Staff Utilization Management Clinical Pharmacist (VSP/PT)
Humana · United States · US
Utilization Review
Remote/Hybrid — check advert
physician
Pharmacist
physiotherapist
Demand75
Career growth58
Healthcare fit78
Remote potential95
Salary band
USD 104k – 143k
5-year outlook
Payer-side utilization management pharmacist work is likely to remain in demand, but this variable part-time staffing model may limit annual earnings and predictability. Full-time managed care or utilization review pharmacist roles may offer more stable compensation and advancement over time.
Clinical license
Required
Applicant reach
narrow
Seniority
mid
Employment type
part-time
Date found
2026-10-30
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Per-diem
- Hours
- Part-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Pharmacist, physiotherapist
- Rate period
- Annual
Why this was classified this way
- per diem
- part-time
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for licensed pharmacists who want remote, payer-side utilization management experience and can accommodate variable part-time hours, late shifts, weekends, and peak-season overtime. Less suitable for clinicians without an active pharmacist license or those needing stable full-time scheduling.
Who should apply
Licensed Pharm.D. pharmacists, especially those with managed care, PBM, prior authorization, medication therapy management, or clinical review experience, who are flexible with variable shifts and interested in non-clinical payer utilization review work.
CV angle
Frame the CV around pharmacist licensure, medication therapy management, prior authorization or medication review exposure, application of clinical guidelines, payer/PBM platform familiarity, EHR and clinical decision support tool use, documentation accuracy, HIPAA-compliant remote work, and productivity in high-volume review environments. Do not claim managed care UM experience unless it is real.
Skills to highlight
- Utilization management
- Medical necessity review
- Prior authorization
- Comprehensive medication review
- Clinical guideline application
- PBM and EHR systems
- Clinical decision support tools
- Written and verbal communication
Role summary
A remote, variable part-time clinical pharmacist role at Humana performing medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The position requires an active pharmacist license and involves payer-side utilization management, documentation, clinical decision support tools, and flexible late/weekend coverage.
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