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

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