[Remote] Senior Clinical Programs Pharmacist at Humana

San Antonio, Texas, United States

Apply Now

Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

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
Passionate about contributing to an organization focused on continuously improving consumer experiences

Responsibilities

Integrates programs developed to improve overall health outcomes with a focus on prescription drugs
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
Manages end-to-end-processes
Understands Humana's business processes, systems, tools, regulations and structure and how they interrelate to provide products and services that create value for Humana members
Leads teams (both direct and indirect) with multiple accountabilities
Performs excellent data analysis and experience working with Access, SQL and Excel

Skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

Land your dream remote job 3x faster with AI

Try Jobo Free