Become a part of our caring community and help us put health first. The Senior Rx Clinical Programs Pharmacist integrates programs developed to improve overall health outcomes with a focus on prescription drugs. The Senior Rx Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Rx Clinical Programs Pharmacist oversees medication therapy, strategy on comprehensive medication reviews, and prescription drug optimization in cases where patients are taking multiple medications. Drives health awareness with patients through Rx Education and targeted quarterly campaigns. Places outbound calls to confirm patients are taking drugs and provides counseling. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
+ Bachelor of Science in Pharmacy or PharmD Degree + Active pharmacist license in the state(s) in which you are required to practice + Strong organizational skills and ability to stay on schedule + Proven problem-solving and troubleshooting skills + Ability to work independently and within a team setting to achieve goals and meet deadlines. + Excellent verbal and written presentation skills with ability to communicate effectively across all levels of the organization + Ability to take initiative, ability to manage multiple or competing priorities, and work in a fast-paced environment + Comprehensive knowledge of Microsoft Office applications, including Word, PowerPoint & Excel + Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience in managed care + Ability to manage end-to-end-processes + Understand Humana's business processes, systems, tools, regulations and structure and how they interrelate to provide products and services that create value for Humana members + Previous management experience and ability to lead teams + Previous program or project management experience + Proven success in leading teams (both direct and indirect) with multiple accountabilities + Excellent data analysis and experience working with Access, SQL and Excel + Lean, 6 sigma experience and/or certification + Bilingual (English/Spanish)
WAH requirements: + Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. + A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours 40
Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.
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