Formulary Operations Analyst
RxSense- Full Time
- Junior (1 to 2 years)
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.
Full-time
Remote
Must reside in Florida, Arizona, Texas, or Ohio.
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.
As a member of the Specialty Operations Team, you will perform a variety of tasks based upon business need. Daily work assignments include:
Use your skills to make an impact.
Health insurance provider for seniors and military
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.