[Remote] Senior Clinical Programs Pharmacist at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

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
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
WAH requirements: Ability to provide a high speed DSL or cable modem for a home office (minimum 25x10 speed; no satellite or wireless internet); dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

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
Works on moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors
Exercises considerable latitude in determining objectives and approaches to assignments (work performed without direction)

Skills

Key technologies and capabilities for this role

PharmDPharmacist LicenseMedication TherapyComprehensive Medication ReviewsPrescription Drug OptimizationPatient CounselingRx EducationMicrosoft ExcelMicrosoft WordMicrosoft PowerPoint

Questions & Answers

Common questions about this position

What are the required qualifications for the Senior Clinical Programs Pharmacist role?

Candidates must have a Bachelor of Science in Pharmacy or PharmD Degree, an active pharmacist license in the state(s) required to practice, strong organizational skills, proven problem-solving skills, ability to work independently and in a team, excellent communication skills, ability to manage priorities in a fast-paced environment, and comprehensive knowledge of Microsoft Office applications.

Is this a remote position, and what are the work-from-home requirements?

This is a work-at-home (WAH) role requiring a high speed DSL or cable modem for a home office; associates or contractors in California working from home will receive payment for internet expenses, with a minimum speed of 25x10 (25mbps) needed for optimal performance.

What is the salary or compensation for this position?

This information is not specified in the job description.

What preferred qualifications would make me a stronger candidate?

Preferred experience includes pharmacy benefits management, Commercial/Medicare/Medicaid, 3+ years in managed care, end-to-end process management, Humana business knowledge, management and team leadership, program/project management, data analysis with Access/SQL/Excel, Lean/Six Sigma, and bilingual English/Spanish skills.

What benefits are mentioned for working from home in California?

Associates or contractors who live and work from home in California will be provided payment for their internet expense.

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.

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