[Hiring] Senior Oncology Clinical Pharmacist @CenterWell

Role Description

Become a part of our caring community. The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist 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 Formulary Strategy 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 strategies related to utilization management edits and/or clinical coverage policies for pharmacy and medically administered drug products.
• Influences the department’s strategy.
• Participates in Humana’s formulary and Pharmacy and Therapeutics processes.

• Acts Strategically: Has vision, anticipates future consequences and trends accurately; has broad knowledge and perspective; creates competitive and breakthrough strategies and plans.
• Builds Trust: You honor your word by doing what you say you are going to do.
• Drives for Excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.
• Innovates: Introduces or develops new ideas and processes which improve performance or productivity.
• Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
• Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.

Qualifications

• Pharmacy degree from an accredited school of pharmacy.
• Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state.
• Clinical experience in managed care or other pharmacy related field.
• BPS Board Certification (any BPS certification; BCOP Preferred).

Requirements

• Complete clinical reviews, policy development, operations related to policy work, and recommend drug coverage and potential drug utilization tools to mitigate Humana’s cost and trend while improving our member’s health and costs.
• Serve as a clinical subject matter expert and provide clinical support across Humana.
• Conduct analysis on drug utilization 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.
• Make 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.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
• Less than 10% travel requirement including visit(s) to home office in Louisville, KY.

Preferred Qualifications

• Pharmacoeconomics and Health Outcomes training.
• Pharmacy practice residency or similar pharmacy practice experience.
• Knowledge of Medicare as it relates to pharmacy.
• Six Sigma and/or Project Management Professional certification.

Benefits

• Humana, Inc. and its affiliated subsidiaries offer 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.
• 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.

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.

$126,300 - $173,700 per year. This job is eligible for a bonus incentive plan based on company and/or individual performance.

Application Deadline

06-18-2026