Humana

Staff Specialty Operations Pharmacist

Arizona, United States

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, PharmacyIndustries

Staff Specialty Operations Pharmacist

Position Overview

Become a part of our caring community and help us put health first. The Staff Specialty Operations Pharmacist applies clinical and operational knowledge to ensure effective and compliant processing of specialty medication prescription orders to be mailed to patients' homes and/or provider offices from CenterWell Specialty Pharmacy. This position interacts directly with providers, patients, and teammates to solve clinical and/or escalated issues, including drug interactions, therapy regimens, and medication stability. Work assignments vary and frequently require interpretation and independent determination of appropriate courses of action while following established guidelines and department procedures. The Staff Specialty Operations Pharmacist makes decisions with minimal direction, occasionally in ambiguous situations, and receives guidance where needed.

Employment Type

Full-time

Location

Remote

Must reside in Florida, Arizona, Texas, or Ohio.

Hours

Operations Pharmacist department hours are Monday-Friday 8am-11pm EST and Saturday 8am-6:30pm EST. The permanent schedule will consist of 1-2 closing shifts (2:30pm-11pm EST) per week with remaining shifts being 11:30am-8pm EST and rotating Saturday coverage.

Responsibilities

As a member of the Specialty Operations Team, you will perform a variety of tasks based upon business need. Daily work assignments include:

  • Inbound phone calls with patients/providers
  • Reviewing prescriptions for accuracy and appropriateness of therapy
  • Checking for drug interactions
  • Utilizing resources/guidelines to assist in professional decision-making

Use your skills to make an impact.

Requirements

  • Pharmacy degree from an accredited college of pharmacy (Bachelor of Science or PharmD)
  • Active PHARMACIST license from Florida, Texas, Ohio or Arizona Board of Pharmacy
  • Candidate must reside and work within the state of Florida, Texas, Ohio or Arizona
  • 3 or more years of experience as a pharmacist in a high-volume retail, hospital, or mail-order pharmacy practice environment
  • Ability to participate in Federal prescription programs
  • Ability to work independently and within a team setting to achieve goals and meet deadlines
  • Proven problem-solving skills and strong ability to utilize resources for professional decision-making
  • Work ethic that is focused, accurate, and highly productive
  • Excellent verbal and written skills with the ability to communicate effectively within the team and to patients or caregivers
  • Proficient with computers and comfortable troubleshooting technology issues
  • Comprehensive knowledge of Microsoft Office applications, including Word, Excel, Outlook, and OneNote
  • Ability to provide a hard-wired internet connection and a private workspace

Preferred Qualifications

  • Proficient in Spanish – If applicable, please specify this on application/resume when applying
  • Pharmacist Board Certification – Oncology, Specialty, Geriatric, Pharmacotherapy, Ambulatory
  • Previous experience in a Specialty Pharmacy setting
  • Previous experience with pharmacy benefits management
  • Previous Commercial, Medicare and/or Medicaid experience
  • Previous clinical experience in managed care

Additional Information

  • This is a remote position; however, all candidates must reside in Ohio, Florida, Texas, or Arizona.
  • Operations Pharmacist department hours are Monday-Friday 8am-11pm EST and Saturday 8am-6:30pm EST.
  • The permanent schedule for this position will consist of 1-2 closing shifts (2:30pm-11pm EST) per week and rotating Saturday coverage.
  • Holiday shifts are rotated based on business operational hours and coverage needs.
  • Overtime may be available and is communicated by leadership – Overtime may be voluntary or mandatory based on business needs.
  • Work-At-Home (WAH) is not a substitution for caregiver needs - Associate must be able to work the assigned schedule.

Work-At-Home Requirements

  • Must have the ability to provide a wired high-speed DSL or cable modem for a home office.
  • A minimum standard speed for optimal performance of 25x10 (25mbps download x 10mbps upload) is required.

Skills

Pharmacy
Clinical knowledge
Operational knowledge
Prescription review
Drug interactions
Therapy regimens
Medication stability
Professional decision-making
Communication with providers and patients

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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