Senior Specialty Consultative Pharmacist

Senior Specialty Consultative Pharmacist

As a member of the Specialty Clinical Team, you will report to a Supervising, Specialty Operations Pharmacist. Daily work assignments include both inbound and outbound calls to patients to discuss medication therapy, side effect management and adverse event reporting.

As a Senior Specialty Consultative Pharmacist your primary responsibility will be to assess and evaluate the conditions of our members, with an emphasis on medication therapy, through telephonic interactions to ensure they achieve and maintain wellness. Additionally, you will develop and implement comprehensive care plans, monitor patient progress through regular assessments, and use advanced telecommunication systems to provide medication education. You will demonstrate your clinical expertise. In this role you will have an opportunity to make a significant impact on the lives of patients with serious and rare health conditions within a supportive and professional environment.

Assignments:

• Inbound/Outbound calls to members.
• Review prescriptions for accuracy.
• Check for drug-drug interactions.
• Evaluate appropriateness of disease state, dosage, directions and therapy.
• Utilize electronic resources and guidelines to assist in professional decision making.

You will use the following skills as part of this role:

• Work alone and within a team setting to meet department goals.
• Problem-solving skills and use resources for professional decision-making.
• Focused, accurate and highly productive.
• Communicate effectively verbally and in written form.

Required Qualifications:

• Pharmacy degree from an accredited college of pharmacy (PharmD).
• Active Pharmacist license from the state of Florida, Texas, Ohio or Arizona Board of Pharmacy without restrictions or disciplinary action.
• Minimum three, (3) years of experience as a pharmacist in a high-volume retail, hospital or mail order pharmacy practice environment.
• Participate in Federal prescription programs.
• Comprehensive knowledge of Microsoft Office applications, including Word, Excel, Outlook and OneNote.
• Knowledge navigating multiple systems, platforms and troubleshoot and resolve general technical difficulties in a remote environment.

Preferred Qualifications:

• Pharmacist Board Certification – Oncology, Specialty, Geriatric, Pharmacotherapy, and Ambulatory.
• Proficient in Spanish.
• Previous experience in a Specialty Pharmacy setting.
• Previous experience with Pharmacy Benefits Management (PBM).
• Previous Commercial, Medicare, or Medicaid experience.
• Previous clinical experience in managed care.

Additional Information:

Workstyle: Remote

Location: Must reside in Ohio, Florida, Texas or Arizona only

Training Schedule: 40-hour work week Eastern Time 2-4 week training Monday through Friday 8:00 am - 5:30 pm Eastern

Department Schedule: Typically, 40-hour work week Eastern Time - Leaders will discuss during the interview

Business Hours: Monday–Friday, 8:00 a.m.–8:00 p.m.; Saturday, 8:00 a.m.–6:30 p.m.

• Schedule: This position follows a standard Monday–Friday schedule with the following shift structure:
• Three standard shifts: 10:00 a.m. – 6:30 p.m.
• Two late shifts: 11:30 a.m. – 8:00 p.m. (scheduled Monday–Thursday)
• Note: The Friday late shift is not fixed and will be part of a rotating schedule.
• In addition to weekday coverage, this role includes rotating Friday closing responsibilities as well as rotating Saturday shift coverage.
• Holiday rotation and mandatory overtime may be required to meet business needs.

Work-At-Home Requirements: This position will require you to have a minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps. Wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format: As part of our hiring process for this opportunity, we use an interviewing technology called HireVue to enhance our screening and interviewing processes. HireVue allows us to quickly connect and gain valuable information from you related to your relevant skills and experience at a time that is best for your schedule.

Language Assessment: Any Humana employee who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. You may be asked to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

SSN Alert: Humana values your personal identity protection. Please be aware that you may be asked to provide your Social Security Number, if it is not already on file. When required, an email will be sent from View email address on click.appcast.io with instructions on how to add the information into your official application on Humana's secure website.

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.

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 is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc.