[Hiring] Clinical Pharmacist Lead @Humana

Role Description

As the Clinical Pharmacy Lead you will monitor drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilize broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to reduce cost trend and improve health outcomes. You will work on problems of diverse scope and complexity ranging from moderate to substantial. You will report to a leader and be a part of the HPS Clinical Program Strategy team.

• Develop, and operationalize formularies related to coverage, utilization management edits, or clinical coverage policies for pharmacy and medical administered drug products.
• Conduct analysis on drug use trends to evaluate and inform formulary strategies.
• Collaborate on research projects and develop proposals for research projects.
• Develop corporate communications to be shared with senior leadership.
• Support trend management by conducting analysis of drug spend, utilization, and/or approval scenarios.
• Advise executives to develop functional strategies (often segment specific) on matters of significance.
• Exercise independent judgment and decision making on complex issues regarding job responsibilities and related tasks, and works under minimal supervision.

Qualifications

• Bachelor's degree
• Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state
• Successful track record in facilitating and consulting across teams and managing projects
• Expertise in working collaboratively and communicating with staff in different positions and all levels of management positions

Requirements

• 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: Minimum download speed of 25 Mbps and upload speed of 10 Mbps; dedicated workspace required.
• Travel: Occasional travel to Humana's offices for training or meetings may be required.

Benefits

• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance
• Many other opportunities

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.

$138,900 - $191,000 per year

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

Application Deadline

10-05-2026

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 protected veteran status.