资深利用管理临床药剂师（VSP/PT）
Staff Utilization Management Clinical Pharmacist (VSP/PT)
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利用管理临床药剂师2（VSP/PT）是一名临床药剂师，负责对需要预授权的处方进行医疗必要性和全面药物审查。利用管理临床药剂师2（VSP/PT）的工作任务多样，经常需要解释并独立决定适当的行动方案。利用管理临床药剂师2（VSP/PT）会进行包括药物治疗计划的全面分析、整体使用情况的调查以及异常使用模式的识别。在需要时，会对患者和医务人员进行干预和建议，以促进成本效益的使用和高质量的患者结果。了解部门、业务单元和组织的战略和运营目标，包括它们与相关领域的联系。在某些模糊的情况下，自行决定工作方法，需要最少的指导，并在需要时接受指导。遵循既定的指南/流程。
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所需资格
· 通常需要学士学位或同等学历，且技术经验不足5年
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其他信息
居家办公要求：为确保居家或混合办公员工能够有效工作，居家或混合办公员工自备的互联网服务必须满足以下标准：最低下载速度为25 Mbps，上传速度为10 Mbps；建议使用无线、有线电缆或DSL连接。在某些职位中，Humana规定的最低推荐互联网速度可能不足以满足业务需求。Humana保留权利在必要时要求员工升级其互联网服务。从一个专用空间工作，避免持续干扰以保护成员的PHI/HIPAA信息。出差：虽然这是一个远程职位，但可能需要偶尔前往Humana的办公室参加培训或会议。每周安排工作时间
1薪资范围
以下薪资范围是根据发布时全职（每周40小时）雇佣的起薪的诚实估计。根据地理位置，薪资范围可能更高或更低，个人薪资将根据展示出的与工作相关的技能、知识、经验、教育、认证等而有所不同。$104,000 - $143,000/年
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The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management Clinical Pharmacist 2 (VSP/PT) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.The Utilization Management Clinical Pharmacist 2 (VSP/PT) completes a review that includes a full analysis of the medication care plan, investigation of overall utilization, and identification of unusual usage patterns. Intervenes and advises patients and providers to promote cost effective utilization and quality patient outcomes, as needed. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
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Required Qualifications
· Typically requires Bachelor's degree or equivalent and less than 5 years of technical experience
Preferred Qualifications
Additional Information
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
1Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$104,000 - $143,000 per yearDescription of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Originally posted on Himalayas