[Hiring] Senior Clinical Pharmacist @Humana

Role Description

The Senior Clinical Pharmacist monitors clinical criteria in order to provide clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM to implement strategies and programs to mitigate cost trend and improve health outcomes. The Senior Clinical Pharmacist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

• Develops, maintains, and/or operationalizes preferred drug lists 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 process and build needs.
• Supports trend management by conducting analysis of drug spend, utilization, and/or approval scenarios.
• Begins to influence department’s strategy.
• Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.
• Exercises considerable latitude in determining objectives and approaches to assignments.

Qualifications

• Pharmacy Degree (PharmD or RPh) from an accredited School of Pharmacy.
• Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
• Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data.
• Flexible, dynamic personality who works well in a team environment and is also an effective individual contributor.

Requirements

• 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 required; wireless, wired cable or DSL connection is suggested.
• In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Occasional travel to Humana's offices for training or meetings may be required.

Benefits

• Competitive benefits that support whole-person well-being.
• 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 and many other opportunities.