Operations

• Be part of the Clinical Drug Policy Management team ensuring synchronization of formulary utilization management policies across multiple systems
• Create and maintain clinical tools to facilitate clinical medication review decision making
• Operationalize prior authorization criteria into Humana systems in alignment with Humana’s Pharmacy and Therapeutics Committee
• Develop key performance indicators and plans to improve overall process improvements and efficiency
• Make decisions regarding own work methods with minimal direction

Formulary Operations Management Professional

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