Remote Utilization Management Pharmacist — Cost-Conscious Care

Humana Inc; Richmond (VA); On-site; USD 104,000 - 143,000; Full time

Benefits offered by this job

Paid time off

401(k) plan

Employee assistance program

Business travel

Job summary

Humana Inc. is seeking a Utilization Management Clinical Pharmacist 2 (VSP/PT) to perform medical necessity reviews and comprehensive medication assessments for pre-authorizations. The role involves analyzing medication care plans, evaluating utilization, and advising patients and providers to optimize cost-effective, high-quality care.

Travel to Humana offices may be required occasionally. Typical qualifications include a bachelor’s degree or equivalent with under five years of technical

Qualifications

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

Responsibilities

• The Utilization Management Clinical Pharmacist 2 (VSP/PT) 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.

Education

Bachelor's degree or equivalent

Job description

Humana Inc. is seeking a Utilization Management Clinical Pharmacist 2 (VSP/PT) to perform medical necessity reviews and comprehensive medication assessments for pre-authorizations. The role involves analyzing medication care plans, evaluating utilization, and advising patients and providers to optimize cost-effective, high-quality care.

Travel to Humana offices may be required occasionally. Typical qualifications include a bachelor’s degree or equivalent with under five years of technical