Remote Utilization Management Clinical Pharmacist

Humana Inc; Salt Lake City (UT); On-site; USD 104,000 - 143,000; Full time

Benefits offered by this job

Remote work

Travel opportunities

Job summary

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

The role involves analyzing care plans, evaluating utilization patterns, and advising patients and providers to promote safe, cost-effective outcomes. This is a remote position 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

• Completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization.
• Performs full analysis of the medication care plan and overall utilization.
• Intervenes and advises patients and providers to promote cost-effective utilization and quality patient outcomes.

Education

Bachelor's degree or equivalent

Job description

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

The role involves analyzing care plans, evaluating utilization patterns, and advising patients and providers to promote safe, cost-effective outcomes. This is a remote position with occasional travel to Humana offices for training or meetings.