The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve 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, 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, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
Use your skills to make an impact
Required Qualifications
- 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
Preferred Qualifications
- 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
Additional Information
WAH requirements:
- Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
- A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
- Satellite and Wireless Internet service is NOT allowed for this role.
- A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [redacted] with instructions on how to add the information into your official application on Humana’s secure website.
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HIreVue. If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a Text Messaging interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
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
40
Pay 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.
$115,200 - $158,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
