Humana Oncology Staff Utilization Management Pharmacist - Full time, Work at Home in Aberdeen, South Dakota
The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology Staff Utilization Management 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 Oncology Staff Utilization Management Pharmacist 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. Acts as the oncology clinical subject matter expert for all clinical support functions within Humana Clinical Pharmacy Review (HCPR). 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.
Board Certified Oncology Pharmacist (BCOP) certification
Must have an active license with the Board of Pharmacy in the appropriate state.
Pharmacy degree from an accredited college of pharmacy.
Ability to participate in Federal prescription programs.
Self-directed, but also able to work well in a group.
Ability to solve problems and encourage others in collaborative problem solving.
Work ethic that is focused, accurate, and highly productive.
Excellent communication skills.
Excellent computer skills including Microsoft Word, Outlook, PowerPoint & Excel.
Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10 panel drug test.
Must have accessibility to high speed DSL or cable modem for a home office (satellite internet service is NOT allowed for this role); and a minimum internet connection speed of 10M x 1M
Able to work 8 hour shifts Monday thru Friday 2:30-11 pm EST and every fifth Saturday.
Completion of PGY2 oncology residency
Strong organizational skills and ability to stay on schedule. Brings an attention-to-detail approach (strong tactical execution)
Ability to multi-task, manage competing priorities and operate effectively within a large and complex organizational structure.
Experience developing and delivering presentations on clinical and business topics
Experience training health care professionals to care for cancer patients
Ability to work in a fast-paced environment with a focus on quality and production metrics.
Managed Care experience preferred but not required.
Scheduled Weekly Hours
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