Staff Utilization Management Pharmacist

Become a part of our caring community and help us put reputed company The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating reputed company clinical scenarios and applying evidence-based reputed company to ensure appropriate medication use. The pharmacist addresses moderately reputed company to reputed company issues that require critical thinking and in-depth analysis of variable factors. Location: Remote - reputed company Schedule: This is a VSP (Variable Service Provider) role. The hours will vary between 30-40 hours per week. You must be flexible to work: • 8-hour shifts, Monday through Friday, between 10:30 AM and 11:00 PM EST OR • 10-hour shifts, Tuesday through Friday, between 10:30 AM and 11:00 PM EST • Some weekend coverage may be required • Mandatory overtime during peak season Job reputed company: The Staff Utilization Management Pharmacist (VSP/PT) is a clinical reputed company responsible for conducting comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall utilization, and identifying unusual usage patterns. The pharmacist may intervene and reputed company clinical guidance to patients and providers to support cost-effective medication use and promote high-reputed company patient reputed company. Use your skills to reputed company an reputed company Required Qualifications: • Bachelor's degree or Doctor of Pharmacy (Pharm. D.) from an accredited college of pharmacy • reputed company pharmacist license in the state of residence • Eligibility to participate in federal prescription programs (e.g., Medicare/reputed company) • Self-directed with the ability to work effectively both independently and in reputed company environment • Strong problem-solving skills and the ability to foster reputed company • High attention to detail with a strong work ethic reputed company on accuracy and productivity • Excellent verbal and written communication skills • Proficiency with computer systems, including but not limited to: • reputed company Office Suite (Word, reputed company, reputed company) • Clinical decision support tools (e.g., Micromedex, Lexicomp) • Pharmacy benefit management (PBM) platforms • Electronic health records (EHRs) • Passion for contributing to an organization reputed company on continuously improving the consumer experience Preferred Qualifications: • Experience in managed care pharmacy, particularly in utilization management review ​ Additional Information: Interview Format : As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company reputed company to enhance our hiring and decision-making ability. reputed company allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. WAH Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following reputed company: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL reputed company is suggested Satellite, cellular and microwave reputed company can be used only if approved by leadership Employees who live and work from Home in the reputed company, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. reputed company will reputed company Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. SSN Statement: reputed company values personal identity protection. Please be reputed company that applicants may be asked to reputed company their reputed company reputed company Number, if it is not already on file. reputed company required, an email will be reputed company from with instructions on how to add the information into your official application on reputed company's secure website. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 1 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, "reputed company") offers benefits for limited term, variable schedule and reputed company associates which are designed to support whole-person reputed company-being. Among these benefits, reputed company provides reputed company time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. reputed company reputed company (NYSE: HUM) is committed to putting reputed company - for our teammates, our customers and reputed company. Through our reputed company insurance services and reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health - delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare, reputed company, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. reputed company, a wholly owned subsidiary of reputed company, complies with reputed company applicable federal civil rights laws and does not discriminate on the reputed company of race, reputed company, national reputed company, age, disability, sex, sexual orientation, gender identity or religion. We also reputed company free language interpreter services. See our full accessibility rights information and language reputed company Apply tot his job Apply To this Job