Senior Specialty Consultative Pharmacist

Ohio, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must possess a Pharmacy degree (BS or PharmD) from an accredited college and hold an active Pharmacist license in Florida, Texas, Ohio, or Arizona, while residing and working within one of these states. A minimum of 3 years of experience as a pharmacist in a high-volume retail, hospital, or mail-order setting is required, along with the ability to participate in Federal prescription programs, demonstrate strong problem-solving skills, and proficiency in Microsoft Office applications. Preferred qualifications include board certification in Oncology, Specialty, Geriatric, Pharmacotherapy, or Ambulatory care, as well as Spanish language proficiency and prior experience in Specialty Pharmacy, pharmacy benefits management, or managed care.

Responsibilities

The Senior Specialty Consultative Pharmacist will integrate clinical programs to enhance member health outcomes, focusing on Specialty prescription medications. Responsibilities include assessing member conditions and medication therapy via telephonic interactions to promote wellness, developing and implementing care plans, monitoring patient progress, and providing medication education. Daily tasks involve inbound and outbound calls to patients regarding medication therapy and side effect management, reviewing prescriptions for accuracy, checking for drug-drug interactions, evaluating therapy appropriateness, and utilizing electronic resources for professional decision-making.

Skills

Clinical Pharmacy

Specialty Pharmacy

Medication Therapy Management

Care Plan Development

Patient Assessment

Telecommunication Systems

Medication Education

Drug-Drug Interaction Analysis

Electronic Health Records (EHR)

Adverse Event Reporting

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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