Senior RX Clinical Programs Pharmacist

Job highlights
Identified by Google from the original job post
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
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
WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required
Benefits
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
$102,200 - $140,700 per year
This job is eligible for a bonus incentive plan
This incentive opportunity is based upon company and/or individual performance
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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities
Responsibilities
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
Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense
Satellite and Wireless Internet service is NOT allowed for this role
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Job description
Become a part of our caring community and help us put health first

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

Alert: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 Humana@myworkday.com 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 Modern Hire.

Modern Hire technologies allow you to interact with us at the time and location most convenient for you. If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

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.

$102,200 - $140,700 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 01-02-2025

About us

About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

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, ****** orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, ****** orientation, gender identity, national origin, age, marital status, genetic information, 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.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, ****** orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources

United States
Arkansas
Little Rock Show on map Get directions