Remote Utilization Management Pharmacist – Cost-Saving Care

Humana Inc; Cheyenne (WY); On-site; USD 104,000 - 143,000; Full time

Benefits offered by this job

401(k) plan

Paid time off

Employee assistance program

Job summary

Humana Inc. is seeking a Utilization Management Clinical Pharmacist 2 (VSP/PT) for a remote position. You will review medical necessity and medication plans for pre-authorization, interpret patient data, and advise healthcare providers to promote cost-effective, high-quality care.

The role requires a pharmacy degree with up to 5 years of technical experience, and includes travel to Humana offices for training as needed.

Qualifications

• Bachelor's degree or equivalent in Pharmacy or related field.

Responsibilities

• Conduct medical necessity reviews and comprehensive medication reviews for pre-authorization.
• Interpret data, determine appropriate actions, and advise patients and providers.
• Identify unusual medication usage patterns and promote cost-effective utilization.

Education

Bachelor's degree

Job description

Humana Inc. is seeking a Utilization Management Clinical Pharmacist 2 (VSP/PT) for a remote position. You will review medical necessity and medication plans for pre-authorization, interpret patient data, and advise healthcare providers to promote cost-effective, high-quality care.

The role requires a pharmacy degree with up to 5 years of technical experience, and includes travel to Humana offices for training as needed.