Job Description:
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Member Services Pharmacists:

1- position: can work wither shift:
10:30 AM to 7:00 PM Monday through Friday. Some Saturdays. Weekend shift Differential will apply.
Or
8:30AM - 7:00PM Mon / Tues / Thurs / Sat 4x10

Domain
Pharmacy

Understanding of medication related needs for the purpose of achieving definite outcomes that improve a members quality of life by providing high quality pharmaceutical consultation and services that foster the efficacy, safety and cost effectiveness of drug use for our customers and consumers.

Consultation

Understands the businesses, industry, and industry trends and uses that knowledge to recommend effective solutions. Leads and/or supports collaborative business partnerships, elicits client understanding and insight to advise and make recommendations. Clarifies scope of work commitments and deliverables, and defines measurable success criteria to monitor progress toward goals.

Customer Value Chain, Competitive Intelligence and the Humana Business Model

Understanding of the competitive environment, including Humanas marketplace, industry, competition and regulatory environment, as well as understanding of how the components of Humanas business model (i.e. strategy, finances, operations) interrelate to make Humana competitive in the marketplace. Understanding of Humanas business processes, systems, tools, regulations and structure and how they interrelate to provide products and services that create value for Humana customers, consumers and key stakeholders. Understanding of how the value we create for our customers, consumers and key stakeholders aligns with Humanas vision, business, culture, value proposition, brand promise and strategic imperatives.

Pharmacy Operations

Understands formularies and reimbursement methodologies and has the ability to provide exceptional customer service as it relates to initiating and/or refilling prescriptions, monitoring for drug-drug interactions and providing guidance to consumers as they navigate pharmaceutical therapy choices. Is able to interpret physician prescriptions, compound and dispense medications within regulatory guidelines, and provide guidance for consumers on drug therapies.

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Enabling
Builds Trust

Walks the talk; makes choices that are consistent with Humanas ethical principles; is emotionally intelligent; manages self and relationships effectively, through self-awareness, self-management, awareness of others and skill in dealing with others.

Implementation / Execution

Effectively leverages available resources (financial, people, time) to accomplish objectives and maximize return on investment. Makes appropriate decisions in the face of ambiguity. Anticipates and resolves barriers and constraints. Organizes and manages multiple priorities and/or projects using appropriate methodologies and tools.

Innovates

Introduces or develops new ideas and processes which improve performance and productivity. Generates insights through thought leadership. Leverages business intelligence, data, insights, and other research to drive differential value and expand Humanas capability to compete.

Problem Solving

Proactively identifies, evaluates, and solves problems with rigorous logic and a systematic approach; looks beyond the obvious to see root cause is

Minimum Education Required: Masters

Years of Experience Required: At Least 1 Year

Expected Travel Time: None