Remote Utilization Management Pharmacist II

Humana Inc; Olympia (WA); 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 reviews and comprehensive medication reviews for pre-authorization of prescriptions.

The role requires interpretation and independent determination of appropriate action within established guidelines. The pharmacist will review medication care plans, assess overall utilization, and identify unusual usage patterns, advising patients and providers to promote cost-effective utilization and

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 or equivalent

Job description

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

The role requires interpretation and independent determination of appropriate action within established guidelines. The pharmacist will review medication care plans, assess overall utilization, and identify unusual usage patterns, advising patients and providers to promote cost-effective utilization and