Staff Utilization Management Clinical Pharmacist (VSP/PT)
Humana(1 month ago)
About this role
The Staff Utilization Management Pharmacist is a clinical expert who conducts medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization, evaluating complex clinical scenarios and applying evidence-based criteria. This remote, variable-hour position supports utilization management to ensure appropriate medication use and high-quality patient outcomes.
Required Skills
- Medication Review
- Medical Necessity
- Utilization Management
- Clinical Evaluation
- Decision Support
- PBM Platforms
- EHRs
- Microsoft Office
- Communication
- Problem Solving
+1 more
Qualifications
- Bachelor's Degree
- Doctor of Pharmacy (Pharm.D.)
- Active Pharmacist License
- Medicare/Medicaid Participation Eligibility
About Humana
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