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Clinical Pharmacist Lead

Humana

Humana

Florida, USA · Remote
Posted on Friday, May 24, 2024

Become a part of our caring community and help us put health first

The Clinical Pharmacy Lead 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 Clinical Pharmacy Lead works on problems of diverse scope and complexity ranging from moderate to substantial

The Clinical Pharmacy Lead is a key stakeholder to Pharmacy and Medicare Retail organization leadership in the management of Value Based Providers. Clinical Pharmacy Leads (CPLs) have a key focus on provider engagement with value based primary care practices in improving financial, clinical, and quality outcomes related to pharmacy Key Performance Indicators. CPLs manage the entire Value Based (VB) Provider Panel within their respective regional alignment as their book of business. They use data points around current performance (mail order rate, patient safety scores, etc.) and input from Retail stakeholders to prioritize their engagements. CPLs leverage various value props to promote CenterWell Pharmacy to VB Group leadership (examples: auto refill, medication adherence). CPLs serve as the “Face of CenterWell Pharmacy” through an account management/service function. They support Medicare Regions as pharmacy advisor on a wide variety of topics (Formulary, spend and trend, etc.)


Use your skills to make an impact

  • Medicare Region + Provider Account Management (50%)

    • CPLs are regionally aligned and work closely with internal regional leadership to support value- based providers on numerous pharmacy topics. The collective teams support Stars, MRA and Provider Engagement teams by serving as Pharmacy SME for JOC and working team meetings

    Rx Growth Initiative Execution (35%)

    • CPLs have a unique and invaluable line of sight into the needs and nuances of their aligned clients and provider groups. They partner with our strategy team to take fledging ideas coming from the regions from concepts to pilots, collateral needs, new data views, etc. to advance our growth goals
    • The teams serve as execution arm for many of the CenterWell Pharmacy Growth team’s test and learns and pilots

    Strategic Partnerships (15%)

    The team partners with multiple HPS and Retail groups to help drive initiatives that support Rx cost savings, medication adherence, and Patient Safety Stars measure compliance. Examples include but are not limited to:

    • Maximize Your Benefits
    • Medication Therapy Management
    • VBID Strategy Team
    • Stars Patient Safety

    Role Essentials:

    • Bachelors or other advanced pharmacy degree
    • 5+ years’ experience as a practicing pharmacist
    • Excellent organization and communication (verbal and written) skills
    • Ability to work in a team environment and support common goals
    • Strong attention to detail; able to concentrate without distraction in a fast-paced environment
    • Ability to prioritize multiple tasks, anticipate and solve problems
    • Intermediate level or higher competency with MS Office programs such as Word, Excel and Power Point
    • Ability to use digital platforms like Zoom, MS Teams or WebEx
    • History of demonstrated business development capabilities
    • Proficient in quality improvement processes, analyzing and interpreting financial trends
    • Excellent written and verbal communication skills; effectively facilitates and present to large groups and all levels of leadership including HPS Exec/Humana Management Team level
    • Ability to maintain high engagement level

    Role Desirables:

    • Medicare product experience
    • Previous Provider Engagement experience
    • Previous Pharmaceutical Sales Experience
    • Experience with development, monitoring and evaluating the KPIs and outcomes of pilots, test and learns and initiatives
    • Familiarity with electronic medical record (EMR) systems
    • Identify and implement innovative solutions for improved efficiencies and outcomes
    • Multilingual (preferably English/Spanish)
    • Experience in building strategy and quantifying outcomes of key organizational activities

    This position may require occasional travel outside or Florida.

Additional Information

Alert: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$123,800 - $170,400 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.


About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.