Staff Utilization Management Clinical Pharmacist – VSP/PT

Humana

Utilization Management Clinical Pharmacist managing medical necessity and comprehensive medication reviews for prescriptions. Promoting cost-effective utilization and quality patient outcomes in a remote role.

Posted 7/29/2026part-timeRemote • 🇺🇸 United StatesLead💰 $104,000 - $143,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting comprehensive medication reviews and analyzing medication care plans to ensure cost-effective utilization and quality patient outcomes. Proficient in identifying unusual usage patterns and advising both patients and providers.

Highest-signal resume keywords

Medication ReviewCost Effective UtilizationPatient OutcomesUtilization AnalysisBachelor's Degree

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Necessity ReviewComprehensive Medication ReviewMedication Care Plan AnalysisUtilization InvestigationUsage Pattern Identification

Soft Skills

AdvisingIntervention

About the role

Key responsibilities & impact

completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization
completes a review that includes a full analysis of the medication care plan
investigation of overall utilization
identification of unusual usage patterns
intervenes and advises patients and providers to promote cost effective utilization and quality patient outcomes

Requirements

What you’ll need

Typically requires Bachelor's degree or equivalent
less than 5 years of technical experience

Benefits

Comp & perks

paid time off
401(k) retirement savings plan
employee assistance program
business travel and accident