Humana
Saint Paul, MN, USA
Become a part of our caring community and help us put health first The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical thinking and in-depth analysis of variable factors. Location: Remote - United States Schedule: This is a VSP (Variable Service Provider) role. The hours will vary between 24-40 hours per week. The s hift for training will be 10:00AM-630PM ET. After training, a shift of either 11:00AM-730PM ET, 12:00PM-830PM, or 1:00PM-930PM will be assigned based on business need. Some weekend coverage may be required. Mandatory overtime during peak season. Job Description: The Staff...


