Senior Clinical Pharmacy Advisor - Trend

Profile

Description

The Senior Clinical Pharmacy Advisor - Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high performing team that helps translate the clinical into financial. The goals is to help ensure Humana profitability while improving our member's health and costs. This role functions in a highly collaborative environment across multiple departments to drive results.

This individual will support ongoing trend efforts through the collection of market data and internal analysis, with a focus on generation of insights from the gathered information.

Responsibilities

Responsibilities include the following:

Provide clinical and analytical support in order to drive success of trend, utilization management, and generic dispensing rate initiatives

Generate insight through deep understanding of business strategy, operations, and reporting infrastructure.

Contribute to creation of top-quality presentations for senior leadership on a variety of topics including trend, generic dispensing, and utilization management.

Continuously monitoring relevant publicly available news/developments in the pharmaceutical sector that would contribute to Humana's drug trend and spend

Monitors generic and biosimilar pipeline, including patent expirations and new to market agents

Partners with pharmacists, business professionals and actuaries in a team environment

Supports pharmacy trend management by conducting and analyzing drug spend, utilization and market share analyses, updating and distributing presentations/reports, drafting communications, etc.

Supports clinical research integration activities with internal research department

Lead multidisciplinary meetings, embracing the keys of Essential Facilitation, to drive to alignment and results.

Competencies

Clinical degree (e.g. Pharm. D.)

Self-directed

Able to produce clear, concise documentation

Strong organizational skills

Positive and proactive

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 assimilate, analyze, draw conclusions, and make recommendations from complex data

Strong verbal and written communication skills

Flexible, dynamic personality who works well in a team environment and is also an individual contributor

Positive and proactive

Problem-solving and project management skills

Role Desirables

Board Certified Pharmacotherapy Specialist (BCPS)

MBA, pharmacoeconomics or health outcomes training

Six Sigma, Lean (or other quality program) background

Three years clinical experience in managed care or pharmacy related field

Experience in managing the strategic planning cycle for a large organization with cross-functional engagement and prioritization

Experience executing complex strategic and operational initiatives

Previous experience in trend analysis

Required Qualifications

Bachelor's degree or equivalent

Based on the business need, may require an active Pharmacist license

5 years of technical healthcare experience

Strong analytical skills

Skilled in using data to identify areas of concern and drive operational changes

Successful track record in facilitating and consulting across teams and managing projects

Demonstrated ability to implement projects/campaigns and achieve business goals

Proficiency in Microsoft Word, Outlook, Excel and PowerPoint

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Pharm D

Experience with pharmacy benefits and health benefits

Experience with

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com