Humana Clinical Pharmacy Lead, Remote in Newport, Rhode Island
Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that helps translate the clinical into financial to ensure Humana profitability.
This individual will work closely with multiple teams throughout the enterprise to inform the financial and clinical significance of new to market (brand pipeline) medications.
Oversees and leads our pipeline drug process, monitoring drugs in development and new drug approvals
Researches and analyzes drugs and emerging therapeutics, including financial forecasts on the web and works with analysts and actuaries to develop an internal financial forecast for the company
Continuously monitors relevant publicly available news/developments in the pharmaceutical sector, performing any ad hoc analyses and generating insights
Utilizes broad understanding of managed care and PBMs to develop strategies to mitigate Humana's cost and trend while improving our member's health and costs
Develop corporate communications of high quality to be shared with senior leadership such as trend updates, pipeline updates and market event notifications
Partners with pharmacists, business professionals and actuaries in a team environment
Presents confidently to senior leadership on key metrics including drug pipeline impacts
Supports clinical research integration activities with internal research department
Supports pharmacy trend management by conducting and analyzing drug spend, utilization and market share analyses, updating and distributing presentations/reports, drafting communications, etc.
Contribute to Humana formulary strategy as it relates to pipeline products
Understands managed care and is capable of generating broad insights into the business
Accountable to financial goals
Ability to influence others to achieve goals and meet deadlines
Proven problem-solving and troubleshooting skills
Strong critical thinking skills
Works well independently and within a team setting to achieve goals and meet deadlines
Demonstrates initiative and the ability to multi-task and prioritize assignments
Ability to lead initiatives or projects
Very strong presentation skills
Able to produce clear, concise process documentation
Positive and proactive
Degree of Doctor of Pharmacy (PharmD or RPh) from an accredited School of Pharmacy
Active, unrestricted pharmacy licensure
Three years clinical experience in managed care or pharmacy related field
Board Certified Pharmacotherapy Specialist (BCPS)
Board Certified Oncology Pharmacist (BCOP) or interest in learning about the oncology drug pipeline
MBA, pharmacoeconomics or health outcomes training
Excellent oral and written communication skills, previous experience presenting and interacting with senior leadership
Flexible, dynamic personality with a demonstrated ability to lead and influence others without authority and is also an individual contributor
An understanding of financial analysis and equity research a plus OR willingness and interest to learn
Previous experience in trend analysis
Working knowledge of MS excel, MS PowerPoint required
COVID 19 Vaccination:
For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.
If progressed to offer, you will be required to:
Provide proof of full vaccination OR
Commit to weekly testing, following all CDC protocols, OR
Provide documentation for a medical or religious exemption consideration.
This policy will not supersede state or local laws. Requests for these exemptions should be submitted at least 2 weeks prior to your scheduled first day of work.
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first round interview, you will receive an email/text correspondence inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.
Scheduled Weekly Hours