Senior RX Clinical Programs Pharmacist
Remote US
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
40Pay 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.
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: 01-02-2025About 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, sexual 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, sexual 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.
ApplyJob Profile
California Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Must provide high-speed internet No satellite or wireless internet allowed Remote US
Benefits/Perks401k retirement 401k Retirement Savings Bonus Incentive Bonus incentive plan Caring community Coaching Competitive benefits Dental Disability Flexible scheduling Flexible work environment Health outcomes Holidays Internet expense reimbursement Life Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Professional development opportunities Smart healthcare decisions Support whole-person well-being Time off Vision Vision Benefits Volunteer time Volunteer time off Work From Home
Tasks- Analysis
- Coaching
- Communicate effectively
- Data Analysis
- Determining objectives and approaches
- Drive health awareness
- Improve health outcomes
- Influence department strategy
- Lead teams
- Manage complex issues
- Oversee medication therapy
- Project management
- Provide counseling
- Training
Access Analysis Business Clinical Clinical Experience Clinical programs Coaching Compensation Consumer Experiences Data Data analysis Dental Development programs Education Excel Healthcare Health outcomes Health Services HIPAA Home Health Home health services Initiative Insurance IT Leadership Leadership Development Lean Life Insurance Managed Care Management Medicaid Medicare Medication Adherence Medication therapy Microsoft Microsoft Office Microsoft Office Applications Optimization Organization Organizational Pharmacy Policy PowerPoint Prescription Presentation Problem-solving Project Management Recruitment Regulations SAFe Scheduling Security Six Sigma SQL Strategy Teams Technical Training Troubleshooting Vision Wellness Word
Experience3 years
EducationAssociate Associates Bachelor of Science Bachelor of Science in Pharmacy Business Data Analysis Education Healthcare Health Outcomes Health Services Higher IT Management Pharm.D
CertificationsClinical certifications Lean SAFe
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9