Pharmacy Trend Clinical Pharmacy Lead Remote

Profile

Description

The Clinical Pharmacy Lead for Pharmacy trend will 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.

Responsibilities

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.


Own our pharmacy trend process including month over month, quarter over quarter and year over year pharmacy trend review.
Oversee and lead the pharmacy strategy value assessment, forecasting the savings of a strategy and tracking actual experience to projection.
Lead pharmacy trend management by conducting and analyzing drug spend, utilization and market share.
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 pharmacy trend to inform future medical strategy.
Continuously monitors relevant publicly available news/developments in the pharmaceutical sector, performing any ad hoc analyses and generating insights
Utilize 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
Collaborate with pharmacists, business professionals and actuaries in a team environment
Present confidently to senior leadership on key metrics including pharmacy trend, utilization management savings, and other trend initiatives.
Support clinical research integration activities with internal research department
Work holistically with our pharmacy partners to develop innovative pharmacy trend savings opportunities.
Lead multidisciplinary meetings, embracing the keys of Essential Facilitation, to drive to alignment and results


Competencies


Understands managed care and is capable of generating broad insights into the business
Self-directed
Accountable to financial goals and a history of delivering business results
Ability to influence others to achieve goals and meet deadlines
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
Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data
Very strong presentation skills
Able to produce clear, concise documentation
Positive and proactive


Qualifications


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


Role Desirables


Board Certified Pharmacotherapy Specialist (BCPS)
MBA, pharmacoeconomics or health outcomes training
Six Sigma, Lean (or other quality program) background
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 while contributing individually
Previous experience in trend analysis
Working knowledge of MS excel, MS PowerPoint required


Scheduled Weekly Hours

40

Company info

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