Staff Pharmacist – Delray Beach

Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Clinical Innovations / Clinical Advisor, Pharmacist
Assignment:
Location: Delray Beach, FL

Are you a fit?
Do you enjoy defining clinical strategy for a major market area? Do you have a desire to be in a position where you can 'provide guidance to our members related to their health care needs? If so, then read on!
Assignment Capsule
In this role you will lead a team of professionals in reviewing actual and proposed pharmaceutical recommendations against established Pharmacy policies and guidelines.

• Manage network participation, care with specialty networks, providers and using your knowledge of pharmacy plan design.
  
• Recommend services for Humana Plan members utilizing alternatives available within the community and nationally.
  
• Identify potentially unnecessary services and care delivery settings, and recommend alternatives if appropriate by analyzing clinical protocols.
  
• Examine clinical programs information to identify members for specific case management and / or disease management activities or interventions by utilizing established screening criteria.
  
• Conduct secondary pharmacy review, on escalations.

Key Competencies

• Leveraging Technology: You are technological savvy and know how to appropriately share and use your knowledge to improve business results.
  
• Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.
  
• Is Accountable: You meet clearly stated expectations and take responsibility for achieving results.
  
• Clinical Knowledge: You understand clinical program design, implementation, management/monitoring to support choice in consumer medical care. Understands the medical utilization implications of such programs
  
• Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.

Role Essentials

• Must have an active Pharmacist license in the state(s) in which you are required to practice
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• Prior demonstrated success working in Pharmacy Operations in a retail or clinical setting

Role Desirables
- Graduate from an accredited School of Pharmacy
-Licensed in the state of Florida
- able to communicate effectively
- strong customer service skills

Reporting Relationships
You will report to a Director within the Pharmacy Department. This area is under the leadership of the SVP & Chief Operating Officer.

Additional Information

Apply Here