervenes and advises patients and providers to promote cost effective utilization and quality patient outcomes, as needed.

Education

Bachelor's degree

Job description

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

The role requires interpretation, independent decision making, and aims to improve care quality and cost-effective utilization. The position involves reviewing medication care plans, identifying unusual usage patterns, and advising patients and providers.