Become a part of our caring community and help us put health first

The Supervisor, Utilization Management Pharmacy is a clinical pharmacist who leads a team of pharmacists who perform medical necessity reviews for prescriptions requiring pre-authorization. The Supervisor, Utilization Management Pharmacy works within thorough, prescribed guidelines and procedures using independent judgment requiring analysis of variable factors to solve problems. They collaborate with management and top professionals/specialists in selection of methods, techniques, and analytical approach.

The Supervisor, Utilization Management Pharmacy leads of team of pharmacists. This team of pharmacists complete utilization management reviews that use clinical judgement, policy, and compendia to render accurate coverage decisions. This role requires cross-team partnership in multiple functional areas including but not limited to clinical operations, strategy, workforce management, and IT. This leader performs escalated and more complex work by supervising a group of Pharmacist associates by coordinating and providing day-to-day oversight to associates. They ensure consistency in execution across the team through monitoring of efficiency and quality.

Use your skills to make an impact

Required Qualifications

Must have an active license with the Board of Pharmacy in the appropriate state

Pharmacy degree from an accredited college of pharmacy

Experience utilizing PAHub, and RXNova

Self-directed, but also able to work well in a group

Direct leadership experience

Ability to solve problems and encourage others in collaborative problem solving

Work ethic that is focused, accurate, and highly productive

Excellent communication skills

Preferred Qualifications

Utilization Management review experience of prescription drugs for Medicare Part D and Part B, initials and appealsScheduled 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.$112,400 - $154,900 per yearThis 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.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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 because he or she is a protected veteran. 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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.