About The Position

The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health outcomes with a focus on prescription drugs. This role involves moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior RX Clinical Programs Pharmacist oversees medication therapy, strategy on comprehensive medication reviews, prescription drug optimization in cases where patients are taking multiple medications. The position drives health awareness with patients through Rx Education and targeted quarterly campaigns. It also involves placing outbound calls to confirm patients are taking drugs and providing counseling. This role begins to influence the department’s strategy and makes decisions on moderately complex to complex issues regarding the technical approach for project components. Work is performed without direction, and the individual exercises considerable latitude in determining objectives and approaches to assignments.

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
  • Ability to provide a high speed DSL or cable modem for a home office (minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required).
  • A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

  • Previous experience with pharmacy benefits management
  • Previous Commercial, Medicare and/or Medicaid experience
  • 3 or more years clinical experience in managed care
  • Ability to manage end-to-end-processes
  • Understand Humana's business processes, systems, tools, regulations and structure and how they interrelate to provide products and services that create value for Humana members
  • Previous management experience and ability to lead teams
  • Previous program or project management experience
  • Proven success in leading teams (both direct and indirect) with multiple accountabilities
  • Excellent data analysis and experience working with Access, SQL and Excel
  • Lean, 6 sigma experience and/or certification

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.
  • Exercises considerable latitude in determining objectives and approaches to assignments.

Benefits

  • Medical benefits
  • Dental benefits
  • Vision benefits
  • 401(k) retirement savings plan
  • Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • Short-term disability
  • Long-term disability
  • Life insurance
  • Bonus incentive plan

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What This Job Offers

Job Type

Full-time

Career Level

Senior

Education Level

Ph.D. or professional degree

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