Clinical Pharmacy Lead

Profile

Description

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.

Responsibilities

The Clinical Pharmacy Lead 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. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Required Qualifications

Bachelor's Degree

Must have an active Pharmacist license with the Board of Pharmacy in the state of Florida

Successful track record in facilitating and consulting across teams and managing projects

Thrives in a fast paced, multi-project work environment while still ensuring attention to detail

Excellent communication skills, both oral and written

Proficiency in Microsoft Word, Excel, & PowerPoint

Expertise in working collaboratively and communicating with staff in different positions and all levels of management positions

Preferred Qualifications

Pharm D

Master's Degree in Business Administration or a related field

Experience with Microsoft Access & Microsoft Project

Experience with pharmacy benefits and health benefits

Work-At-Home Requirements

Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

Satellite and Wireless Internet service is NOT allowed for this role.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours

40

Company info

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