Associate Director Pharmacy Trend

Profile

Description

The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Associate Director, Clinical Pharmacy requires a solid understanding of how organization capabilities interrelate across department(s).

Responsibilities

In this job you will:

Lead within an interactive team with broad exposure and scope within Humana. Positively and Proactively lead a high performing team that helps translate the clinical into financial to ensure Humana profitability. Oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, as well as the impact of the generic and biosimilar pipeline.

Lead our medical and pharmacy trend process including month over month, quarter over quarter and year over year trend review

Lead our generic and biosimilar pipeline process

Produce top quality presentations and reports to be shared with senior leadership such as trend updates, and market event notifications

Lead the analysis and generation of insights related to medical and pharmacy trends to inform future formulary strategy

Continuously monitor relevant publicly available news/developments in the pharmaceutical sector, performing any ad hoc analyses and generating insights

Utilize broad understanding of managed care and medical and pharmacy trends to foster the development of strategies to mitigate Humana's cost and trend while improving our member's health

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

Present confidently to senior leadership on key metrics

Support clinical research integration activities with internal research department

Collaborate with other leaders throughout HPS to support formulary strategy and trend initiatives

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

Invest in the development of associates, and the growth of the team

Key Competencies:

Acts Strategically : Has vision, anticipates future consequences and trends accurately; has broad knowledge and perspective; creates competitive and breakthrough strategies and plans.

Leads Change : Models agility, adaptability and an openness to new ways of thinking and operating. Guides and energizes others to embrace new opportunities arising from change. Inspires strong organizational performance through periods of transformation, ambiguity, and complexity.

Leads Positively : Leads by example to cultivate a climate of motivation, positive energy and meaning in work. Empowers and guides associates to take personal responsibility, encouraging them to productively learn, flourish, and strengthen team capacity. Assesses, selects, recognizes, and develops diverse talent to capitalize on competencies, ideas and passions.

Drives for Excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition

Builds Trust : You honor your word by doing what you say you are going to do

Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first. Develops and strengthens networks and relationships, both inside and outside the organization, that support company performance. Proactively and transparently contributes information and energy toward creating value with others.

Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools. Develops and optimizes end-to-end processes

Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.

Required Qualifications

Degree of Doctor of Pharmacy (PharmD or RPh) from an accredited School of Pharmacy

Active, unrestricted pharmacy licensure

Five years clinical experience in managed care or pharmacy related field

Previous experience in trend analysis

Strong track record of driving solutions that achieved clinical and financial outcome

Excellent oral and written communication skills, previous experience presenting and interacting with senior leadership

Ability to educate, influence and direct stakeholders on the strategies supporting trend mitigation and GDR

Preferred Qualifications

Board Certified Pharmacotherapy Specialist (BCPS)

MBA, pharmacoeconomics or health outcomes training

Six Sigma, Lean (or other quality program) background

Previous experience in medical claims analysis

Experience with effectively coaching, developing and leading direct reports and cross-functional teams

Fine-tuned analytic and strategic thinking capabilities

Experience in finance and/or business related pharmacy practice

Additional Information

Work Hour - Monday - Friday 8:00-5:00 EST

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

This is a remote position

#LI-Remote

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Company info

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