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    Supervisor - Utilization Management Pharmacy - Boise, United States - Idaho State Job Bank

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    Description
    Supervisor
    • Utilization Management Pharmacy at Humana in Boise, Idaho, United States Job Description 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 basic 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 strategy, workforce management, and IT. Decisions are typically are related to schedule, plans and daily operations.

    This associate performs escalated or more complex work of a similar nature, and supervises a group of typically support and technical associates by coordinating and providing day-to-day oversight to associates.

    They ensure consistency in execution across 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 + 1+ years of experience utilizing PAHub, CGX, and RXNova + Self-directed, but also able to work well in a group + Ability to solve problems and encourage others in collaborative problem solving + Work ethic that is focused, accurate, and highly productive + Excellent communication skills + Home Office : a dedicated secure home workspace, and high-speed internet (minimum download speed of 25 Mbps and upload of 10 Mbps)

    Preferred Qualifications + 1+ years of direct leadership experience + 1+ years of experience with Information Technology (IT) product design Additional Information Home Office Requirements and Information:
    + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended + Wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership + Humana will provide Home or Hybrid Home/Office employees wi To view full details and how to apply, please login or create a Job Seeker account


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