Staff Clinical Pharmacist-Clinical Formulary Administration

Profile

Description

The Staff Clinical Pharmacist- Clinical Formulary Administration 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 Staff Clinical Pharmacist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Staff Clinical Pharmacist-Clinical Formulary Administration develops, maintains, and/or operationalizes formularies related to coverage, utilization management edits, or clinical coverage policies for pharmacy and medical administered drug products. Conducts analysis on drug utilization trends to evaluate and inform formulary strategies. Collaborates on research projects and develops proposals for research projects. Develops corporate communications to be shared with senior leadership. Supports trend management by conducting analysis of drug spend, utilization, and/or approval scenarios. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications

PharmD Degree

Active pharmacist license in the state(s) of Kentucky, Indiana, Ohio or Tennessee

Demonstrated delivery of business results

Ability to communicate effectively and deliver presentations

Strong analytical, problem-solving and troubleshooting skills

Able to partner with stakeholders to align on strategies

Strong organizational skills and ability to stay on schedule

Ability to work independently and within a team setting to achieve goals and meet deadlines

Preferred Qualifications

Previous experience with pharmacy benefits management

Previous Commercial, Medicare and/or Medicaid experience

3 years clinical experience in managed care

Ability to manage end-to-end-processes

Previous management experience and ability to lead teams

Previous program or project management experience

Excellent data analysis and experience working with Access, SQL and Excel

Six Sigma and/or Project Management Professional certification

Health Plan experience

Knowledge of Medicare formulary regulations (Part D Chapter 6)

Additional Information

We may contact you via text message to gather more information once your application is complete. We use a software platform called Montage. Montage Text allows you to interact with us at the time and location most convenient for you. If participating in a Text assessment, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided.

Scheduled Weekly Hours

40

Company info

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